'tis the season
For every adult in the kitchen there appeared to be two or three children running between rooms, blitzed on sugar from the chocolate fountain and marshmallows they were using for dipping. Wrinkled party dresses and cheeks smeared with sweetness, they were enjoying the freedom granted by their parents’ own distraction – mainly champagne and a recently restored vintage jukebox. A head collided with the stem of my glass and kept moving, unfazed, back to his friends all up way past their bedtimes.
.::.
'Cardiomyopathy is a chronic and sometimes progressive disease in which the heart muscle (myocardium) is abnormally enlarged, thickened and/or stiffened. The condition typically begins in the walls of the heart's lower chambers (ventricles), and in more severe cases also affects the walls of the upper chambers (atria). The actual muscle cells as well as the surrounding tissues of the heart become damaged. Eventually, the weakened heart loses the ability to pump blood effectively and heart failure or irregular heartbeats (arrhythmias or dysrhythmia) may occur.'
.::.
One of the younger boys came in, crying over some rough play happening in the next room. He’d been wearing a toque the whole time and now pulled it off as he found his mother. He was soothed with some kisses to his cheeks and bald head before running back to the action.
“Yes he’s bald. He’s got leukaemia, he’s been in remission since March. We’ve got two more years of treatment.”
She went on to tells us about how she worries for his future; as a teen and adult will he lead an incredibly healthy lifestyle, or will he feel invincible having beaten cancer, and abuse his perceived strength?
The hostess, the wife of a friend, went on at length about how scary it must be – the thought of losing a child. How utterly terrible it would be to lose an only child.
It was right around the time the walls began to close in on me.
.::.
'Cardiomyopathy is nondiscriminatory in that it can affect any adult or child at any stage of their life. It is not gender, geographic, race or age specific. It is a particularly rare disease when diagnosed in infants and young children.'
.::.
He found me on the front porch, trying to regain control of myself, tears streaming down my face. I was as embarrassed as I was upset and wanted to scream when he asked me what was wrong. I stared through the picture window at the enormous twinkling tree he and their two kids had decorated that morning. I forced some deep breaths and pulled out my mobile to call a taxi.
.::.
We finally received Sadie’s post mortem report a few weeks ago. Any hope I had been holding on to that it would reveal some extraordinary insight about her condition was dashed. Waiting had given me a reason to tuck that part away; I could put off thinking about future children because I didn’t yet have all of the information I needed. There had to be something else, some tiny scrap of information resembling an explanation for it all. Going through the document with her doctor made me face what I have been refusing to believe since he told me so on the day I met him. We would likely never find out the cause.
With nothing left to wait for I know I should be thinking about what I expect from the future. Our genetic counsellor told us that based on what information they do have, the odds of us having another child with cardiomyopathy are 1 in 10. She chose to pitch it as a 90% chance that any future children will be perfectly healthy.
My husband asked me afterward whether I’d buy a lottery ticket given those odds. My answer was simple. Of course I would. Because I know I would survive losing.
We’ve all become much too aware of the fragility of life, regardless of what took our children from this world. I would like to hear how other babylost mamas who went on to have more children came to the decision to try again. How long did it take for hope to outweigh your fear?


27 Comments
Reader Comments (27)
We were advised to have an autopsy done on Christian to find out if his problem was genetic. If so it would mean that there was a 1 in 2 chance if we fell pregnant with a boy that the very same thing would happen again. While holding my son in my arms I thought to myself, if I find out that this is genetic there is no way I will want to be pregnant again so I refused the autopsy. 1 year and 4 days later my little girl River Eve was born healthy and alive. I still have no idea if Christians problem was genetic. I am thankful I didn't find out. I couldn't bare the extra burden of "more worry".
Sending you many warm wishes.
Carly x
I think once you have had a loss like ours you never recover from the knowledge that you truly have no control over what happens, no matter how careful or diligent you are.
We decided 18m to start trying, meaning we thought it'd take awhile, b/c i still was so scared. But that first month we TTC (no charting, just unprotected), well, we got pregnant.
I'm currently 26w pregnant, and I've had one fetal echo done with a pediatric cardiologist, and Eli's heart looks fine and normal, and I'll have it repeated at 32w. Additionally, my ob assured me it wouldn't be fatal this time, IF Eli did have the same thing as Catti, b/ c delivering early means that medication etc can make it better.
