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due date: *26-5-2000
I am not a Placenta Previa mother but a Vasa Previa mother. This means
that part of the umbilical cord was unprotectedly running over the membranes.
I hope it's ok to share my story.Last year, in June, Robert and I decided
to let nature rule. We have always wanted children and we thought that
the time was right now. We both felt like we were ready, and able to give
our child a bright future, surrounded with our love. And of course, we
had to share our enthusiasm with everyone. My parents reacted carefully:
it might not work out.
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We were so happy when we did the pregnancy test in November after we came
back from our holiday to Thailand. It was 3.30 in the morning and we woke
up because of the jetlag. At 4.00 I called my parents to tell them the
happy news. And again they reacted carefully: it could go wrong; Don't
get too enthusiastic before the critical first three months are over.
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But everything went great, we had a wonderful pregnancy. ! I did not get
morning sickness, the checkups by the midwife were terrific (blood pressure,
blood- and urine samples, heartbeat of the baby). Because we were not certain
of the due date, we had an ultrasound in December. We were thrilled when
we found out that I was one more month pregnant than we thought. Everyone
said I radiated from happiness and I felt great! The whole pregnancy through
I had no complaints at all. Of course I slept less comfortable at the end
and walked less flexible but that is normal.
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When I got my pregnancy leave, four weeks before the due date I had enough
energy left to paint the house (inside) and do a lot of little jobs around
the house which had to be done before the baby came. I travelled throughout
our country to visit my girlfriends and sister-in-law who had just delivered
their babies. On Wednesday May 23 I drove all the way to the south of the
Netherlands (2,5 hour drive) to visit my parents. I went shopping with
my mum to buy the last baby stuff (clothes, a photo album), and we couldn't
stop talking about the baby. The next day we would drive back to Kwintsheul
(near The Hague) and she would help me clean our house and bring the baby
cradle which she and my dad had made themselves. The whole family was very
much involved in my pregnancy. They were actually a little bit pregnant
themselves. It would be the first grandchild for my parents and the second
one for Robert's father, who had just welcomed his first grandchild 4 weeks
ago. We had a beautiful picture in our head of how our child would grow
up together with little Julian, the son of Robert';s brother, and how they
would play together. But that night, from Wednesday to Thursday, my water
broke, at my parents' house. I went to the bathroom at 3.30 in the morning
and noticed that I could not control my urine, so I thought. Back in bed
I felt fluid flowing down my legs and then I realised that it could be
amniotic fluid. My mother and I couldn't sleep anymore and at 6.00 we got
up and drove back to Kwintsheul. I phoned Robert out of bed. We were so
excited! It had started, we would soon be mum and dad. The midwife came
by when we were back in Kwintsheul and she confirmed it to be amniotic
fluid. It was clear as water with little dark hair in it: baby hair of
our long expected child!
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When the contractions would not have been started the next morning I would
have to go to the hospital where they would artificially provoke the contractions,
because otherwise there would be a big chance of infection. That day we
were in a party mood. We knew for sure that we would become mum and dad
that day or the day afterwards. We had asked my mum if se would like to
be there, at the delivery and she was thrilled. Robert went to work that
day to finish up the current things and to tell everyone the good news.
When the contractions would start I would call him and he would come straight
home.
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I went to the greenery to buy a fresh pine apple which I ate, because there
appears to be something in the heart of the pine apple to start the contractions,
so I read. But the contractions did not come that day, or the night that
followed. Too bad, because we would have loved to deliver our baby at home.
But going to the hospital was extra save, we would have nothing to worry
about, there would be a whole team of specialists, so nothing could go
wrong.
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On Friday morning, May 26, we arrived at the hospital at 8.30. I had to
lie down in the middle bed in the middle of a row of three beds and got
two belly ties to
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measure the contractions and the heart of the baby. The doctor came to
introduce herself. It was a young enthusiastic doctor (named Annemarie)
who reassured us: getting into labour in a hospital is great fun!
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The heartbeat of our baby was an example of how it should be. When the
doctor touched me inside, I appeared to have an opening of 3 cm which was
great. They could start with the infuse with oxytocine immediately.Before
going into the delivery room I had to go to the bathroom and I noticed
a
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little bit blood on the toilet paper. But that was normal after the touching,
they
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told me.
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The delivery room was very cosy, with a view on the forest. We put on a
nice CD to listen to.Then Annemarie came by to insert a pressure meter
to measure the intensity of the contractions, and an electrode which they
would screw on the babies head to measure the heartbeat of the baby. When
she inserted the pressure meter though, a enormous amount of blood came
out of me. I was terrifies and tears started to roll from my eyes when
I saw the look on Annemarie's face. Milani, now!, I heard her shouting.
After a telephone call from the assistant, doctor Milani came in, the gynaecologist.
Annemarie still had her arm in me, she didn't dare to pull it out. Solution?,
she asked. No, the blood is too thick for
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that, doctor Milani replied. When Annemarie pulled her arm out of me a
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second stream of blood came out. The gynaecologist still put the electrode
on our baby's head and we saw the heartbeat decrease. For one moment it
looked like it stabilised itself but then rapidly decreased.
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I was rushed to the Operation Room were they have delivered Julia with
a C-section. This was around 15 minutes after the blood came out for the
first time. Our baby came out of my uterus at 10.01 without a heart-beat..
