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Selective termination of twin due to Down Syndrome

249 replies

DaisyPoppy23 · 16/09/2022 12:44

Not too sure why I’m messaging. Possibly to vent or maybe find people with similar experiences. I could do with some positivity!

I will try to keep this as brief as possible. We were over the moon to find out we were expecting twins (DCDA). We shared the news at about 17 weeks with friends and family and everyone was so excited! We felt blessed! Then, at our 20 week anomaly scan, a heart defect and query over a missing kidney was detected in one of the twins. We were referred to a fetal medicine unit and paediatric cardiologist. Fast forward a few weeks from there and we are told that one of the twin has a pelvic kidney (which isn’t too much of an issue) but also a severe heart defect called AVSD which would mean open heart surgery in the first year of the baby being born. We were then told that this defect meant there was a 50% chance of the baby being Down Syndrome. They sent us for a NIPT test straightaway which came back as highly likely for Down syndrome. We were then advised to have the amino to confirm that this was the case and to also check which twin had it. The amino results have come back to confirm Down Syndrome in the twin with the heart defect but the other twin’s results came back normal. We have decided to have the selective termination as we feel that raising a child with a severe disability isn’t right for our family. We already have a 15 month old and will of course have another new born. I appreciate this isn’t what everyone would do but we have to do what is right for us and our family. The predicament we are having is when to have the selective termination. We were told to wait until 32 weeks to give the healthy twin the best possible chance in case it triggers pre term labour. There is a 1% chance of this happening. I am terrified of waiting that long as I am so worried they will arrive early, as twins often can. I am also not a big person at all and I’m already struggling with carrying them both and running around after my 15 month old. If we terminate now and it does trigger pre term labour then there’s every chance that the healthy twin could be effected and have a severe disability because of being so premature. I am considering waiting until 30 weeks so there is more chance for the healthy twin. I feel absolutely terrified about this whole situation and so completely alone. My family don’t live near me and my partner works 4am until 8pm, 7 days a week. I am really struggling with holding it altogether for my 15 month old. To top it all off, she’s going through some awful sleep regression and I’m absolutely exhausted. I’m usually a patient and laid back person but I feel completely defeated and at my wits end. I honestly feel like I’ve got to the point of not being able to cope.
I wish someone would tell me what to do and that everything will be ok but I know that can’t happen. Any wise and positive words to get me out of this hole would be most appreciative. Also, perhaps any advice on the best time for the selective termination would be really useful. I don’t know if I’m in the best frame of mind to make such a decision. There just seems to be a risk whichever way we go forward. Help!

OP posts:
sponsabillaries · 16/09/2022 12:49

I’m sorry OP, I don’t have any advice for your specific situation but may I gently suggest that you ask MNHQ to move this to the ‘pregnancy choices’ board?

I wish you well Flowers

Rowen32 · 16/09/2022 12:50

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Eek3under3 · 16/09/2022 12:55

Hi OP sorry you are going through this. One of my DTs was high risk for downs and we had the discussion about selective termination. I felt really strongly that waiting until 30+ weeks was too late for me and emotionally I wouldn’t have been able to terminate at that stage. It’s so tough, are you asking Whether to terminate at 30 or 32 weeks?

Thenose · 16/09/2022 13:00

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DaisyPoppy23 · 16/09/2022 13:01

Eek3under3 · 16/09/2022 12:55

Hi OP sorry you are going through this. One of my DTs was high risk for downs and we had the discussion about selective termination. I felt really strongly that waiting until 30+ weeks was too late for me and emotionally I wouldn’t have been able to terminate at that stage. It’s so tough, are you asking Whether to terminate at 30 or 32 weeks?

it would be mentally very difficult to wait until week 32. I originally wanted it over with asap as I just felt so emotionally drained and exhausted by the situation. I’m currently 25 weeks +5 and feel like if I can just be strong and get to 30 weeks then maybe this would be a good compromise that I can give the healthy twin the best possible chance while at the same time not compromising the toll it’s taking on me too much. Not really sure what I was asking with regards to 30/32 weeks. Maybe just some kind of reassurance. Whatever happens, it’s going to be horrendous. I’m just blocking that bit out of my mind for the time being and dealing with the present dilemma.

OP posts:
Nsky62 · 16/09/2022 13:03

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Delabruche · 16/09/2022 13:06

1% is really quite a low chance of risk. My gut feeling would be to wait a bit longer (29/30 weeks). Have you had a,second opinion? (Not about the DS, just the timing). I feel for you, it must be so hard. I had twins and this was literally my biggest worry. Wishing you all the strength in the world.

