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All the details surrounding Drew's passing (x-posted, infant loss mentioned)


Forum: Trying to Conceive after Loss

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  #1  
December 27th, 2010, 03:36 PM
Erin84's Avatar POAS Queen
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We had our last meeting today with our midwife, Susan, who got a copy of our hospital records from UCSD Medical Center - Hillcrest. The three of us sat down and went over the records in detail, and I'll share this now.


There was definitely a velamentous cord insertion present. This is when the cord is inserted into an outlying portion of the placenta, and not the meat of the placenta itself. Also present is the lack of a protective covering of the cord at the point of insertion, which means that the cord can easily break away from the placenta, and in our case, that's part of what happened. This is found in about 1 in 100 babies.


Additionally, and there is no proof of this because it can't be diagnosed after the baby is born, but the doctors strongly believe vasa previa was also involved. This is when the baby's blood vessels cross the cervix and run between the cervix and the baby, blocking the exit path. This is found in about 1 in 2500 babies. This also could have been why I went into back labor -- because the blood vessels were blocking where his head should have been hitting, and he was therefore deflected into my back.



The things you would expect to see with either of these conditions were not apparent in my pregnancy. Drew was a single baby, and this is more likely to occur in multiples. There was no bleeding, the placenta was placed properly... There really were no warning signs that would have called for either of the high-risk type ultrasounds needed to diagnose VCI or VP.


Also found was that blood was not properly circulating through the placenta, the cord was unusually short, and the placenta itself was very small, in the bottom 10% for size, none of which would be fatal if it weren't for the blood loss he experienced.



After Drew was born and they were working to get the placenta out, that's when they discovered that the cord had torn away at some point during labor and/or delivery. This is one thing that would have led to his 50% blood-loss. Him crossing the potential vasa previa is another thing that could have caused him to bleed so profusely, although again, that is just suspected (although highly suspected), and the VCI is for certain.


I was allowed to push him out because I was "complete," meaning I was fully dilated, fully effaced, and he was already engaged in the birth canal (+2 station). They wanted to do an emergency C-Section, but when they re-examined me and saw that he was already so deeply engaged, they told me to push him out because it would be faster. Him being so deeply engaged is part of the reason my body's natural expulsive reflex kicked in. There is no assurance that a C-Section would have made things any different, as similar (nearly identical) cases have been presented in which the C-Section did not save the baby's life, since his heart rate was alluding to signs of trauma before I pushed him out. This could have been because of pressure on the VP, or it could have been because the cord was beginning to tear away. But it is certain that VP is fatal when undiagnosed and accompanied by a vaginal delivery.


He was delivered vaginally, with no drugs, an episiotomy that became a 3rd degree tear, and a vacuum-assist.



Poor little guy... His little life was extinguished so quickly... It's just not fair that he didn't even get a real shot at life. But at least we have all the answers we could possibly have now. There are questions that can never be answered, but I guess the "What if"s are just part of life.


Thanks to everyone who has shown us support during such an unbelievably excruciating time in our lives. It means a lot to be surrounded by so much love.
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With us on earth for five short days, with us in our hearts forever.
(Thank you Natasha for this beautiful graphic of Andrew, and to the ladies of the Nov 10 PR who help me in carrying on his memory.)


Jan. 2009: Came off years of BCP and started TTC
March 2010: BFP -- finally!
Oct. 22, 2010: Drew is born, but has to stay in the NICU because of cord complications resulting in oxygen deprivation and brain problems =(
Oct. 27, 2010: I held him in my arms while Daddy, Grandma, Great-Uncle and I sang him to sleep =( Hardest thing I've ever done...
June 14, 2011: Drew's baby brother or sister waved hi to us with a BFP!
June 25, 2011: Natural miscarriage... Can we please catch a break here?
Nov. 2011: 100mg Clomid followed by 2mg Estrogen, Ovidrel trigger, and 200mg progesterone suppositories 2x/day 14 days. BFN.
Dec. 2011: 2nd medicated cycle. BFN.
Jan. 2012: Took a month off to breathe...
Feb. 2012: Same regimen of Clomid and other meds, add IUI. 2 eggs and 8.5 million swimmers. BFN.
March 2012: 75 IU Follistim CD 3-11, follie scan CD 8 showed 6 follies likely to mature. Triggered, IUI on CD 14, 4 million swimmers. BFN.
April 2012: 75 IU Follistim CD 3-10. Scan showed 2 mature follies, 2 almost certain to mature, and two not likely but possible. (All 6 evenly and perfectly spaced out between the left and the right.) Triggered, IUI CD 13 with 5 million swimmers. BFN.
May 2012: 75 IU Follistim starting CD 3. Waiting to O. Timed intercourse. Likely 5 follies to mature.




