Not Taboo, But Still Unspoken

I woke up this morning feeling weird and edgy and then I remembered my dream. In it, I had a miscarriage. Even though it was non sequential and incoherent, as dreams are, I knew in the dream that this was the fourth one and I was devastated.  And I woke up feeling unsettled and off. 

Dreams are really strange. I am not pregnant and I haven't had a miscarriage for 8 years. So it's hard to know how the combination of conversations I had yesterday and the pasta I had for dinner conspired to conjure up up these images.

Apparently 1 in 5 pregnancies end in miscarriage, of which there are several different kinds.  Not 1 in 5 women ever have a  miscarriage, but 20% of all pregnancies. That's a very high proportion and indicates how many people are affected by this. Yet it is strangely unspoken about - it's not something people tend to reveal about themselves on a night out. I don't think this is because it's taboo, rather that it's a very personal thing for everyone. Depending on what stage you were at in the pregnancy, whether you already have kids or not, how both people in the couple respond to this and a host of other factors, your experience will be very individual. People's responses to such a loss are deeply personal also and are hard to share with others, as you are mourning the loss of potential, which is unquantifiable in many ways. 

It was very striking one evening at book club, to go round the table and realise that every single woman there, had had at least 1 miscarriage. There were about 7 of the wider membership that had turned up that particular month, but each of us had a completely different story. That's when the statistic '1 in 5' was shown to be such a high one - that it had affected every single person in a relatively random group of women one Thursday night in Wicklow town.

Before we ever had any kids, we went through 3 miscarriages. The very first one was really early, like about 6 and a half weeks into the pregnancy. If I hadn't suspected and taken a pregnancy test, I possibly wouldn't even have realised and would have just assumed I was quite late.  In fact, one of the midwives said this to me and said that early pregnancy tests are great in many ways, but do cause a great deal of heartache that would otherwise have passed you by.

The next miscarriage was almost exactly a year later and was a really difficult experience.  I was almost 11 weeks pregnant and the school I was working in was 2 days away from being inspected by Ofsted when I realised I was bleeding. Cue the two most awful days. Scans showed that there was no heartbeat, but the doctors insisted on various surgery-avoidance procedures that were really awful.  It was our first experience of being in a hospital system where staff were quite poor at communicating what was going on, and stuff was just done or medication just given, without explanation, until Andrew demanded to be told what was happening. Eventually, I ended up in surgery.

That was a very hard time as one of my closest friends had just had her first baby.  I had found out I was pregnant on the day she gave birth and it all just felt so right and we were so happy!  It was very difficult to come back from this, and I was very angry and upset for a long time. It changed me, it changed our marriage, thankfully by bringing us closer together in the end,  and it changed, deepened and strengthened my faith. 

Two years later, I found out I was pregnant again and was delighted to feel sick and nauseous for a few weeks. Until I stopped feeling sick and nauseous...  I knew then and wasn't at all surprised when the early scan we were allowed due to our history did not show a heartbeat. The one they made us come back for 2 weeks later confirmed this, and I was admitted for surgery in Holles Street. In those 2 in between weeks, our house had flooded due to incompetent plumbers and I spent the subsequent weeks post surgery on the couch as a humidifier drummed next to me and various workmen painted and replastered. Not a great recuperation!

And only then, after 3 miscarriages, would 'they' look at us and do any investigation as to the cause of this recurrence. 'They' being the medical profession, who are acting from the 1 in 5 statistic. At the time,  after the second miscarriage, it is so hard to accept that they don't consider you have been through enough to investigate. There you are, devastated, and told 'we only take blood tests etc after 3.' I almost felt like that was a sentence and a small part of me was relieved after the third one was over, that at least now they had to look into this.

But, several blood tests later, we proved to be perfectly healthy and there was no reason to think the next pregnancy wouldn't be fine.  Although this was good news, I almost wanted there to be a problem.  They would then present us with a super straightforward medical solution, just like that, and we could go forward with certainty and confidence.  Well, that's not how things go in real life!

I write this while ignoring the sounds from upstairs that tell me one of the kids is about to come down roaring in pain any minute now. After the 3 miscarriages, I had 2 subsequent pregnancies, both of which were fine and we have 2 healthy, bouncy boys. Although our experiences were difficult, they are nothing, NOTHING, compared to what some couples go through, in terms of ectopic pregnancies, the whole ivf route with its attendant financial and hormonal pressures or indeed the soul-destroying bureaucracy of adoption. Not to mention losing a baby much later in pregnancy or having a baby die shortly after birth. And I have also always thought that in many ways it must be harder to suffer a miscarriage when you already have kids.  Although we were desperately sad that we might never have a family; at least we were at liberty to console each other, to head off for long weekends and to take time out from normal life as needed.  If you already have kids, that's not an option and I am full of admiration for couples who stay strong in these situations.

I always worry when I hear new couples talk blithely about their plans to start a family after they have travelled and had glittering careers etc. I think the phrase 'planning a family' is in fact extremely unhelpful as it utterly fails to prepare people for the fairly high chance that this might not just happen cause they want it to at a certain time. I am not suggesting people should be worried and tense around this whole issue, but at least be aware that children are a blessing.  At risk of sounding too cheesy for words, I mean by this that each child really is a miracle, given all that has to happen before they are safely delivered. I am immensely grateful for my two miracles and will now go and check which one of them has injured the other...