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Educational Health Stories [Other] Moderators for this section: Inker

"You can always have another"


Outline: Revised further after medic-man's comments.
The house was in darkness when Mike arrived home. He found this slightly surprising, because not only was Lucy's car in the drive, but the dog was in his bed, which meant that Lucy wasn't out walking him. It was possible she'd popped in to one of the neighbours for a chat, but Mike thought it unlikely.

"Hullo, anybody home?"

"Here," said a sorrowful voice from the study.

He found her hunched up in an armchair, hugging her knees. One look told him she'd been crying.

"Oh sweetheart, what is it? I thought you'd enjoy meeting all the old crowd for lunch. What happened?"

He went to put his arm around her, but she shrugged him off.

"Yes, I was enjoying it; it was great to see them all and we were having fun. I was enjoying it, really, I'd almost forgotten, until ..." Her voice trailed off as her eyes filled with tears.

"Until what?"

"Till they said it, that same sentence, the one everybody says thinking it makes me feel better. I hate it, I hate it so much. I don't want 'another'; I want ours, the one we lost."

She broke, sobbing uncontrollably, and only then would she let Mike cuddle her.

~ ~ ~ ~ ~


Six months earlier, Lucy and Mike were thrilled when Lucy discovered she was pregnant. They had been trying for a baby for a few months and were looking forward immensely to the big event.

Lucy had noticed some spotting of blood around the time she was expecting her period, so was slightly unsure whether she was pregnant or not until the pregnancy tests left no doubt. There was more spotting four weeks later, but it didn't come to much and books she'd read said it wasn't unheard of, so she carried on as normal. She really didn't want to fuss - there was a whole pregnancy and birth to get through yet - and she didn't want to discuss it with anyone.

Lucy mentioned the spotting to the doctor when she saw him. He reassured her that it was quite common and, in most cases, settles down, so she and Mike started to make plans, tell their friends, decorate the bedroom and discuss names.

But it wasn't to be. A couple of weeks later Lucy started bleeding - not just spotting - but only lightly. Mike called out the doctor, who told Lucy to see if the pregnancy settled down - at this stage it was a threatened miscarriage.

Lucy felt frightened and helpless and knew she could do nothing other than what she'd been told. She didn't want to eat and couldn't sleep; she only wanted time to pass until she was holding her baby in her arms. That, too, wasn't to be.

The next day she suffered lower abdominal cramps and the bleeding became severe. The doctor was summoned once more and he immediately called for an ambulance. The paramedics were very reassuring and friendly, and nearly succeeded in taking her mind off what was happening. They chatted easily to her, while seeming genuinely concerned.

Soon after arrival at hospital, Lucy passed so much blood, with clots and 'tissue', that it became evident the pregnancy was highly unlikely to continue to full term.

A doctor performed an ultrasound scan on her, which confirmed that she had miscarried. He told her that whereas it used to be common for doctors to perform a small operation known as a D&C to clear the uterus after a miscarriage, especially a late one, it is now more common to let nature takes its course. An operation can be performed if there are complications, but generally, the pregnancy matter is passed out naturally, and bleeding will stop in a number of days.

The staff were very kind to Lucy and reassured her that there was no reason whatsoever why she wouldn't go on to have a perfectly healthy baby. They told her that as many as one in four pregnancies end in miscarriage, and that it was just one of those things, probably an isolated chromosome fault, and very unlikely to recur. They also reassured her that nothing she had done would have caused it.

"You can always have another," the nurses said, encouragingly.

She hadn't the strength to explain that she didn't want another, she just wanted that one, her baby.

Working up some courage, she asked if they would test her, so she would know for sure, but was told that investigations are not usually carried out until you have miscarried three consecutive times. She was given details of counselling services that were available, and promised to consider whether to take them up.

She longed to get home, to normality, except normality had just changed, been taken away from her.

When the bleeding stopped, Lucy returned to work, thinking that it would help to have her mind occupied.

