Early Losses

My first miscarriage happened in January. I began to fear it just a day after learning I was pregnant. I went to the doctor and at six weeks, they saw a gestational sac on the ultrasound with nothing inside it. (There should have been an embryo there.) The next week, when they checked again, the sac had shrunk. I was diagnosed with a “missed miscarriage.” The remnants of fetus-that-never-was eventually left my womb on Chinese New Year.

My next miscarriage happened in late June, while I was on stage, speaking to a few hundred young people gathered for a Millennial convention in Chicago. (No, really, it is called Millennial Convention). I knew it was going to happen. Two weeks earlier, a scan showed a heart that beat too slow for a six week-old fetus. The clinical name for that is a “threatened abortion.” I read every study on heart rates at 90 bpm for tiny embryos, and science indicated that that pregnancy would be lost, too.

Clinically, they don’t diagnose you with recurrent pregnancy loss until you’ve suffered three consecutive miscarriages. That’s because the changes of miscarriage are so big (anywhere between 20 to 30 percent) that it’s entirely likely you lose two just due to random chance. As any betting person knows, it IS possible to roll two sevens in a row, even though it’s unlikely.

But I look for answers for a living. So I went and got tested — blood and hormone tests, chromosome tests, thyroid tests, and even a dye injected in my uterus to see whether my system had structural deficiencies. They all turned up exactly what my doctor suspected — nothing. System was sound, all my hormone levels in perfect ranges. My uterus is “beautiful,” the doc said. (Weirdest compliment, I know.)

I write about this because it’s part of my nature to share, but also because I don’t want anyone else who goes through pregnancy loss to feel ashamed about it. So many women suffer this sorrow silently, and don’t have to. The programmer Marco Arment reminded me powerfully in November, in writing about his wife’s 21-week pregnancy loss, that giving a voice to layered and varied and painful experiences frees us all.

I’m around if you, God forbid, go through something like this and want to talk. As Emily Bazelon wrote after miscarrying twins in 2003, “Shouldn’t we be talking openly about this much more often, so that we’re better prepared for the grief when it hits us?” I took some advice I read in that discussion: I came to think about my unborn babies as benevolent beings out there somewhere, tied to Matty and me, if only in memory.

My Monthlong Miscarriage

January was a weird month. I came home from Taipei with the bird flu. (Or something like it.) It knocked out my entire family for a week and a half. Sometime during the feverish blur, our toddler’s nanny quit and moved out. I scrambled to find childcare and ultimately flew my aunt in from LA for two weeks, which meant a house guest we weren’t originally expecting. When I wasn’t convalescing, I reported a few radio stories, blogged a lot, tweeted even more, traveled to Nashville and back, started teaching my Medill journalism students and drank lots of iced green tea. And all the while, I was pregnant. Kind of.

The adage is that you can never be “kind of” pregnant, but when you learn you’re pregnant with an empty gestational sac — the condo that’s supposed to house an embryo is without a resident — and after an agonizing weeklong wait, doctors find a lifeless, microscopic little bean in a condo collapsing all around it, that seems pretty “in-between” to me. So that was most my January.

I started miscarrying on Chinese New Year’s Day. For the same reason I delivered daughter Eva without pain meds, I’ve always trusted my body to know what to do at the right time. As we rang in the new Lunar Year and the sun emerged for the first time in weeks, my body reliably ousted an embryo that would never become anything more. I felt both disappointed and relieved that my gestational limbo was almost over.

None of this is to say I treat this experience as unimportant — it is physically uncomfortable and emotionally disorienting. But I feel no shame about what happened. The more openly we discuss the range of female experiences, the freer we become. For better or for worse, for a huge chunk of us, the experience of womanhood includes miscarriage. I join a very, very large club. And I am better for being through it.

But dear god, I hope February is a lot more fun.