I typed out a timeline to help me wrap my mind around what happened.

3/22/19 positive HPT!

3/27/19 bHCG - 142

4/1/19 brown spotting in AM

4/2/19 brown spotting in AM - ED visit- found 4” mass on right side. No sign of pregnancy.

4/2/19 bHCG - 1,057

4/4/19 bHCG - 1,972

4/6/19 bHCG - 3,210

4/8/19 bHCG - 5,327 - MTX 75mg

4/11/19 bHCG - 8,000

4/12/19 MTX 75mg

4/15/19 bHCG - 9,775

4/16/19 bHCG - 9,846

4/20/19 bHCG - 7,935

4/22/19 bHCG - 7,246

Severe pain (contraction -like), visit to ED, sent home with Percocet

4/22/19 bHCG - 7,908

4/23/19 - severe pain (contraction-like)- passed nectarine sized clot

4/25/19 bHCG - 6,266

4/29/19 bHCG - 5,961

4/30/19 Rupture

5:40pm - uncomfortable stabbing pain

5:45pm - sharp pain - took Percocet- minimal effect

5:48pm - BP 131/73

6:05pm - BP 105/71

6:12pm - BP 111/72

6:35pm - BP 114/62

6:40pm - BP 105/73

6:45pm - severe pain lower abdomen/under right rib

6:50pm -decided to go to the ED to get pain relief. I didn’t think the pain was any less or more than the pain from my last ED visit, the only difference was that it wasn’t contraction-like. It hurt my rectum to stand so we called 911 - I was still coherent, pain slightly relieved in side lying position, abdomen tender and flat. As soon as I was loaded on the stretcher I felt like passing out. My vision blanked white and then I vomited. Felt present and aware again with severe pain. BP 108/63.

7:00pm - ED - felt like passing out again. BP 90/60. Two liters fluid infused immediately via 2 16 gauge lines. Ultrasound showed our 9 and half week old baby in my left tube (measured 8 weeks 4 days old). My abdomen was now distended. Hgb 11, the doctors didn’t trust that value and ordered blood to be ready in the operating room. Surgeon was called out of an emergency c-section. The surgeon ran me to the OR on a stretcher joking that there should be a camera crew following us. I added that someone should be doing fake CPR to complete the scene.

I was put under anesthesia. As soon as they cut me open blood was spilling over the table. Surgeon said I was one of his top 3 cases as far as amount of blood loss. I lost 2-3 liters (66% of my total). They kept trying to draw blood to check my hgb during surgery and they couldn’t because my veins kept collapsing. I received 2 units of blood during the surgery. My left Fallopian tube was removed with our baby and my right ovary was removed with the 4” mass (turned out to be a teratoma/dermoid cyst unrelated to my pregnancy) as it had overtaken the ovary.

I came out of surgery in severe pain and was sent to the ICU and given another unit of blood.

5/2/19 - hgb 8.7

I am praising the Lord that I’m alive today.

I’m currently 2 weeks post op and am planning to put a pause on trying for baby and using the next several months to lose weight and get fit as this has been so emotionally draining.