They say knowledge is power, but I learned over the last few days that knowledge is also fear when you realize you do not have any power to change your situation.
Over the last few days I have been completely reassured regarding my Beta hCG levels by the gynecologist as well as by some very nice fellow bloggers who left comments in my previous post.
My levels have indeed been doubling nicely:
4 weeks 1 day: beta: 1562
4 weeks 3 days: beta: 3600
4 weeks 4 days: beta: 5167 and progesterone 86.5
However, my GP sent me to the early pregnancy unit for a reassurance scan and there they noticed an issue with my gestational sac. It was quite irregularly shaped and they recommended I come back the next day for another ultrasound with a senior scanner and a consultant. This definitely did not sound like good news to me.
The following day they reassured me once again that my hormone levels are excellent and doubling as they should. Unfortunately, the consultant said she also had some bad news. I am officially in a high miscarriage risk group as she diagnosed me with a chorionic bump.
I had no idea what this was. To be honest, I had never even heard of it. She explained to me that this is causing the irregular shape of my gestational sac and in many cases may eventually lead to the collapsing of the gestational sac and hence to a miscarriage. She went on to say that I shouldn’t worry at this point because my pregnancy is developing (how can I not though!!) and that I will be closely monitored and would have to come back in for another scan on the 26th. This happens to be at 6 weeks and 1 day, exactly when I miscarried previously.
Of course, when I went home I really wanted to learn more about this chorionic bump and found that there are not so many success stories. In fact, I didn’t even find one. Then again, there were only a very few stories I could find online. There is hardly any literature or articles or blogs about it out there. After hours of researching and trying to find out more, this is what I have learned about a chorionic bump:
- It is a super rare (0.15%-0.70% of pregnancies) condition that I can best describe as a bump/soft tissue lump bulging into the gestational sac
- It is associated with a guarded prognosis for live birth, with a live birth rate of 47% concluded by one study or live birth rate of 60% by another study.
- Studies show a greater number of miscarriages during the second trimester
- It is not the same as a subchorionic hematoma
- If the gestational sac and yolk sac develop, 13% of cases may still not develop an embryo
- There is no known intervention or remedy at this point which can reduce the high miscarriage rate
- If there is a nice strong heartbeat and no other abnormalities, the life birth rate may increase to 80%
I’m not going to lie, this is some really scary news and a very bitter pill to swallow. These are going to be long days until the 26th. I can only pray that I won’t start to bleed and that they will see the fetal pole. The only thing left for me to do is hope, hope that I’m on the good side of the statistics or to try and live by the following quote, which I have stolen from a fellow blogger, Katie (according to Katie), who I have been following: “you can be brave and scared at the same time”.
As mentioned, there are hardly articles out there mentioning this condition 😦 Should you want to read medical articles to learn more about the chorionic bump, these were my main sources:
- Clinical significance of first-trimester chorionic bumps: a matched case–control study
- The Chorionic Bump
A First-Trimester Pregnancy Sonographic Finding Associated With a Guarded Prognosis
- The chorionic bump: Radiologic and pathologic correlation