Hello, and I hope I can answer your questions. I performed a review of the medical literature to aid in my recommendation for you.
CCAM is a rare type of
tumor that can occur in the lungs of a fetus before it is born. It is NOT inherited (so it does not run in families) and is a very rare condition in general and it has an unknown cause. The abnormal lung tissue can compress the lungs of the fetus resulting in the good lung tissue being compressed. If the baby does not have enough lung tissue at birth, it would not be able to breathe and would die at birth. So unless your baby was born in an extremely specialized children's hospital where they can perform emergency surgery at birth (there are only a handful of hospitals in the US that even do this) the condition would cause death of the baby and it was the right decision to terminate the
pregnancy.
So in summary about CCAM, it is a rare disorder that has an unknown cause and has very poor prognosis. Therefore, what happened to you is just a really awful, unpredictable tragedy, and has NO evidence that it will ever happen to you with any future pregnancy in your life. It is NOT your or your husband's fault about anything that happened.
It is completely normal to feel depressed, frustrated and blame yourself from pregnancy loss, and it is normal to grieve for the child you lost. Counseling, if it is available to you, can help in those situations, as well possibly as medication to treat
depression. You should discuss this all with your family physician.
I do want to clarify # 4 and #5 part of your question as well. Even if you had a history of 3 miscarriages, you did conceive four times... And if your baby had not had this incredibly rare, unpredictable
birth defect, you could have carried to term. Therefore there is NO REASON that you should not be able to conceive again and carry a pregnancy to term. I suggest you consult with a high-risk obstetrician early in your next pregnancy anyway, as they will probably perform early tests and ultrasounds to make sure everything is OK as early as possible. You can begin to try to get pregnant again as soon as your period comes back, but I suggest you take some time to grieve and mentally prepare for the
stress of trying this again. I do not know how old you are, but if you are under 35 there is plenty of time to wait to get pregnant again as well.
So I want to reassure you that you are normal and I hope you do achieve a successful pregnancy. Once you do start to try to conceive again, please begin taking
prenatal vitamins as they help prevent other kinds of birth defects. I hope this makes you feel better and that my advice was helpful to you.
Best regards, Dr. Brown