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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:
theinkblacktart · 16/09/2022 15:03

@SomethingNastyInTheBallPool adoption doesn't happen like that in the UK. Nope. You're wrong. No one arranges adoption of unwell babies straight to lovely couples just waiting for a baby to love. That's a fairy story.

jrt2022 · 16/09/2022 15:03

Sorry, I got that the wrong way round - I mean if the aborted baby DOESN'T have Downs Syndrome. It would be really difficult to raise the other sibling while always wondering about the aborted one. It's just a huge decision.

NoYouSirName · 16/09/2022 15:04

OP, I’m so sorry you’re in such a horrific situation. The organisation Antenatal Results and Choices might be a good source of support while you consider your next steps. There is also a message board which might be more what you need atm.

AVSD though isn’t really a severe heart defect, it’s minor, easily corrected with surgery. Just to be sure that you have all the info you need, Heartline charity may also be a good source of information for you.

Bordesleyhills · 16/09/2022 15:05

I can’t offer you much but I started this pregnancy with twins. Sadly at 12 weeks we found baby in a bubble with a high nt. Amino etc booked but found we had miscarried our poorly twin. I had been given a 1 in 5 chance of downs. I have a 3 year old too- I find comfort in that it wasn’t meant to be . I appreciate how hard two newborns plus a older would be but to have survived and me to make a choice 2 weeks or even 4 weeks ago ( I’m 34 weeks today) that is so so hard. Whatever you decide - the best of luck to you.

MistressIggi · 16/09/2022 15:05

I'm concerned that the Op needs more support at home - a father/husband who works all hours 7 days a week isn't in a position to help his wife or parent their child. Hopefully that's just a temporary thing

oakleaffy · 16/09/2022 15:08

This is indeed s really emotional topic-
My first reaction is “Why not keep him or her” ( Thinking of the gentle Downs Syndrome people I have known)
But…
It’s not me that would have to care day in, day out for a child and person with disabilities-
Some parents can manage, others can’t.
A lovely little baby was put up for adoption because the parents “Couldn’t cope with a child that would never reach milestones “
I felt very judgemental at the time.. But it wasn’t me having to do the caring.

SomethingNastyInTheBallPool · 16/09/2022 15:09

@theinkblacktart OK - the parents I know must all be lying. How strange of them.

Dontwakeme · 16/09/2022 15:09

So many opinions here, I echo the sentiments of ensuring you have sufficient counselling through this time especially considering the birthing process with a deceased baby alongside a live one. This is not to be considered lightly - in that I think some preparation for you what to expect etc would be Helpful. There is not an easy path in this journey and I wish you and your family every best wishes in these days and months ahead x

Delabruche · 16/09/2022 15:09

SmallPrawnEnergy · 16/09/2022 14:50

The state of some of these replies. I’m sorry you’re having to read these OP.

OP didn’t ask for any of your “insightful” inputs into abortion or ask if she should adopt ffs. Wind your fucking necks in.

This. The OP asked a specific question about a very delicate situation. Please take your debates elsewhere.

BernadetteRostankowskiWolowitz · 16/09/2022 15:12

Thank god we live in a country where there is a choice on this.

SomethingNastyInTheBallPool · 16/09/2022 15:12

@Delabruche I really feel for the OP. She's in a heartbreaking situation. But I also think it's completely unrealistic to post about something so emotive and expect people not to comment more widely, especially those of us who have directly relevant experience.

NotMyselfWithoutCoffee · 16/09/2022 15:12

I'm sorry op for some of these (shockingly insensitive) comments.
Personally I would get it done asap as I couldn't stand the thought of waiting in this case, but it depends to your mental state. If you feel better about going to 30 weeks and want to give the second twin some more time to develop then that's fine.

Butitsnotfunnyisititsserious · 16/09/2022 15:14

SmallPrawnEnergy · 16/09/2022 14:50

The state of some of these replies. I’m sorry you’re having to read these OP.

OP didn’t ask for any of your “insightful” inputs into abortion or ask if she should adopt ffs. Wind your fucking necks in.

This. It's easy for people to pass judgement when they aren't in OP situation. OP I'm sorry you're going through this. It's an awful situation.

theinkblacktart · 16/09/2022 15:14

@SomethingNastyInTheBallPool No, you clarified- these were foster placements. The majority of which won't go on to adoptive placements. A child may be lucky, but others will have multiple moves, and possibly remain in foster care. Don't romanticise a traumatic thing for a child- going in to the care system.

PowerhouseOfTheCell · 16/09/2022 15:15

Not sure where in the opening post OP wrote ‘please convince me against this decision’ Hmm
I’m hoping everyone suggesting adoption have personally put themselves forward to adopt a disabled baby…

Butitsnotfunnyisititsserious · 16/09/2022 15:15

SomethingNastyInTheBallPool · 16/09/2022 15:12

@Delabruche I really feel for the OP. She's in a heartbreaking situation. But I also think it's completely unrealistic to post about something so emotive and expect people not to comment more widely, especially those of us who have directly relevant experience.

Why? Why do you have to when she's made it clear what she wants to do?

SomethingNastyInTheBallPool · 16/09/2022 15:15

Don't romanticise a traumatic thing for a child- going in to the care system.

I wouldn't dream of it.

caringcarer · 16/09/2022 15:17

I'm so sorry one of your twins will be so poorly. Whatever you decide will be painful. Draw strength from your toddler and be kind to yourself. I wish you the best possible outcome.

InsertPunHere · 16/09/2022 15:18

OP, I just wanted to send my best wishes in what is a horrible, stressful and very upsetting time. I hope you are able to access the support you will need throughout all of this.

Look after yourself.

Hallowbat · 16/09/2022 15:18

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Kissingfrogs25 · 16/09/2022 15:19

I can’t imagine how difficult this decision has been for you and dh.

Op we have family experience of both. SIL made the same decision as you - as hard as it was - she knew she couldn’t cope. And it’s okay to be honest about your limits and capacities.
She knew however hard it was, would be nothing compared to what was coming. Be prepared for people to react very differently to what you would expect. We gave so much support but some people said ‘it was their choice’ and treated her accordingly - with not much empathy or compassion. They did get over it in time.

Other SIL continued with the pregnancy seven years later, she couldn’t bring herself to terminate. From that day one she has barely managed. They got divorced due to the stress, they lost their jobs more than once, the other dc have never been on holiday, had any kind of normal life. It wasn’t so bad when dc were young to care for them but now they are bigger than my SIL it is beyond exhausting. My SiL life has been blown apart - she had developed stress related mental health issues and is barely functioning.

Everyone should weigh up whether they can actually cope with the reality of raising severely disabled children and adults with life limiting conditions. I can only send my best to you op - follow your medical teams advice 💐💐

SomethingNastyInTheBallPool · 16/09/2022 15:19

@Hallowbat I've reported your post.

Aiionwatha · 16/09/2022 15:19

Is there a reason you'd prefer to abort the down syndrome child rather than him/her up for adoption? Might be something to consider. I know there are a lot of families who choose to adopt disabled children and they really thrive. You could even have some contact with them, without the pressure of having to be their caregiver.

BeBraveLittlePenguin · 16/09/2022 15:20

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mybest · 16/09/2022 15:21

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where did she say it was? 🙄

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