User287264 · 16/09/2022 13:06

That's a horrible situation to be in op, I'm really sorry. It's not fair.

moonypadfootprongs · 16/09/2022 13:08

Having a child with Down syndrome doesn't necessarily equal severe disability. Many many people with Down syndrome go on to lead happy fulfilled and productive lives. Some don't it is true but in ever increasing numbers they can be both happy and healthy.
I work with individuals with Down's syndrome and many of them have gone on to find jobs and be independent.

I fully understand that it's a huge shock and a really scary time. But I wonder whether having communications with other parents with children with Down syndrome may help?

DaisyPoppy23 · 16/09/2022 13:09

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I have read positive stories about preterm babies having amazing chances of survival so I just hope that this will be the case for the surviving twin if pre term labour is to happen because of the termination. We’ve had a lot of time to process what life would be like with a disabled child and as heartbreaking as it is, I just know that it wouldn’t be right for us. The fact that the child would also be very poorly from the severe heart defect is another factor. I feel so guilty at the thought of my 15 month old and healthy twin being so impacted. We’ve talked to a lot of friends and family and they have understood and helped us to reach our decision. It’s the thought of adulthood for them. If we as parents aren’t around, I can’t imagine who would look after them as they will need care for their whole lives. Thank you for your message :)

OP posts:
theinkblacktart · 16/09/2022 13:11

I'm so sorry this is happening to you OP.

I would go with what the medical team advise. If you really feel you couldn't parent a disabled child, then a premature child will be a massive risk- there are no guarantees of a 'healthy' baby, even if they have normal screening, especially if early. Terminating at 30 weeks plus for an abnormality that is compatible with life, but you feel unable to parent, is going to be very difficult for you, and I'd imagine technically difficult for the medical team.

It's not as simple as 'put the poorly twin up for adoption'. Nor of one guaranteed healthy baby, and one not healthy. What a very difficult situation. If you absolutely cannot risk a disabled child, then what about terminating the pregnancy full stop? As there are risks for both babies whatever happens.

DaisyPoppy23 · 16/09/2022 13:12

Delabruche · 16/09/2022 13:06

1% is really quite a low chance of risk. My gut feeling would be to wait a bit longer (29/30 weeks). Have you had a,second opinion? (Not about the DS, just the timing). I feel for you, it must be so hard. I had twins and this was literally my biggest worry. Wishing you all the strength in the world.

We spoke to another consultant. They really don’t tend to push you in either direction but I have been told that 30 weeks might be a better option for me.
thank you for your message, it means a lot. I am going to aim for the 29/30 weeks I think.

OP posts:
DaisyPoppy23 · 16/09/2022 13:14

moonypadfootprongs · 16/09/2022 13:08

Having a child with Down syndrome doesn't necessarily equal severe disability. Many many people with Down syndrome go on to lead happy fulfilled and productive lives. Some don't it is true but in ever increasing numbers they can be both happy and healthy.
I work with individuals with Down's syndrome and many of them have gone on to find jobs and be independent.

I fully understand that it's a huge shock and a really scary time. But I wonder whether having communications with other parents with children with Down syndrome may help?

I have worked with Down Syndrome children in the past and my good friend has a Down Syndrome child. I just know that it isn’t right for our family. I know that this decision wouldn’t be for everyone and I completely understand it’s a very sensitive subject. Just trying to do what is right for all of us.

OP posts:
Teenprobs · 16/09/2022 13:17

Secondly a gentle persuasion to move to a different board , thankfully its been a few months since the loss of my babies twin so I can think more clearly now, but I'm still getting over the loss, 4 months on and still can't concentrate on my 'healthy baby' and I know I'm going to struggle with the what ifs at all the milestones. So I can understand from that perspective.

It's going to be mentally draining no matter when you do it, and I dont understand how anyone would ever get over that, but just be prepared for questions years down the line. I hope you find peace in your decision x

BluesandClues · 16/09/2022 13:17

I’m sorry you’ve found yourself in this situation.

Perhaps you could go back to your doctors again to discuss the situation, especially with reference to any chance of preterm labour.

DaisyPoppy23 · 16/09/2022 13:18

theinkblacktart · 16/09/2022 13:11

I'm so sorry this is happening to you OP.