She was struggling at home to be able to talk the whole thing through with Mike - he seemed to want to look forward rather than back. Thoughts about it hung over her the whole time; not an hour passed without her feeling guilty about what had happened. Had she overdone things? Was it the odd glass of wine she'd had before she knew for sure that she was pregnant? Or the x-rays she'd had at the dentist's surgery a couple of months earlier? Was it because she and Mike had continued to have sex after the initial spotting? Should she have refrained from helping Mike decorate the bedroom? Thoughts went round and round her mind, each one making her feel more miserable. She knew in her head that she had done nothing to cause it, but still couldn't help wondering in her heart.

Going back to work didn't help her as she thought it might. She had little interest in work or her colleagues. Their attempts at conversation and banter seemed unimportant and irrelevant to her life; in fact, she really had nothing in common with them any more. When they talked of families and children, she felt resentful. She didn't like to admit it, but she knew it was true. Even being out and about was giving her problems. The mere sight of a buggy was enough to cause her to well up or feel angry. How could they have a baby when she couldn’t?

Realising she needed help to move forward, Lucy arranged some counselling sessions and also joined The Miscarriage Association, Tel (Helpline): 01924 200799 Web: www.miscarriageassociation.org.uk

~ ~ ~ ~ ~


And so, sitting in the study after lunch out with her friends on that winter's afternoon, Lucy relaxed against Mike’s strong chest as her sobs lessened and she calmed down. She tried to speak, hesitated, then continued,

“You know what time it is, don’t you?”

“Well, I know it’ll soon be Christmas.”

“Yes, and the time our baby would have been born.”

Mike was surprised. He had known the baby would have been due at Christmas, of course he had, but the sudden realisation that Lucy had been dwelling on it gave him an unpleasant jolt.

“Darling, of course, I know … but it will be all right, you’ll see, we’ll have …”

He stopped, knowing he was making things worse. He and Lucy were trying for another baby, but that itself was difficult. It had taken a while for her to even contemplate sex and now it was just a baby-making process.

“Yes, I know, we’ll have a baby one day, of course I want to - that's why I'm happy that we're trying again. Lunch wasn't easy today though, this whole Christmas thing is hard for me. It brought it all back so vividly. And you know that I'm frightened of what may happen next time, don't you?”

~ ~ ~ ~ ~


The following year, Lucy again met her friends for a pre-Christmas lunch. This time Mike had to be at home to look after Jessica, their beautiful new daughter on whom they both doted. Lucy’s pregnancy had been problem-free and the birth straightforward. How lucky they were.

Yet Lucy and Mike never forgot the child that would have been their firstborn.

OozerUser

[Sat Dec 01, 2007 8:19 pm]

To me, this seems a well-balanced, well-written, bitter-sweet tale, ending on a positive and perfect note.

I thought you handled the subject matter with great sensitivity, and the emotional side of it also was very believable. I was glad that Mike wasn't demonised for not feeling the loss so keenly or for as long as Lucy, and that their relationship was portrayed as strong enough to overcome their devastating setback.

Although containing great sadness, this story was ultimately uplifting and encouraging.

The reviewer would appreciate your comments on: Arthur Who?
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Kate

[Sun Dec 02, 2007 1:28 pm]

Hello OozerUser,

I'm glad that you find this works as a story, is believable, and would be encouraging to people in a similar position.

It's a topic which is always rather delicate, with some just taking such things in their stride and others finding a miscarriage (or series of) one of the worst things they have to go through in life.

Thankfully, there's a lot more openness, information, support and understanding than there used to be.

Many thanks for coming in and reading/ commenting on this piece. Appreciated.

Kate
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donna

[Mon Dec 03, 2007 9:28 am]

What a touching story. You've managed to include all the relevant medical information without making it too "technical".

I did find the final sentence quite sad (but then I'm a big fan of happy endings) - I realise you're trying to make it clear that she hasn't just forgotten about that baby now she has another.