So I don't know that I have hope. I guess I do. It's just that hope is so tinged with fear, it isn't quite that innocent, unadulterated kind of hope that I used to have.
JEN
we started trying again about four months after Finn died. i knew that my body might fail another baby, and also that i could be monitored to perhaps make for better odds. i was scared shitless, but felt like i needed to try, needed to get at least one variable - the "will i be able to get pregnant again?" variable - out of the way, if at all possible. i figured grieving would take years no matter what we did, wasn't sure i'd ever reach a place where i felt healed...so i figured why wait? in a sense, i felt as though i was grieving two separate things at once...both my baby, my particular, wanted, beloved baby, and the experience of being a parent. i was so afraid that the second one might never happen again that i felt like it was getting in the way of focusing on Finn, himself...so we started to try. and we had Oscar and i did, truly, then spend a lot of his first year facing grief. but it was tempered by thanks for what i did have.
not the coping method i'd recommend for everyone, but we're head-on, dive in people, and i think for me the chance to be actively engaged in moving forward (by trying) was healthy, decreased some of my rage and hurt and powerlessness.
My daughter died due to my incompetent cervix and a Strep B infection that reached her through a small rupture in my amniotic sac. I have always wanted children, and my husband is thirteen years older than I am, so when we lost our daughter, there was in the back of my mind the idea that we didn't have much time to waste if we still wanted to have children. But I was terrified, I won't lie to you, and I was on birth control for three months before we decided we would be okay if I got pregnant again. The way it came about was this:
I was driving home from lunch with my best friend, and I got this bizarre light-hearted feeling. I had been living under the proverbial black cloud up until that point, and to feel unaccountably happy was weird. The feeling passed, and I felt sad once again. I am a Christian, and I had been (and still am) wrestling with God about the anger I feel toward him because of the loss of my child. I went home that day, and I began to pray. I prayed and prayed, and I was honest with God about my anger and my bitterness and my disappointment. My final words to Him that day before, I broke down in tears were "Daddy, my baby died." As I sobbed, I unaccountably had that joyful feeling again. I paused in my tears, and I heard as clearly as though the words were spoken to me God saying that our next child would be one we would bring home. I told my husband, and a month later I stopped taking birth control. Two months later I was pregnant with our son, and I felt like I was at the top of a rollercoaster about to plunge down the other side. My son is three months old now and the joy of our life, but I am scared almost every minute of every day. I was scared every time anything seemed remotely wrong during the pregnancy. I live with the heart-knowledge of what it feels like to lose a child, and so can feel a reality to the possibility of loss. I don't need to imagine what it feels like - I know, and it terrifies me. So that's my answer - a promised son, a lot of trust, bedrest, and a lot of fear. I don't know the fear will ever go away.
Only you will know when it is right, and you should expect to be afraid. You've lost a lot, and opening your heart up again is terrifying. My prayers are with you.
We began trying right away because that had been our plan - to have two babies back to back. Plus, the overwhelming need to mother was slowly killing me. I became pregnant again right away. At 17 weeks, they found out that I was pregnant with triplets. Identical triplets sharing a placenta. One baby with a "birth defect" - spina bifida. The doctors couldn't tell us what would happen - we were told to be cautiously optimistic but that the odds were against us.
Hope didn't outweigh fear until I heard each one of those babies cry. And Anna survived her surgeries without issue.
My husband and I have permanently decided to not have any more children. The fear will always be with us.
Symptoms don't show the same on Adults...so I didn't know I had it.
It causes anemia basically......
I now carry the antibodies so the chances are slim that it would EVER happen again.
Doesn't help Scott....
But makes me paranoid about EVERY sort of infection now with this one.
My son was born exactly eleven months after Charlotte died, and now when I look back, I can't tell whether I think I was crazy for going at it again so soon. Basket case can hardly even approximate what I was when he was born; I was still so laden with grief and my emotions were wild and intense. But having him soothed me in a way that is indescribable, and he continues to heal me to this day. I was so relieved, so grateful to have the gift of motherhood back again that perhaps it freed me somewhat to grieve Charlotte alone, the truest loss of all, and I have done so ever since.
