2016 will be the start of a great adventure for Jamie and I.
We are now at the start of our third trimester and in a couple
short months we will get to meet our son! Time has flown by since the day we
found out that we were expecting. The first trimester was easy peasy! I was
lucky enough to not have any morning sickness, our families were overjoyed, and
Jamie and I were already so in love with our little nugget.
The second trimester, however, brought some hurdles. At our 20
week ultrasound our perinatologist discovered a ventricular septal defect (VSD)
which was a large hole between the two ventricles of his heart. My heart
literally sank during that appointment. I didn't even hear half of what the
doctor told us after he broke the news, but we had a follow up appointment a
week later with a pediatric cardiologist to learn more. During that week, Jamie
and I learned all we could about possible outcomes of having a child born with
this type of congenital heart defect, and we prepared ourselves as best we
could. But the range of outcomes was so large depending on how the heart
continued to develop, it could mean surgery, or it could close on its own. We
didn't have a lot of answers, but we had a lot of hope.
But at our follow up appointment the pediatric cardiologist
spent a silent hour on the ultrasound and at the end gave us even more bad
news. She confirmed the VSD but also added a diagnosis of Transposition of the
Great Arteries. This essentially means that the two major arteries of the
heart, the aorta and the pulmonary artery, are switched. This defect causes there
to be two separate loops of blood flowing through the body with little to no
mixing of oxygenated and deoxygenated blood once born and breathing. The only
fix is an open heart surgery called an Arterial Switch Procedure performed a
few days after birth. The good news is that these defects do not, and will not,
effect him at all in utero.
This diagnosis has now led us to team up with Children's
Hospital Los Angeles for his prenatal check ups, surgery and recovery. We will
continue to have very regular ultrasounds and echocardiograms (ultrasound
specifically for the heart) throughout the rest of my pregnancy. Once born, our
little guy will be transported to Children's Hospital almost immediately after
birth. A couple steps will be taken to allow natural mixing of oxygenated and
deoxygenated blood within his heart. He will be given a medication,
prostaglandins, to keep the Ductus Arteriosus open after birth, this is a duct
that exists in a fetal heart that's allows blood to flow through the body while
in utero. It closes naturally just hours after birth, but he will need his to
stay open and the medication will allow for that. Depending on how the blood is
mixing and his oxygen levels, he may have a catheterization/balloon procedure
that will keep an atrial hole present in utero from closing as well. Barring
any additional complications, the plan will be for him to have his open heart
surgery at about 3 days old. We will be hopefully taking him home from the
hospital two to three weeks after surgery.
Jamie and I have high hopes, with the high success rates of
these procedures, that our little guy will have a great life after his rough
start. Children's Hospital and all of the doctors, surgeons and staff we have
met there, are the best of the best and we are lucky that he will be in such
good hands.
It has been a rough couple of months, at the start of this
journey I could even talk about it with anyone without sobbing my eyes out.
I had a lot of personal guilt about my baby suffering while I continued to
have an easy pregnancy. The more we learned, the more doctors, we met and the
more support we received from our families, the better both Jamie and I
feel about the situation that we face. And although we know a month full of
surgery, wires, machines, and hospital living are ahead of us, we are extremely
grateful that we are able to know of these issues now so that we can prepare
and plan for the road ahead.
This blog will be our link to all of our family and friends during this trying time. As you can imagine, once our baby comes into this world, we will have a lot going on and we thought that updating a blog was a quick and easy way to not only document our journey, but to keep family and friends updated on his progress.
To all of our families and friends, we ask you for nothing but your continued love, support, and good thoughts. We cannot wait to finally meet and introduce our little heart warrior to the world!