Could we not have something like:

Quote:
Of course the baby they lost would always hold a special place in both their hearts, but finally they were a family. Each Christmas they lit a candle...
?
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Phots-Moll

[Mon Dec 03, 2007 2:05 pm]

A sad tale with a happy ending. It's easy to understand and does reassure that a second pegnancy is possible. I liked their relationship - he seemed very caring and supportive and you've shown that it's not just the mother who is saddened by the loss of an unborn child.

I didn't quite follow this and wondered about the significance of not having walked the dog.
Quote:
but the dog was in his bed, which meant that Lucy hadn't taken him out for a walk.

On reading it again, I think you mean, 'as the dog was in his bed, she obviously wasn't out walking him'.

Quote:
"You can have another," the nurses said, encouragingly.
Would nurses really say that? It seems very insensitive. I can believe a well meaning freind might say it, but not all the nurses too.
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Kate

[Mon Dec 03, 2007 2:56 pm]

donna,

I see what you mean about the final sentence, and agree that your suggested wording is gentler and more reader-friendly. There's a subtle difference between your suggestion and Lucy's state of mind; yes, being a family is of course wonderful and what Lucy really wanted, but "that baby" and "another" are two entirely different things.

The remembering is only in Lucy's head and heart - just an idle wondering of what might have been, what he would have been doing now, how life would have been different, how that Christmas long past - and every Christmas - would have been special ...
Nothing is said about it; Mike isn't even aware.

Thank you for reading and commenting. I will think on your suggestion, and maybe change the ending to make it softer/happier.

Cheers,

Kate
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Kate

[Mon Dec 03, 2007 3:04 pm]

Hi Phots,

Thanks for looking at this and taking the trouble to comment.

I see that the dog-walking bit sounded confusing, and have changed it, thanks.

Phots-Moll wrote:

Quote:
"You can have another," the nurses said, encouragingly.
Would nurses really say that? It seems very insensitive.


Sadly, yes, nurses really do say that. It's as though it's the only terminology they can use to offer hope.

I agree it does sound insensitive to Lucy or anyone in her position, but those who have no or little understanding of how it feels to miscarry seem to find it a positive thing to say.
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Phots-Moll

[Mon Dec 03, 2007 3:16 pm]

I don't suppose that here's anything they could say that would ease the pain.
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Kate

[Mon Dec 03, 2007 5:39 pm]

Phots-Moll wrote:
I don't suppose that here's anything they could say that would ease the pain.


I think that's pretty much right. Very often it seems that the ability to listen, to take the time to hear someone out, to say "there, there, it's all right; scream/shout/rant if you want, you're not mad, nor alone, nor a freak; it's quite normal to feel as you do ..." is what is needed to ease the pain.

Isn't it?
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spanishlady

[Tue Dec 04, 2007 3:15 pm]

I wonder if the title could be changed to "You Can Always Have Another"? Although not necessary the word always when spoken by others suggests it's no big deal, just try again?
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Kate

[Tue Dec 04, 2007 3:22 pm]

Hello spanishlady,

Yes, I'm happy to change the title as per your suggestion and will do so now. It does soften it slightly, so thanks for that.

Cheers,

Kate
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BrianRobertNeal

[Wed Dec 19, 2007 9:46 am] Hi

The loss of a child is one of life's greatest injustices. This tale reminded me of two circumstances where a shadow crossed my life but thankfully passed on.

My best man and his wife lost their second child-They had a third. We were with them when the bleeding started.

The second time I arrived home from work to find an ambulance outside my house. My wife had started bleeding. In this case the child survived and is 23.

However on the limited straw-poll based on two friends, John and Josie who suffered a "cot-death" suffered more grievously than did Bryan and Jayne for in their case the world was put right again in about 15 months.

Brian

The reviewer would appreciate your comments on: On the way out.
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Kate

[Wed Dec 19, 2007 11:59 am]

Hi Brian,

It's good to bump into you round these corridors of the health wing! Thanks for reading and for the comments you made.

I'm glad things worked out for you in your own experience. The loss of a child is one of the great sadnesses in life and one (talking children, teenagers, adults here rather than miscarrying) which seems to stand the perceived nature of things on its head.

