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The Empty Sac

The Empty Sac


I had only been married a few months. A lot had been going on since we decided to spend our first year of marriage in Israel. Two months after the wedding, we packed our suitcases and embarked on this journey to the unknown—both in terms of the land, and in terms of our life. While I had spent a significant amount of time in Israel, my husband had never been there. And as newlyweds, we were still really getting to know one another in this new framework of husband and wife.

To add to things, we came with about a thousand dollars total in our savings, with no jobs or real idea as to how we were going to survive. We knew that we wanted my husband to be able to spend the first year learning in kollel, in yeshiva, since after that, he would not be able to dedicate all of his time to learning. I, therefore, was going to work and support us. However, we never factored into the equation that we arrived weeks before the month of Tishrei, filled with Jewish holidays, and the worst possible month to seek employment.

It never occurred to be that there could be a problem

Our apartment was barely bigger than a shoebox, and with no air-conditioning, it was unbearable in the heat of the Israeli summer. It had been a few weeks with no work, no prospects, and no break in the heat wave, when suddenly I began feeling terribly nauseous.

It took me another week or so to decide to take a pregnancy test, and to my surprise and shock, I found myself staring at two small lines in the window. I was nervous, scared and overwhelmed. As much as I so badly wanted to have a baby, the timing seemed terrible and I wasn’t sure how we would make it. We also knew that in our situation, we would have few people supportive of our decision to have a baby right away. To them it seemed irresponsible, premature and entirely inappropriate.

Needless to say, my job hunting now became nearly impossible. Just getting out of bed in the morning was extremely difficult, only to board a crowded bus, feel sick, and find myself jumping off in the middle of nowhere desperately seeking a garbage can.

I was used to being in control of my life. I was organized, kept track of things, and made sure to do what needed to be done. Suddenly, I was a mess. I was forgetting everything, felt and looked terrible, and couldn’t do the most basic task without becoming completely exhausted. I would sleep endlessly, accomplish what seemed to be nothing, and still be tired at the end of the day.

Then one day I noticed the slightest trace of spotting. I didn’t really think twice about it, but then I noticed it again. At this point I decided to call a doctor and ask if I should be concerned. When I was told to immediately get to the office for an ultrasound, I froze.

Until this point, my pregnancy had been a given. After all, I hadn't been doing anything to prevent it, so of course I was pregnant. And so I thought that of course I would have an easy pregnancy, of course there would be no complications, of course I would have a smooth delivery, of course I would have a beautiful baby.

I was wrong.

It never occurred to be that there could be a problem. If anything, this pregnancy had been interrupting my normal life, and I was a bit annoyed, though generously putting up with it. I was excited about the baby, just had no patience for the process of getting there.

My husband went with me to the doctor. It was Succot and it was my birthday. I remembered how in high school my best friend and I had decided the perfect age to get married, and the perfect age to have a baby. A few days before my birthday, I thought about how I actually got married at that “perfect” age, and now I was pregnant with our first child at the “perfect” time. I hadn’t planned on spending my 24th birthday in the emergency room.

Immediately, they wanted to do an ultrasound. I had not yet had one and, not realizing how serious my situation was, felt quite excited to see my baby. I looked at the chart in the room, figured out how far along I was, and couldn’t wait to find a little fetus with developing arms and legs swimming around.

His words kept echoing in my head over and over. Empty. Empty. Empty.

The doctor jelled my stomach, and I watched the screen as he moved the instrument around. “Here is the sack” he said as he pointed to a roundness appearing in the screen. He continued to search, yet had a blank expression on his face. As I stared at the screen, I couldn’t understand what he was looking at since I didn’t see anything.

“I’m sorry, but the sack is empty,” he said, trying to sound apologetic.


How do you respond to that? What does that mean? I am not one to cry around others, but the tears just started to stream down my face. Empty?

The doctor tried to calmly explain that I had a blighted ovum. That the pregnancy never actually happened, and that I basically had a group of cells inside a pregnancy sac, but no fetus.

His words kept echoing in my head over and over.

Empty. Empty. Empty.

From the moment he said those words, my life was empty.

My husband didn’t know how to comfort me. I didn’t want to be comforted, I wanted a healthy baby. But suddenly I was left with nothing to do. It was as if nothing had ever happened. It was as if I had fallen for some false reality that never took place.

For three months, I thought I was carrying around a baby. I spoke to this baby, I connected with this baby. I loved this baby.

In truth, at least medically speaking, I was never really pregnant. I had pregnancy cells, but no pregnancy. So while my belly swelled and body went through the typical symptoms, the problems was that the fetus itself was missing.

I felt like a fool. I thought that I should have known better. After all, how could I be so out of touch with myself and my body, that I couldn’t even recognize that this baby I was connecting to didn’t even exist?