^^ Click graphic for chart ^^


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  #2  
December 27th, 2010, 03:46 PM
.:Shortcake:.'s Avatar Platinum Supermommy
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Super big massive hugs! Thank you for sharing you & Andrew's story.
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  #3  
December 27th, 2010, 03:49 PM
lindsey2000k's Avatar Platinum Supermommy
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You are such a brave woman for what you went through.
The loss you had was so much greater than anything I could even imagine.


I hope this information helps with TTC again.
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  #4  
December 27th, 2010, 03:54 PM
MeganMomof5's Avatar Platinum Supermommy
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Erin (((Hugs)))...I understand it's so hard to go over things that happened...I remember that appointment I had just like it was yesterday...I know for me it made me feel better, knowing that it was nothing that anyone did wrong...Just pure bad luck...I also wanted to say that I had the same thing happen to me when I was born...My cord had pulled away from the placenta during my mom's labor (Over half the placenta was also dead too)...I was very ill when I was born, and they thought for sure i'd have massive brain damage etc....I'll keep you and Drew in my prayers (((Hugs))) again
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  #5  
December 27th, 2010, 04:24 PM
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T&P for you and Andrew.
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  #6  
December 27th, 2010, 04:31 PM
luvmykids623's Avatar Platinum Supermommy
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Great big to you! I've told you this before, but you are an amazingly strong woman, and he is such a precious, beautiful little boy! Thank you for sharing Drew's story.
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  #7  
December 27th, 2010, 04:44 PM
ohnicole's Avatar Mega Super Mommy
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Erin, the whole situation is so sad for your little boy and for you and your DH. The other ladies are right- you are a very strong person!
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  #8  
December 27th, 2010, 05:24 PM
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Thank you for sharing. I hope there is some closure for you and your family now. You are a strong woman and I could not have imagined going through anything like that. God bless you and your family.
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  #9  
December 27th, 2010, 05:40 PM
mmllhh's Avatar Mega Super Mommy
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Erin, I had no idea that you went thru this. My heart breaks for you. I cannot even imagine having to endure this.
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  #10  
December 27th, 2010, 05:52 PM
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Quote:
Originally Posted by luvmykids623 View Post
Great big to you! I've told you this before, but you are an amazingly strong woman, and he is such a precious, beautiful little boy! Thank you for sharing Drew's story.
I couldn't agree more. <3 and hugs
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  #11  
December 27th, 2010, 06:36 PM
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sending you massive hugs!
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  #12  
December 27th, 2010, 07:58 PM
Halfbaked's Avatar Platinum Supermommy
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You are such an amazing person. Drew is lucky to have you as a mom.
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  #13  
December 27th, 2010, 08:13 PM
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Thank you for sharing your story. My heart breaks for you.
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  #14  
December 27th, 2010, 10:31 PM
Tammyms's Avatar Platinum Supermommy
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I am new to the board, but wow, I'm so sorry for what you've been through!
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  #15  
December 28th, 2010, 12:52 AM
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  #16  
December 28th, 2010, 03:11 AM
StaceygirlPa's Avatar Waiting for our Miracle.
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Erin, Sending you lots of hugs. Thank you for sharing Drew's story with us. I agree with all the other ladies. You are a very strong women.
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  #17  
December 28th, 2010, 05:54 AM
KCMomma's Avatar Mega Super Mommy
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I too am new to this board and want to say that I admire your strength. Thank you for sharing all of that information. I can't even begin to imagine what you went through and have no idea what I would do. Thank you for being you and for having the strength to move forward. Sending you all of my prayers.
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  #18  
December 28th, 2010, 07:48 AM
OwensMommy25's Avatar Mega Super Mommy
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Wow, your body and Drew had so much working against them. I'm glad you got the information. *big Hug* You are very strong!
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  #19  
December 28th, 2010, 08:08 AM
Brittanie's Avatar just me
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Wow, that's a lot to digest!

So are they going to give you those in-depth ultrasounds now, just in case?


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  #20  
December 28th, 2010, 08:37 AM
missy123's Avatar Platinum Supermommy
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Your story is heartbreaking. I am so sorry (Hugs). It took a lot of courage to share that with us.
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