The paediatrician took over and started to clear her longs and heart massage
and in the meantime they tried to bring replacing blood into the blood
circulation but they failed. After 17 minutes of reanimation they gave
up on her.Robert was there, during the reanimation and for ten long minutes
he still had hope. The doctors were working on her, it should be all right.
He got our Julia in his arms while I was waking up from the anaesthesia.
I saw people in green coats all over me who drove me along the corridor
to the delivery room. They all looked very sad. How is my baby?, I asked,
but no one answered. I asked it again and again. The doctor will be here
any minute, one of them replied. And then I knew. I started crying and
suddenly I heard Robert crying heart-rending. No!!!, I shouted and Robert
put the baby in my arms. It's a girl,, I heard someone say. She was so
beautiful! This wonderful little creature, our Julia. Why? How is this
possible? Later it appeared to be Vasa Previa and velamentous insertion
of the umbilical cord. This was diagnosed during the operation. While inserting
the pressure meter they probably have ruptured a vessel which belonged
to Julia and which made all of her blood flow away. A little baby has only
300 ml of blood, in contradiction with an adult who has 5 litre. She was
perfectly healthy, a beautiful girl of 3625 grams (is a little more than
7 pounds) and 50 cm. She had everything to cope with the world. But it
was not meant to be.
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Our whole world collapsed, we had been looking forward to this baby girl
so much, she was so welcome. Suddenly your hands are empty and my belly
too, while everywhere around us perfectly healthy babies are being born.
Why us, why our baby, she had everything going for her. Why did they have
to use that stupid pressure meter while the ties around my belly also worked
all right? Why didn't they do a check up before, than they would have performed
a C-section immediately.
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Questions without an answer.
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The days which followed in the hospital we stayed together, the three of
us. We
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could hold Julia with us for as long as we wanted, cuddle her and love
her. That
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was wonderful. Tuesday evening the three of us went home and she slept
in her own room. We have buried her on Thursday, Ascension Day. The farewell
was beautiful, a very personal divine service by our opposite neighbour,
the priest. We choose our own songs (Bright Eyes (Art Garfunkel), Lullaby
(Billy Joel) and 2 Dutch songs), our neighbour (she is a florist) had made
some beautiful bouquets and she got a beautiful place on the graveyard.
Robert has put her in her grave himself.
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She will always be our first child, our Julia and we are her proud parents.
We have beautiful pictures of her which we love to show to everyone. But
life at home, after the hustle and stir of the funeral, is empty and meaningless.
Everything brings up memories of her and the life with her as we had desired
so much. The days are filled with tears, benumbedness, consternation and
looking for distraction.
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It will still take a longtime for us to deal with this enormous loss. Life
goes on
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around us, while for us, the world seems to stand still, we realise that.
And we
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also know that the tough edges of ur sorrow will wear off. And that life
will have its new beautiful moments where we can get our strength from,
although it is hard to imagine right now. It just takes time.
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All our feelings of unbelief, anger, inability we have right now, we want
to do
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something with it. We want to prevent that others have to lose their babies
the
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same way that we did. Internet taught me that Vasa Previa is a symptom
that appears in 1:3000-5000 pregnancies. I would say that is a whole lot!
The mortality rate is 50-90%. With a Doppler Ultrasound it can be made
visible in advance and a C-section can be made. Besides this we are furious
about the pressure meter which was inserted and which seems to have ruptured
the vessel of our little girl. In the hospital we went to they seem to
use two kinds of pressure meters, one is very thin and flexible while the
other one, the one they used, was very stiff, surly and big In the delivery
room where I was being brought to they used instruments which could only
work with the stiff meter. The doctor who has inserted it (Annemarie) told
us afterwards that
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she will never be using that kind of meter again. Too late for us though.
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From others we hear that their hospital did not use any inserting material
at all.
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They use the belly ties all through the delivery. When they would have
used those, Julia would probably have lived. Especially because the 50%
of the babies that die because of Vasa Previa, mostly die during the rupture
of the membranes and they were already broken in our case. Nature did his
job right, it should have gone well.
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We feel that the medical science has failed in 2 points. We had 2 chances
of
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bringing our baby healthy to the world. On the one side by investigating
us before inserting dangerous instruments and on the other side by using
the other kind of pressure meter. We do realise that it will not bring
our angel back but we cannot put it aside of us.
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Later Robert believes he remembers that the obstetrician who has performed
the
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Ultrasound in the beginning of our pregnancy told us that the umbilical
cord was not in the middle of the placenta, but that was no problem according
to her. They should have investigated us further then already.
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We recently found out about an academical thesis named: The policy of premature
broken membranes ? term by P. Ottervanger. She contradicts the words of
the midwife and the hospital, namely that it is preferable to wait for
the contractions for 48-72 hours and that the chances of infections are
neglectible. When we should have let nature do his way, chances are that
Julia would have lived now. Besides this Ottervanger wrote about Prostaglandin
as preferable way to provoke the contractions, above oxytocine which involved
inserting the pressure meter. Why didn't they use that? Robert has called
the hospital and confronted them with this and Annemarie couldn't give
him an immediate answer. She did not even know why they used that specific
policy. Wednesday, June 28 we have an appointment at the hospital and hopefully
she will come up with some answers.
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Love Marlou, mother of Julia (*26-5-2000*)
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