The rest of my experience was only more horrible. There was the doctor who had helped me who wouldn’t continue to see me since my insurance didn’t cover him. There was the emergency room where I waited for endless hours, and then when there wasn’t a spare bed, I was put with the women who had just given birth. As I sat and cried, they cuddled their babies. There were the nurses, who though they were trying to be kind, told me not to worry, that I was young, that I would get pregnant again.

For three months, I thought I was carrying around a baby

The truth is that I was in too much of a daze to have even cared. The wounds were still so raw that I didn’t even feel them. Physically I knew I would be fine. Emotionally, I wasn’t sure how I would manage.

The thing I remember most is that I felt so alone. I felt like there was no one who could understand me, and no one who had gone through this before. Until this time, I didn’t know anyone who had been through a miscarriage. Or so I thought. My husband wanted so badly to be supportive and helpful, but I wanted him to feel my loss, the very same way I felt it, and he couldn’t. He had also lost a pregnancy, but it hadn’t grown, or for that matter, not grown, inside of him. He could sympathize, but he couldn’t empathize.

I felt like a failure as a woman. It wasn’t rational, but that is how I felt. What was wrong with me that I couldn’t even carry a healthy pregnancy? What if I never could? The thoughts were overwhelming. I was terrified that maybe I would never have a child.

And then I thought about all the times that I was annoyed with my pregnancy. All the times I had wished that it had happened at another time. And no, by no means did I think that I had caused this loss. By no means did I think that this was some form of punishment. But rather, I so badly wished that I could have used the time to have recognized what a miracle pregnancy is. I wished that I had been grateful for the fact that I did conceive so easily, for so many others weren’t that lucky.

Until I had miscarried, I knew nothing about miscarriage and thought that it was a very rare occurrence. I had no clue how common it was or how many women had suffered. Suddenly, as those who were close to me found out about my situation, the phone calls starting pouring in. Women who had numerous kids, who always seemed to be pregnant, told me of their stories and losses. One woman who had just had her seventh child, said that for each baby she birthed, she had lost one. I was amazed. These women were supportive, helpful and encouraging. They were proof that life would go on and that there was no reason to believe that I wouldn’t be able to carry a healthy pregnancy. But most importantly, they drove home the message that nothing, absolutely nothing, can be taken for granted.

I did not get pregnant immediately after as some had told me I would. I did not feel better a few weeks later either. To be honest, I was traumatized for some time, and in a certain sense, forever. I had lost a part of me with that pregnancy. There was a baby that would never come into this world, and there was an innocence and arrogance that protected me that was shed for good.

Unfortunately, this was not my only miscarriage. I suffered another one a few years later. But this time, the knowledge that I was not alone and that there was nothing wrong with me made it that much more bearable. Yet it was still horrible and scary. This was my third pregnancy, and two had been miscarriages. Not a good ratio. Even though, unfortunately, the statistic is that one in three pregnancies end in miscarriage.

Through my losses, however, I was also able to gain tremendously. Some souls only need to come into a body long enough for a heart to beat Had it not been for my suffering, I don’t know if I ever would have been able to appreciate a healthy pregnancy in the same way. I had a level of gratefulness with my pregnancies that I carried from the moment I found out until the birth. When I was tired, irritable or not feeling well, I reminded myself of the blessing and miracle, and how happy I was that my baby was healthy.

And I learned that you can never know what someone else is going through. And you can never know where they’ve been. Everyone has a story. Everyone has a difficulty. No one can be judged.

Though I lost two pregnancies, both in the 14th week, I have been blessed with four children, fairly close in age. With the oldest 6 and the youngest 1, often I am asked how many more I plan on having. Often if I call someone I haven’t spoken to in a while, the first question is “Are you pregnant again?” Little do these people know that while I may seem like a baby making machine, I cried for months after the loss of my two pregnancies. These people don’t realize that with my second baby, I was rushed to the emergency room in my second trimester as I gushed blood, and they did not think my baby would survive. They do not realize that with my third child, he did not appear on three ultrasounds and I was scheduled for a D&C, when in truth, my dates were wrong and he was simply too young for them to see the heartbeat. No doubt I have been blessed. But I wouldn’t say that I have had it easy.

Rabbi Ginsburgh, my rabbi, taught me the most beautiful lesson after one of my losses. He explained that every soul that is brought into this world comes for a very specific reason and serves a very special purpose. We live our lives to fulfill this mission and it takes each individual a different amount of time, along a unique and specific journey. In addition to new souls that come into this world, there are also reincarnated souls that come into this world to complete what they hadn’t been able to in their previous lives.
Sometimes these souls need to live a full lifetime, others for just a few years, others for only a few months, even at times just a few days. Then there are the souls that need so little to complete their mission, that their soul only needs to come into a body long enough to beat its heart or simply create a pregnancy. These are the highest of all the souls--the souls of the truly righteous and pure tzaddikim whose mission took so little to complete.

