I know the feeling though in my case it's my 7th pregnancy and will hopefully be my second child. Luckily every doctor or nurse I've seen thus far in the office, hospital, on the phone ect. has always, always asked which number PREGNANCY this is. Once I've answered they then ask how many live births/how many still living. My problem has been with family, friends and strangers. Most family and friends know a little about my history - maybe not all the details or exact number of losses but they know I've had other pregnancies. Yet they still ask things like how my second pregnancy compares to the first, am I glad to finally be having a second child ect. I don't think anyone means to be hurtful, they just don't know how to deal with the miscarriages so they just avoid the topic.
Strangers can be even more difficult to deal with. I usually don't bring it up or talk about it at all. But when you're buying prenatal pills, looking at maternity/baby items, walking into the Drs office or sitting in the waiting room before a prenatal appointment they tend to just figure it out. And I've had alot of appointments due to complications and previous losses. It's also amazing how quick and how often someone will jump to inquire about the contents of a total stranger's womb. The conversations generally goes along the lines of 'So are you pregnant?' 'How far along?' 'Is it your first?' If I'm lucky it end there when I answer I already have 1 son. More than once though it's gotten awkward when they start talking about and assuming it's my second pregnancy. It doesn't feel right to say it's my second when it's not. I usually try to evade replying directly but it doesn't always work. If I say something like it'll hopefully be my second child then people still sometimes push. I hate having to explain that it's my 7th pregnancy but will hopefully be my 2nd live child. People don't get it. Just the other day I had a woman tell me 'Same thing. It's ok to say it's your second because it doesn't count if they don't make it.' With a smile! I think she meant it in some sort of well meaning way but it was a very, very hurtful comment. Sadly this sort of thing is just a part of pregnancy. Good luck to you