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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Aortic Stenosis / Hypoplastic Left Heart Syndrome at 20 weeks - any experiences?

239 replies

LittleMy34 · 28/01/2008 14:17

Hello all,

Have just had a foetal heart scan at 20 weeks following a high nuchal translucency measurement, and unfortunately they found that the baby has severe aortic stenosis - a narrowing of at least one and possibly two of the main arteries. They seem to think that it's fairly likely to lead to Hypoplastic Left Heart Syndrome by the time the baby is born, which is very severe and the baby would die within a few days without major surgery.
If we go ahead, the baby would need surgery within a day or two of birth, followed by two more ops before he reaches school age. the fist op carries a 30% mortality risk, the second two are less severe.

So now we're trying to decide what to do - which is proving a bit difficult, to say the least..... Neither option seems like the obvious thing to do.

anyone had this experience? how on earth did you go about making a decision?

any thoughts welcomed.

LittleMy

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LondonBird · 31/01/2008 19:00

Hi there Littmy

I couldn't see this and not post, though I haven't posted since last summer (am a shy lurker usually) - sorry likely to be long. I found finding other people had been through the same thing the most helpful thing, and Mumsnet was amazing

Last March my baby was also diagnosed with dreadfully severe congentital heart defects - a vsd (not too bad on its own), double outlet right ventricle (wrongly plumbed arterys) and also pulmonary stenosis. There was no chromosonal reason, we were just extremely unlucky.

We decided on a termination, based on the likely survival rate and suffering that the baby would have had to go through for an extremely uncertain outcome, permenantly patched and operated on, unfixable heart. He or she would have been our first baby, conceived after 2 years and about to start IVF. It was and remains the most painful thing in my life, however, and this is the really important bit, for me and my DH, it was absolutely the right decision, and whilst the grief is huge, I have never doubted that. I suppose some people would say that I have to believe that, having gone through with it, but as soon as we had met with the fetal cardiac specialist and knew just how bad things were, we both knew what decision was right for us.

One thing that really resonated that someone said at the time - whatever decision you make you will do out of love for your baby and also for the rest of your family, and thats all that you can ask for. As well as the likely outcome of the baby dying anyway & horrendous suffering on the way, I also knew that for me and my DH a desperately sick child, potentially over many years, would have been unmanagable, and though that feels desparately selfish, the thing about these type of decisions is about getting to some rock bottom truths about yourselves.

I also found it so difficult because the death of a baby, plus the fact that it was a termination are both such taboo subjects, but I never felt judged. Its also hard because its so public, but you do get through it and at some point find yourself on the other side still reasonably whole.

I can't pretend that the termination itself wasn't pretty awful, but if you'd like to know a bit more about what happens do CAT me (hopefully it still works) and I can tell you what happened with me if that would help.

It is a dreadful dreadful time for you and your DH and my heart goes out to you - all the very best for whichever decision you make, and do let me know if there is anything else I can share that would help

Finally, and I am slightly unsure about whether sharing this is the right thing, (so if its not I apologise in advance) but I want to add some positiveness - 3.5 months after we lost our baby amazingly I got pregnant again, and am now due in March. I might have found someone telling me this pretty painful when I was going through it all at the time, but I wanted you to know that there is the other side of all of this, and I'm sure, based on my straw poll of one (ie me) you will be OK whatever you decide to do

NorthernLurker · 31/01/2008 19:19

Londonbird - what a brave post - wishing you and dh all the very best with your baby.

LittleMy34 · 31/01/2008 19:29

Londonbird - I can't thank you enough for that brave post. It's really reassuring to hear that there is life afterwards, and congratulations on your new pregnancy!

I'm very scared about the actual termination - I know it's something one just has to get through, but I can't pretend not to be petrified. Can I CAT you tomorrow - once I've worked out how to do it? It's DP's birthday today so I'm trying not to think about our situation just for this evening, to try and give him a nice time.

What you said about making the decision out of love for the baby really strikes a chord for me too - my DP also said something last night which made perfect sense. He said it's a decision you make with your heart, and the justifications and rationales come afterwards, but they aren't what makes the decision for you. I think that really helps me, because you can justify either course of action so many different ways, but this sort of decision has to come from the love you feel for your baby. I don't know if that makes sense?

Would really like to hear more tomorrow if you're around

Thanks again
LittleMy

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LondonBird · 31/01/2008 19:51

Thanks v much NL

LittleMy, of course, please do CAT me - I'm still working so will only pick it up in the evening, but will definitely be around then

Have a really nice evening with your DP :-)

LB

debinaustria · 01/02/2008 08:18

Littlemy - just wanted to see how things are today? Take care

Did dh enjoy his cake?

aberdeenhiker · 01/02/2008 08:22

LittleMy, I love what your DP said about it being a decision from the heart. I'm having a quick cry at my desk for you and know that with that attitude, you and he are bound to make the right decision for your family

I hesitated to post this, but I do know of an American woman who's son has HLHS and keeps a websites about it: www.babysamson.com/blog/. Her son is now around two and doing well but you might want to search her journal archives. The only reason I'm hesitating is because I know you haven't made a final decision and this is only one side (a happy side) of the story.

marina · 01/02/2008 11:32

LondonBird, I remember your posts so well, am so very happy for you that you are pregnant again

LittleMy34 · 01/02/2008 13:28

Hello all,

the cake was yummy and we managed to have a nice evening with a steak dinner and cake. DS1 got home from nursery and spied the cake straight away and announced 'Happy Birthday Cake! Like Some!' which made us both laugh a lot.

