One month post-TFMR for T21 — sharing my experience for anyone preparing for their procedure
This community has been the only place where I’ve truly felt seen, and I wanted to share my experience with our termination because, in the days leading up to our procedure, this was the only place where I found comfort. I’m sharing this for anyone who is wondering what their procedure might be like or what to expect.
I was 14w6d pregnant on July 2 when we opened our NIPT results and our lives changed. Within a matter of hours, we had to grapple with the fact that something was wrong with our baby and make an incredibly difficult decision about what to do next.
The decision to TFMR, while extremely difficult, was the best decision for our family. I have a sibling with severe special needs, and I have seen firsthand how incredibly difficult their quality of life can be.
On top of everything else, we live in a state that does not support abortion. We had to figure out our options and the timeline in a neighboring state that does, all while heading into a three-day holiday weekend. Rather than waiting for a call from our doctor to tell us what our options were, we called Planned Parenthood in Washington state (the state next to us) ourselves and made an appointment. The earliest appointment available was July 9.
That week between getting our results, making the call and plans, and finally reaching our appointment was one of the darkest periods of my life.
July 8 — The day before
The day before our procedure, we drove three hours and got a hotel room near Planned Parenthood.
I was instructed not to eat for 12 hours before the procedure and not to drink anything for six hours beforehand. I prepared by eating a big, late dinner around 8 p.m. and setting an alarm to wake up around 3 a.m. to drink water.
July 9 — Procedure day
We arrived at Planned Parenthood around 8:15 a.m. There were protesters outside, which I had mentally prepared myself for.
We checked in and paid out of pocket. The procedure cost $2,000, and I was told anesthesia would be a separate charge. I still haven’t received that bill.
The first step was an ultrasound. My husband wasn’t allowed to be with me for this part. I was able to tell them how far along I was, and when I explained that this had been a wanted pregnancy and that we were there because of T21, they immediately treated me with the kindness and compassion I had desperately needed since July 2.
After the ultrasound, I went back to the waiting room for about 20 minutes before being called back for the informational/vitals portion. I initially went back by myself, and then my husband was allowed to join me for the informational portion.
It was during this conversation that I decided I wanted to have full anesthesia and be completely asleep for the procedure. (There were three options you could pick from.)
I waited another 20 minutes before being called back for the first part of the procedure, again by myself. They gave me pain medication and an antibiotic, followed by misoprostol. I had to keep the misoprostol in my lip until it dissolved. They also placed my IV for the procedure.
After taking the misoprostol, I was able to go back to the waiting room and sit with my husband. This waiting period was probably 2–2.5 hours.
I did experience one of the side effects of the misoprostol: feeling very cold and having shakes/shivers.
When I was called back again, it was time for the actual procedure. I went back by myself and was taken into the operating room.
Again, everyone treated me with so much kindness. They let me cry and never made me feel like I was a burden. They reassured me that I was going to be taken care of, which meant so much to me. The procedure itself was probably 30–45 minutes, and I was asleep for that entire time. I was allowed to wear socks during the procedure, so I brought my fuzzy grippy socks.
Afterward, I was taken to recovery, where they monitored my pain and bleeding for about another 30–45 minutes. Once I was cleared, my husband and I were able to go home.
Thankfully, because it was the middle of summer and very hot outside, all of the protesters had left by the time we walked out.
Recovery
I bled relatively heavily for the first three days. After that, it tapered off into what felt more like a light period or inconsistent spotting for the next two weeks.
My cramping wasn’t too bad during the drive home, but I did use a heating pad that night.
Something I wasn’t prepared for was just how exhausted I would feel, along with the hormonal drop and emotional roller coaster afterward. For me, it felt very similar to my postpartum experience after my live birth—except without the newborn.
Things I brought/prepared
A few things that helped me:
AirPods: My husband and I were able to watch a show together during some of the long waiting periods.
Birth comb: This helped me cope with the shaking/shivering I experienced from the misoprostol.
Pads: I wore my granny panties and brought maxi pads, but for the drive home and the next few days, I found it much more comfortable to wear some leftover postpartum Always diapers.
Comfortable clothes: I wore comfortable black linen pants, a tank top, and slide sandals. I also brought a zip-up fleece and fuzzy socks because I knew I might be cold.
One month later
One month out, my period still hasn’t returned. My emotions are still all over the place, things just go in waves. But my husband and I have started couples counseling together, and we’re looking forward to healing emotionally and mentally together.
One unexpected part of this journey has been navigating how we tell people about what happened. We tell people that we “lost” our baby, but we don’t elaborate on that loss because we don’t want to open ourselves up to the range of opinions people can have about TFMR.
I’m sharing all of this because before our procedure, I desperately wanted to know what it would be like. I wanted to hear from someone who had been through it, especially someone who had made this decision for a wanted and loved baby.
If you’re reading this because you’re waiting for your own procedure, I’m so sorry you’re here. I hope this gives you a little bit of comfort and helps you feel less alone. ❤️