I think that it's also important to say that we did choose to determine the cause of Charlotte's death, and did find out conclusively that she died from a cord accident that occurred when my water broke. Knowing this alleviated some of the fears about trying again; although my pregnancy with Liam was fraught with worry, there was little to no actual risk of recurrance which made the decision less weighted than it might have been.
Nine months of terror, the birth was really sort of the easy part, though the emergency c-section wasn't easy I wasn't that scared of the surgery, more the anaesthetic. I've been terrified of anaesthetic for years, so that had nothing to do with anything. Thankfullly they didn't use a general like they did for the D&C, I couldn't have handled that, but I didn't attach to the weird little squalling blob they held over the curtain, and I'm pretty sure I didn't see my son for several hours. It took me about six months to figure out that this kid was really mine.
When I was in about 5th or 6th grade I was in 4-H. A neighbor found this scared rabbit, my sister, four years younger than me, wanted a rabbit. So (really being dumb here) we just stuck her in the hutch with my little dutch bunny. They were both female, that was as far as we thought. Well, a few days later we went out and there were baby rabbits there. We were thrilled. But then, the babies died. We couldn't figure out why, they had all seemed healthy. My dad or my mother, I think my dad, explained that sometimes animals don't attach to their babies if there's danger to them, and that maybe the change in environment felt like danger, or that maybe there was something already wrong with the babies which would be why the wild rabbit got caught in the first place. And that was that, we buried the babies and both rabbits went on to live long and comparatively pampered lives.
I thought the miscarriage would sort of be like that. Never thought it would happen again, it was supposed to be one of those "one-in-a-milion" things, the ovum was malformed or something didn't implant properly. Now, we do have an explanation which fits both Aeryn's death, my son's kidney dying off (likely a clot lodged itself in his system, we are still always fingers crossed about function and swelling and such), and the miscarriage. I'm told by both the maternal-fetal specialist and the hematologist that a fairly straightforward program of blood thinner just prior and during pregnancy should be easy. I used to laugh at the articles talking about planned conception, "babymaking chores" being one phrase that would at least evoke a smile every time. But I don't know what to tell you about "trying again" (a phrase I think all of us hate but end up using because we know it is an attempt, not a guarantee) because I know that even if I "manage" a pregnancy, my son or daughter will be at least a carrier for the thrombophilia.
My son and his future wife should that ever occur, somehow I can't take that for granted even, will be advised by me before he marries that she needs to undergo testing for the mutation. My son will be tested with his next round of labs for his kidney; just safer to know given what a clot could do to him if it happened and lodged in the wrong place. So I just don't know. The "odds" for us are also that I could carry another child to term, it's just too hard to process even now. I miss my children and I miss what could have been with my son, that "falling in love" feeling people describe that I've never gotten to feel. I had hoped it would be different with Aeryn, that the lack of bonding with my son was just because of the c-section and the anxiety of that pregnancy. I've read studies dealing with "maternal involvement" and methods of delivery, reported outcomes after infant loss, and all the statistics tell me nothing. So, I have to wait for things to quiet in my head and in my gut, and see what I can figure out. You can gather information from everywhere, and ultimately, unfairly, it still ends up coming back to what you can stand and whether you actually have any real options.
We have a 1 in 3 chance of going through it all again.
We're 8 months out now, and I feel ready to try again. Still trying to fully convince my husband- as much as he wants a child it was very scary for him to see me get so sick, and he can't bear the thought of potentially losing me too.
As of now we're planning on starting TTC in the next month- lots of prayer, bedrest and heparin, and see where we end up.
Hell yes.
I just found out that I'm pregnant again last week after trying for six months. During the first few months of trying I was very trepidatious and probably would have had a melt down had the positive come at that time. Towards the end of the six months however, I was beginning to believe that it was never going to happen again and I was deliriously happy when I got the positive test, now after a week for it to marinate, I'm probably back where I started. Why can't I fast forward through this part and just get the point where I have a baby in my arms?