So we saw the consultant this morning and we both feel we're going to have to end the pregnancy. He sensed we weren't completely able to commit to the decision yet, so he asked us to take the weekend to 'live with the decision' and see how we felt about it. I have to say though, that walking away from the hospital feeling that we had made the decision brought an enormous sense of relief. I think we both feel that we've known what we have to do from the beginning, but have been scared of actually making the decision itself.

I think deep down I've been preparing myself for this ever since they found the high nuchal measurement eight weeks ago, and for me it feels like the end of a very long, stressful and difficult road. Not that the next part will be easy, but am going to CAT Londonbird and contact ARC again to get some advice and support.

Thanks for all your thoughts over the past week - will keep you posted next week, as it's likely to happen on Wed or Thurs. My SIL has offered to come down from Scotland and look after DS1 which will be a huge weight off my mind, as he adores her and she's exactly the right person to have around during something like this.

The sun is shining and it's impossible to feel too sad on a beautiful day like today. An going to concentrate on saying goodbye to our baby and enjoying the weekend with DS1 and DP.

Thanks again
LittleMy x

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needahand · 01/02/2008 13:33

Just came over from the June thread to say goodbye and goodluck Littlemy. I hope things will work out for you.

Giving you a big big hug and wishing you the best for the future.

Take care

RosaLuxOnTheBrightSideOfLife · 01/02/2008 14:42

Littlemy - I don't know what to say except that it sounds like you and DH between you have had the courage to make the right decision for your family and the strength to cope. I wish you all the best for the weeks ahead.

andiemustlosehalfastonemore · 01/02/2008 18:23

littlemy i am so glad that you have made a decision you feel comfortable with. Good luck on the journey ahead you are very strong and although it will be hard I am sure you will cope
sending lots of love and hugs your way
take care

NorthernLurker · 01/02/2008 19:04

Littlemy - will be thinking of you and praying for you and dp and all the family next week. I think you have been really brave and you are both showing yourselves to be truly exceptional parents. Take care of yourself.

goingfor3 · 01/02/2008 19:08

Littlemy, I really do hope you have a lovely weekend and am so glad you feel comfortable with the decision you have made and it's sounds as if it's a mutal one. I hope you ds enjoys his time with his auntie. Best wishes for the future for you and your family.

LittleMy34 · 01/02/2008 19:11

Thank you northernlurker, andie, rosa and needahand - it means a lot to know you're all thinking of us. Am still having moments of wondering if we're doing the right thing, but I think that's normal really.

you've all been so kind and supportive on this thread, i can't thank you enough. Have some of DP's birthday cake all round!

[cake symbol]

LM x

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LittleMy34 · 01/02/2008 19:11

oh crossposting - and some cake for you, goingfor3!

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majormoo · 01/02/2008 20:00

Dear LittleMy, I am very sorry to read of your situation. I am glad to read you are contacting ARC again because, as you have discovered, they are a fantastic organisation and can provide support when you need it. I am a member and still use their email support group although my own termination was a few years ago now. We ended a pregnancy because our baby had Trisomy 13, although this was earlier on, at twelve weeks. This will be a terribly difficult time for you and you will go through a period of grieving for your baby, but you will get through it. In a lot of ways the experience, though dreadful and painful, has had a very positive effect on my life. I hope that makes sense. I will be thinking of you.

LittleMy34 · 01/02/2008 20:49

Thanks majormoo - I've only spoken to the helpline volunteers at ARC so far, but they've been really lovely. I tried calling the people they put me in touch with this evening, but they're not in - fingers crossed I'll reach them later or tomorrow.

right now I'm just petrified of getting through it and then regretting it when it's all too late - it's such a difficult choice the idea of getting it wrong is truly terrifying.

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goingfor3 · 01/02/2008 21:03

Littlemy you've made you decsion based on what is best for your situation, if you ever feel even just a tinge of regret remeber why you had to make the decsion and how it was one you gave alot of thought to.

hatrick · 01/02/2008 21:09

This reply has been deleted

Message withdrawn

LittleMy34 · 01/02/2008 21:17

oh good luck hatrick, I really hope you get good news. thank you for your thoughts as well.

goingfor3, I know you're right, every so often I just feel like the worst mum in the world, and that I should just face up to what life has thrown at us. But it's not just about us, is it? our baby is the one who would have to have three open heart surgeries before he was even at school, and I can't wish that on him. I have to keep that in my mind.

sorry to go on, DP is out and so am sitting here feeling a bit sad - have ordered ANOTHER pizza though, and watching a DVD.

I'll probably never eat pizza again after this.

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goingfor3 · 01/02/2008 21:19

Enjoy your pizza! You are not the worst mum at all, you are doing the best anyone could in your situation.

Saggarmakersbottomknocker · 01/02/2008 21:36

LittleMy - still in my thoughts. Wishing you strength. x

Hatrick - will be thinking of you on Tuesday.

NorthernLurker · 01/02/2008 21:38

Littlemy - you are not a bad mother! You and your dp have faced up to a terrible situation - with a guarantee that one way or the other your heart will be broken. You are taking the path that feels right to you to love and protect your children. Be gentle on yourself please.

Upsidedownegg · 02/02/2008 09:18

Littlemy- I think you are so courageous. I admire the fact that you are making the decision based on your baby and the rest of your family. I will be thinking of you next week. xx

LittleMy34 · 02/02/2008 18:40

so here's a surreal moment - shopping in Waitrose today, i was in the booze aisle, with a bottle of wine in each hand (best friend over for Sunday lunch tomorrow, honest - not for me!) when who should I bump into but our antenatal consultant, clutching beers.....

I hope he didn't think I was off home to drink myself into a stupor

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