I would go with what the medical team advise. If you really feel you couldn't parent a disabled child, then a premature child will be a massive risk- there are no guarantees of a 'healthy' baby, even if they have normal screening, especially if early. Terminating at 30 weeks plus for an abnormality that is compatible with life, but you feel unable to parent, is going to be very difficult for you, and I'd imagine technically difficult for the medical team.

It's not as simple as 'put the poorly twin up for adoption'. Nor of one guaranteed healthy baby, and one not healthy. What a very difficult situation. If you absolutely cannot risk a disabled child, then what about terminating the pregnancy full stop? As there are risks for both babies whatever happens.

When we have been at the height of our stress, Terminating the whole pregnancy has crossed our minds, I am not going to lie. It is a really difficult situation. Thank you for your message and advice though, it is a horrendous decision to have to make. The medical team have been fully supportive though and talked patiently through our options.

OP posts:
FlamingoSocks · 16/09/2022 13:19

Have you contacted ARC @DaisyPoppy23?

I am so sorry you are going through this awful time.

We all must make our own decisions in this life but if I were you with these options I would wait until 32 weeks. I absolutely couldn’t live with myself if my healthy twin died or had life long disabilities because of a decision I had made for my own “comfort”. I hope that comes across as gently as I mean it, because I understand you are anything but comfortable. But essentially the reasons for an earlier procedure are “I just can’t live with it for that long” but I guess I am saying I think you can, and I think you must. You are obviously incredibly incredibly strong. You are made of iron to get through this with such little support and being a mum to a toddler. So I think you can do it a little bit longer to give healthy twin the absolute best chance for a good start at the right time. The reason after all for the procedure is not a lack of love for both your little ones, but the long term burden of care that might fall upon your family. So to avoid creating that situation myself for healthy twin, I would wait until 32 weeks.

Sending you love and strength

losingit31 · 16/09/2022 13:22

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ShaneTwane · 16/09/2022 13:25

Sorry for tour situation. It absolutely seems like you should contact all avenues in regards to what to do next and possible outcomes.

Dontknownow86 · 16/09/2022 13:34

I don't know why people are questioning the ops decision as if she hasn't already stressed over this enough. It's actually quite cruel!

Many people wouldn't want a disabled child and actually knowing people that work with severely disabled children, they have said they couldn't do it and also it does have a big impact on other children.

I would take your doctors advice op. They have likely suggested this for good reason.

LivMumsnet · 16/09/2022 13:35

Afternoon all and thanks to those who've offered advice and support to the OP. We've now moved the thread over to our Pregnancy Choices topic, with the agreement of @DaisyPoppy23.

We hope that helps and wishing you the very best, OP. Flowers

DaisyPoppy23 · 16/09/2022 13:36

Dontknownow86 · 16/09/2022 13:34

I don't know why people are questioning the ops decision as if she hasn't already stressed over this enough. It's actually quite cruel!

Many people wouldn't want a disabled child and actually knowing people that work with severely disabled children, they have said they couldn't do it and also it does have a big impact on other children.

I would take your doctors advice op. They have likely suggested this for good reason.

Thanks for your support. We have agonised over it a lot and we are just doing what we think is best for everyone.

OP posts:
ShaneTwane · 16/09/2022 13:41

www.tcf.org.uk/r-useful-links/?cat=3

Not sure if any of these would be helpful to you op its a list of different charities in the uk that deal with baby loss, abortion and other things. Might be helpful to talk to someone who knows the process as well as the drs recommendations.

BreatheAndFocus · 16/09/2022 13:43

How upsetting for you - there are no easy answers and it’s not wrong to say that you couldn’t cope with a disabled child. Lots of people couldn’t. However, if I were in your position, I wouldn’t terminate simply because I couldn’t cope with trying to balance an earlier termination for the disabled twin against the risk to the healthy twin of both the selective abortion and a premature birth.

You sound quite understandably extremely stressed by this awful decision. The fact you contemplated terminating them both is proof of this to me. Can you access further support and counselling? Do you have anyone close but distant enough to be more objective who can support you?

broodybadger · 16/09/2022 13:44

moonypadfootprongs · 16/09/2022 13:08

Having a child with Down syndrome doesn't necessarily equal severe disability. Many many people with Down syndrome go on to lead happy fulfilled and productive lives. Some don't it is true but in ever increasing numbers they can be both happy and healthy.
I work with individuals with Down's syndrome and many of them have gone on to find jobs and be independent.

I fully understand that it's a huge shock and a really scary time. But I wonder whether having communications with other parents with children with Down syndrome may help?

And most don't

Why would you feel the need to comment this on the OPs post, when it's very clear she is set with this decision

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