Hi Jo,
I had 4 Earth Babies before I had 6 angels... My last Earth baby DD4 was significantly smaller than her brother and sisters - but she was alive and healthy and born at term.

My blood work sometimes came back borderline and sometimes fine. My placentas were also fine and chromosomal karotyping was normal on my two little girls and one boy... Imogen's placenta only had hours left in it when she was born - it was severely infarcted.

Something you need to keep in mind is that we don't know the answers for everything. There are conditions out there that don't yet have a name or a test - that is what I believe I have - flowerchild syndrome! We don't know the name but it's real and it takes my babies...

I got very very ill at 26 weeks and 5 days. I was critically ill and it appeared I had HELLP syndrome (do a google) - however when I was given the steroids so that Immy's lungs would develop my platelets began to rise my hb began to normalise and my kidneys that were failing improved... The medicos believed I was in "immuno crisis" - I had an immunological disorder of unknown name". The Obs couldn't believe what they were seeing... This continued on and off for another week until they said the pregnancy had to end. Imogen was born smack on 28 weeks but she was the size of a 26 weeker - she is now a healthy almost 1 year old (nxt Tuesday she will be 1!)

I had been on prednisone for the pregnancy and when I weaned off the prednisone (steroid) this is when I got sick. My knees were so big that I looked massive - my fingers so swollen they looked like little sausages - I am a small framed woman - I got severe "arthritis" and then my liver began to bleed and kidneys failed etc...

So - what I say to you is that we don't have all the answers - I was called "an enigma" - very esoteric for surgeons - I scared the pooper out of them all!

If youo come away from your appointment without an answer that's not because there isn't one - we just don't know the question...

For now, we know most immunological reasons for miscarriage and intrauterine death are caused by clotting disorders - we know that heparin helps this - we also know that prednisone sometimes helps. Heparin has few side effects in most women - prednisone is heavy duty and causes many side effects. The potency of prednsisone should not be taken lightly. It causes lack of skin integrity, insulin resistance, weight gain etc etc. I truly "know" for me without it Imogen would not be here - I know that. But I payed a big price - my size 10 body is now a size 14 but slowly slowly returning to normal. I have had more treatments with prednisone since then due to recurring bouts of arthritis and crippling pain. Only now almost 12 months later am I "normal' again...

I will help you anyway I can - and offer you my wholehearted support.

Listen to your instincts, research like fury and you will find some answers I know.

Big hugs my love...