I was talking to my Mom about this and she said I just couldn't let it bother me. To that, I replied "You mean I just have to act like it doesn't bother me." She said, yes, I did - that that was probably going to be the only way through it. She's probably right -
So, that's my plan of action. I'm going to do my best to pretend that I'm not screaming and crying on the inside and that I still believe that this baby can't be taken away in the blink of an eye. I'm going to pretend that I believe that I'll actually get to take this baby home when I leave the hospital. What else can I do?
Now that I've had PE once and because it was so early and so severe, my chances of getting it again would be about 60%. If I did fall into that 60% category, the baby would have about a 50/50 chance of surviving.
Immediately after the twins' deaths, I learned these odds and decided that the only way I would consider having another child was with a gestational surrogate. Within a few weeks, I was researching agencies and looking at profiles.
But the other is that fear has not been as large a part of my experience of loss, as much as grief and anger, ferocious anger. I suspect this may change as the pregnancy progresses, and that fear might become a larger part of my repertoire--the fetal abnormalities that caused my son's death are exceptionally rare, 1/15,000, and are not known to recur. However, in part because he was preterm, I had to have a classical cesarean (the low transverse section of the uterus where most Csection incisions are made, not existing until the uterus reaches term), and that does place me at greater odds of going into labor prematurely for subsequent pregnancies (50%, based on one study of 100 women I read), or of spontaneous uterine rupture (4ish percent, although this number is debated, based on what one might define as "rupture"). That's what "worries" me--but I would not classify that worry as fear. Yet.
We did not expect our grief or anger to subside anytime soon to make a meaningful difference in our decision to try again, we have a history of fertility issues and are only getting older, and so, jump we did. Emotions be damned.
So, now it has been just over 4 months and we are just going to start trying. With Oliver it just kind of happened the first time we tried but with our daughter (she's 22 months old) it took longer. I just want to have the whole thing over with to know that we can have a healthy baby again.
Friends of ours have a newborn the same age that Oliver would have been and the pull of having one of those is definitely bigger than the fear today.
We never received any answers, despite having an autopsy performed. "Cause of death unknown." Her organs were perfect, no known syndromes were detected, no infections were found. The placenta and umbilical cord were unremarkable. We even had the case reviewed by another world-renowned pathologist. His only finding was slight curvature of one of her toes.
I still can't wrap my mind around it. She was 6 lbs 9 oz with dark curly hair and chubby cheeks. If she was perfect, why is she not here with me?
I just celebrated the year-mark since her death. I blame the timing, the finances, my job, my relationship with my husband (which is actually pretty good). But really, it's the fear. Not only the fear of loving and losing another, but of feeling hurt like that again.
Because of the c-section, we have been strongly advised to wait several more months before trying, which is probably a good thing since it gives us both time to think of what it would mean to go through pregnancy again. In my more lucid, cogent moments, I wonder if I'll/we'll really be brave enough to try for another. But before Teddy, having a child felt very much like a choice. Now, after his loss, it feels more like a compulsion, and I haven't sorted out all of why yet. I know that another baby could never replace him, or cause me to stop grieving him, but I hunger for a living child now in ways I never have before.
We'll never know if I had an infection which caused the PROM, or if his illness was a result of "trying to go longer" (two weeks of hospital bedrest with propylactic antibiotics that apparently did nothing).
Once his brother came home, following three months in the NICU and many health scares, hubby and I were in no hurry to have another child.
Despite being told we'd need fertility treatments to get pregnant, nestled on my chest at this moment is my week-old son: my "rainbow" child.
People have asked me what I did differently this pregnancy; what treatments I used to go full-term, to have a healthy, living child...
If only it were that easy; to diagnose what went wrong, take a pill and ensure a long, full life for our little ones (for that matter, anyone!). Because I had no answers, I had no "safety" measures to take; only to embrace the fear and realize that virtually nothing I do, can ultimately guarantee results... and it sucks.
Lara
Sex is the place where all my longing and all my fear collides head on. Two and a half years later that collision can still shake me to the core.
[My baby Jessica had hydrocephalus & spina bifida - had the full autopsy & genetic testing done to try to determine cause or apportion blame; we found nothing & were given the "lightning strike" probability of anything similar happening again. Physically uneventful & perfectly normal baby Z when we conceived again, 1 yr after losing Jessica...]
& yes, I talk to her all the time.