However, for the woman who had lost her pregnancy, this does not take away the pain. This does not take away the suffering. But it does give it meaning and it does make it easier. While I pray for myself and for others to only have pregnancies, births, babies, and children that have much to complete and much to accomplish so that they live long and full lives, I feel fortunate to know that my loss was not for nothing. Unlike what the doctor had said, that sac was not empty. And all the morning sickness and emotional trauma did serve a purpose. A very important purpose. For I was chosen, for one reason or another, as the conduit to aid a very holy soul in its vital and final mission. And that means the world to me.

The information provided is for informative purposes only and in no way is intended to give either medical or halachic guidance. Please consult your doctor or rabbi for any questions in these sensitive areas.

Sara Esther Crispe, a writer, inspirational speaker and mother of four, is the co-director of Interinclusion, a nonprofit multi-layered educational initiative celebrating the convergence between contemporary arts and sciences and timeless Jewish wisdom. Prior to that she was the editor of, and wrote the popular weekly blog Musing for Meaning. To book Sara Esther for a speaking engagement, please click here.
About the artist: Lital Itzhaky was born and lives in Jerusalem where she studied illustration and animation and has illustrated mainly children’s works, employing a diverse array of styles and techniques. She has taught both Art and Torah in Israel as well as America.
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Anonymous India August 10, 2017

Hi Sara,

Thank you for the writing.. Undergoing something similar.. Unsure if my pregnancy is going to make it.. I have been asked to wait for a week more to check and decide further on the progress. I have been in a mess the whole week. Crying and depressed as I got finally pregnant after struggle via IVF.. but I am hopeful now after reading through the article.. even if something happens I will remember what you wrote.. Reply

Khaimof Woodland hills,ca via December 17, 2016

Wow thank u for writing this article. You helped me put into words what I have been feeling for the last couple of weeks. My first two pregnancies were empty sacs as well. It was so devasting. I thought for sure I wouldn't be able to have children. Than a miracle my first son. After him we were blessed with twin boys. Recently I lost another baby. I am once again feeling the pain of a loss. So confused. Why did this happen again? I cried finally reading your article. I've been bottling up all the emotion of this loss so to be strong for my other boys. I believe everything has a lesson. I now hug my boys a little tighter and thank Hashemite for the miracle that they are. I am now ready to try agin. Reply

Ssa South Africa December 6, 2016

Thank you Thank you for this article. I found out last week that I have an empty sac. I also have been experiencing all the pregnancy symptoms and to hear that the sac was empty and in the wrong place felt like my heart was being ripped out of my chest. I am still heart broken as this would be my fourth miscarriage and been for tests and there's nothing wrong. All I can do now is put my faith in God. Also didn't have a very good experience with the gynae. I am going back to him next week to check again and I am still praying that God puts our little miracle there. Thank you once again. Reply

Anonymous Brooklyn October 5, 2016

Thank you for this article. Recovering from a similar experience and find this comforting, both Rabbi Ginsberg's words and hearing others experiences. Reply

Cindy Washington D.C August 31, 2016

Thank you I'm going through my second miscarriage "empty sac" and your blog truly made me feel better. Thank you for taking the courage to speak about this topic that most women are embarrassed to talk about. Reply

Lindsey USA August 28, 2016

With gratitude Tonight, your story saved me. I have a "why" I can embrace with love and gratitude. Thank you for posting this. Through G d, you have provided me so much comfort. Thank you. Reply

Rose Hollywood fl October 25, 2015

I had two doctors tell me my sac was empty and the second Doctor scheduled a dnc for me I decided to wait an addiction all 4 weeks and went for a third opinion and my son was now visible and today he is now 4 years old. Reply

Anonymous October 23, 2015

Thank you for your blog. Just today I found out my sac is empty as well. And I'm broken knowing that next week this little one I was so excited to have may leave me. And maybe it's not yet time. But a part of me was so attached already. My heart still hurts knowing its "empty" Reply

Anonymous Philly August 4, 2015

I had a miscarriage 19 years ago. I still think of that baby's soul and seeing him or her in heaven one day. Your rabbi's message of each soul having a mission has brought me comfort tonight, even after all these years. Thank you. Reply

Roanna USA June 20, 2015

Thank you I felt really better after reading your article. I had 2 miscarriages too last year and the pain is still there. I don't think it will go away but dulled with time. Yet, I am appeased with what you wrote. Again, thank you. Reply

Anonymous Bridgeport, CT June 5, 2015

Thank you I had a miscarriage last week. For me, the most comforting idea I have encountered since then is that this neshama had a specific purpose that was accomplished in its short time on earth and that we were selected for the mission - this article in particular. It helps deal with the lingering question I have of why Hashem would choose for me to get pregnant in the first place if the baby wasn't going to be viable or healthy. Reply