It's a strong person who can truly move on from such a situation.
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BrianRobertNeal

[Wed Dec 19, 2007 3:56 pm] Hi Kate

Loss of a child has featured in a number of my pieces: -

Trick or Treat,
Have you seen this Octopus?
After the Fall
Winning then Losing (published elsewhere)
My name's Sam (ditto.)

I've never managed to tackle mis-carriage/still-birth the nearest I got was in Budgies 4 and it's mentioned in Festive Budgies.

I meant to write an adaptation of the Coldplay song "Trouble" as a plea for a foetus threatened by abortion. I get too emotional and can't write.

If Cancerian fathers are this parental god help you if you've got a Cancerian Mother,

Brian.
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Cadwallon

[Thu Dec 20, 2007 4:13 pm]

Kate,

Well written involving story about a difficult subject.

Just a few points:
Quote:
Soon after arrival at hospital, Lucy had passed so much blood, with clots and 'tissue', that it became evident that it was highly unlikely that the pregnancy would be viable.


3 thats - and is viable a word she would use?

Despite the text separation, on the first read I was caught by the switch back to the initial time and had to backtrack - could be just me though.



Quote:
He stopped, knowing he was making things worse. He and Lucy had started to try for another baby, but even that was difficult. It had taken a while for her to even contemplate sex and now it was just a baby-making process.

“I know, we’ll have a baby one day, and I'm prepared to try again now. I’ve done a lot of talking about it recently – not to you, that’s too difficult – and am feeling much better about it all in general, and happy to try again. Lunch was difficult today though, this whole Christmas thing is hard for me. It brought it all back so vividly, especially because it was a pre-Christmas do.”


Slightly confused by 'Lucy had started to try' followed by her saying "I'm prepared to try again now."

The "I’ve done a lot of talking about it recently – not to you, that’s too difficult" seemed a bit rough on the old fellah. Probably realistic, but still...


Anyhow, looking good.

Very Happy

Cad
_________________
History, the home of creative writing
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Kate

[Thu Dec 27, 2007 4:39 pm]

Cad,

Thank you very much for your comments on this one.

You're quite right about the number of "that"s in the first bit you quoted and I've altered the sentence. Although I would have thought "viable" was the sort of word Lucy would use (she's young, bright, interested in knowing what's happening to her body), I have no problem with changing it and have done so.

I will have a look at the time changes and see if there's a way I can make them less of a jump for the reader.

I've also tried to clarify the bit about trying for another baby to remove any confusion.

Finally, I'd like to comment on your point about it being a bit rough on Mike when Lucy says she couldn't talk to him about it. I think there's quite an imbalance between the two of them in the way they have reacted to what has happened. Lucy was quite shattered - she had no knowledge that miscarriage was such a common occurrence or, indeed, that it was fairly likely to happen to her. So she was shocked, wounded, guilty, reeling, and hardly knew where to turn. A further surprise to her was the fact that Mike hardly shared her feelings about it at all; yes, he was sad it had happened, but he took it in his stride, just one of those things, put behind and move on ...
Lucy needed to know why, how, how to avoid in future; she needed to analyse the situation in order to be able to move on and yet Mike had no need, nor any desire, to give it any more consideration. As a result, quite a rift developed between them about it. Mike was aware of her discomfort and wanted to help, but emotionally they were on different wavelengths and of no help to each other. So the "I’ve done a lot of talking about it recently – not to you, that’s too difficult" bit was not said nastily or accusingly, it was just a sad recognition by Lucy that she had needed to talk the whole thing through with 'outsiders' to reach the point, mentally and emotionally, where she could continue (or restart) the matter with Mike.

I guess I thought I had put that across to the reader by the fact that Lucy has struggled hard to deal with the miscarriage while Mike, by his own admission, "was shocked" and "hadn’t given it a thought for months". He himself asks how he could have been so insensitive.

So, amendments made in line with the earlier points, for which thank you, and let me know if you still think I'm being rough on Mike (I don't!!).

Cheers,

Kate
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