Glen March 24, 2015

Wow what a beautiful ending thank you!! Reply

Katherine Bronx, NY September 5, 2013

I also had and empty sac. I had a blighted ovum a 5 years ago. I can relate so much to your story. I was newly married. We were still getting used to be married. Did't have space, time or money for a baby. Having a kid at that time sounded like a big mistake, I felt so frustrated but I loved that baby since my pregnancy test came back positive. I had horrible morning sickness and when I went for my ultra sound my sac was empty. I couldn't believe it I thought it was impossible, I never heard about a blighted ovum before. When I miscarried like you I was located in the maternity ward floor so my roommates were all cuddling there newborns. Everyone that entered my room asked boy or girl? Natural birth or C-section? I felt so sad and like not even my husband could understand me. Then as you're experience everyone tried to comfort me by telling me their miscarriage stories. Right now I still childless, not wanting to even try to get pregnant. In my heart and head my sac was not empty, I had my baby. Reply

Anonymous London, England July 15, 2013

I have had 5 miscarriages and Baruch Hashem 2 children. I feel blessed to have my wonderful children who I would die for. At the same time I feel the pain of the loss of those miscarriages every single day. I am 41 now and feel too old to try again. I hope that one day I will come to terms with what has happened. I feel scared that I will be judged as ungrateful and that is not true I just don't understand why. In a way I feel punished. I too had those feelings of yes I did it I got pregnant maybe I was not humble enough. It's made me paranoid about my children every time they even get a cold I go into a panic. I don't talk to anyone about this but it's always there... Reply

Anonymous Australia February 3, 2013

thank u After two miscarriages, and a heavy heart I came across your story. The lesson that s soul needs specific time was amazing to me and lightened my heart. My babies have left earth in purity. Thank u so much. Reply

Anonymous Israel November 27, 2012

Painful event I had a miscarriage and it is my first I am very sad but have lots of emunah (faith) that Hashem is going to give me healthy baby's please G-d I also have endometriosis that's what the dr's are saying I have beyond horrible cramps they said my cramps are worse then a women having contractions and labor so I have had my mind taken off of the miscarriage because of the excruciating pain I have been in.
I'm grateful that I had the miscarriage in the beginning at 9 weeks and the fetus was as big as 5 weeks. Instead of later on... I wish all of the nation of Israel no pain anymore mentally or physically. The part of this article about the neshama (soul) being very holy makes this pain almost worth it that it didn't happen for nothing.
I pray to G-d no one should ever have To go through this pain ever again !
Thanks for this article it is a huge help and all the comments ! Reply

Anonymous Minneapolis, MN July 1, 2012

Thank you Dear Sara Esther, I hope you still read these comments. I read this article last year after my third miscarriage and it gave me so much strength. In fact, I tell everyone about it. I am back reading it again after yet another loss. Your story still resonates and gives me strength. Thank you so much for sharing and for inspiring thousands of women experiencing loss. Blessings to you and your family. Reply

2nd miscarriage or not? macon, ga March 23, 2012

praying this pregnancy is viable i have a 9year old from a previous relationship...1st, easy and happy pregnancy despite drama of relationship. now, ive been married almost 3 years to "the one" and i may be experiencing our 2nd miscarriage. the first time, i was scheduled for my 7wk apt but miscarried the morning of my appt. This time, i went for an u/s, empty sac. I am scheduled for another u/s in 10 days and I am praying that this pregnancy is viable. We did everything right this time: took vitamins, cut out alcohol, healthy diet and exercise before trying to get pregnant. I was trying to prevent a 2nd see that empty sac was devastating. AND, our anniversary is in a couple weeks. it would be terrible to be miscarrying then. i don't know what is wrong. we can get pregnant in one try but we can't seem to make a viable embryo. a bad relationship create an amazing child but my marriage hasnt been able to do the same? with marital issues along the way, im wondering is this a sign. Reply

Anonymous Anonymous February 18, 2012

Thank You I have experienced three early miscarriages. "Then there are the souls that need so little to complete their mission, that their soul only needs to come into a body long enough to beat its heart or simply create a pregnancy. These are the highest of all the souls--the souls of the truly righteous"...These are the most beautiful words I have ever read. Thank you for publishing your story. Reply

Jamie Portland, OR January 14, 2012

My Miscarriage Give some time. Don't do the D&C. Sometimes the baby could be in a position that makes it hard to detect the heartbeat. I had 7 miscarriages out of 9 pregnancies. It is extremely difficult to be in this stage. I understand how you feel. I cried so much over my losses, that almost ended up in a hospital. Do not despair, I gave birth to my second daughter in my late 40s, everything is possible w/ G-d. Reply