Yasminah's Story

When I fell pregnant naturally without any intervention only 9 months after our first child Zachariah's birth, my husband and I were over the moon and so incredibly excited. Our new baby was a blessing, especially after close to 6 years trying to conceive Zachariah for it to naturally happen the second time around.

The pregnancy was quite normal, with early morning sickness that subsided after the first trimester. It was far less complicated than my first pregnancy. I didn't live in constant fear of losing the baby, that I experienced before.

Friday 14th November 2008 we were booked in for a routine 20 week morphology scan. Our appointment was at 2pm. We took our son with us to meet his little brother or sister. It would be the first time he would get to hear the heartbeat and see his bubba on the ultrasound screen. We walked into the room and the sonographer cheerfully commented on how our happy, cheeky little boy was playing with the pretend steering wheel on his Jeep pram.

We had done all this before. We assumed we would check that there was 5 fingers and 5 toes on each hand and foot, hear the heartbeat and marvel at the miracle of the life growing inside me. We wanted to find out if we were having a boy or a girl.

The news we received that afternoon was devastating.

The sonographer was very calm and the silence was almost defearning during the ultrasound. She wiped the wand clean and said that she would be back in a moment. She came back in with another Doctor and we were told that there was something seriously wrong with our baby. We discovered our child had congenital abnormalities.

The following week we had an amniocentesis, where a doctor with the guide of an sonographer takes a small sample of amniotic fluid to test for possible defective genes. When our doctor was sure of Yasminah's location inside my womb, he swabbed my belly with antiseptic and inserted a long thin needle and extracted 15-20ml of amniotic fluid. This procedure carried risks of either infection or miscarriage or injury to our child. Thank fully it was over fairly quickly and our baby seemed fine. Usually it can take up to 3 weeks to receive the results back but they were able to process our sample within a week and even the doctors were stunned when the results revealed no chromosomal problems.

 At that stage my husband and I turned to our faith, did our own research on all the information the Doctor's had presented to us and ultimately decided to continue the pregnancy.  When we made the decision we both felt like the weight of the world had been lifted from our shoulders. We decided that this was exactly how god had intended our child to be. We were determined to give her every chance of life.

I was unable to return to work, so I started maternity leave early to spend quality time with my son and the rest my body and our daughter needed. We used the pregnancy as a chance to prepare our family and friends, explaining our unborn daughters differences and the challenges that lay ahead.

We were referred to the limb specialists and surgeons at Westmead Chidlren's Hospital who were all fantastic and very supportive. Once we told them we were continuing the pregnancy they had appointments lined up for us so we could prepare ourselves and plan ahead for our daughter's birth. I was considered a 'High Risk Pregnancy' and was under constant monitoring, every 2 weeks I had an ultrasound to monitor her growth. I also had an MRI at one stage to rule out a diaphragmatic hernia, but this was given the all clear too. As the pregnancy progressed everything seemed to be getting better and the outlook was improving, only her left foot had talipes and Yasminah had 3 fingers, she was a fighter.

It was discovered that I had Polyhdramnios where there is excess amniotic fluid in my womb. The extra fluid in the womb can make it difficult for our baby to settle head down into my pelvis. So if my waters were to break, there is a danger that the umbilical cord would be pulled down into the vagina in front of her head. I almost went into preterm labour at about 28 weeks, but was put on prescribed tablets to reduce the amount of urine our baby was producing thereby reducing the amniotic fluid. I continued to take them until I was 34 weeks when I was admitted into hospital after a routine checkup and ultrasound.

I had noticed her movements decrease and thought that maybe she was going to come early into the world - they put me on the CTG to monitor my contractions and her heart rate and it wasn't looking good. It was my wedding anniversary, my husband was at work, my mum was looking after my son at home and I was all by myself being told I would have to be admitted into hospital because things weren't 'looking good' with my baby.

We were told that the CTG traces were 'non reactive' and they weren't sure why. I would need to be admitted so that I could be closely monitored. I would continue to have CTG's twice a day leading up to her birth. Everyday her heart seemed to get stronger - they didn't really know what was wrong with it or if they did they didn't tell us. She started putting a lot of weight on and the fluid was OK. I was otherwise in perfect health - no protein, perfect blood pressure and I felt OK. After 2 weeks in hospital they let me go back home as I didn't live too far from the hospital, but had to come back in everyday to have the CTG or if I had any concerns. I stayed home 5 days before I was readmitted at 37 weeks and 1 day, because the CTG trace was worse than it had previously been and it was also getting harder for me to feel her movements again as the amniotic fluid was increasing again. So that night I was on the CTG monitor for almost 2 hours before the registrar re-admitted me - we had our son with us- we hadn't had dinner and they wanted me to stay but I convinced them to let me take Zach home, get him into bed and wait for my mother in law to come over whilst my husband and I headed back into hospital. They said they would do another CTG when I came back in. On arrival I was set up in the room opposite to what I had been staying in. I was all hooked up to the CTG and it was really good, very re-active and the midwives said it was best I just stay in hospital for the rest of the pregnancy.

The next morning I wanted the CTG first thing so we could find out what was happening and plan to deliver her the end of the week - that morning my team of Dr's came in and decided that she was moving well and seemed to be very active and she was growing too so would see me again the next morning. There were a few dips or decelerations in heart rate that morning and I was concerned, and raised these concerns with the medical staff but they re-assured me. They wanted to get her as close to full term as possible as did I. That was roughly 9:30am the 24th of March 2009.
I last felt her move just after lunch. Yasminah gave me one all mighty big kick and I remember thinking something wasn't right then. I tried to lie down in my hospital bed to sleep, but couldn't so got up and went down stairs. First I went and bought a colouring book to surprise my son with that night when he came in to visit me, then I went to the Internet kiosk in the hospital to let my friends know that I was OK and back in hospital and it wouldn't be too long until we finally meet our little girl. I still hadn't felt her move so I went and got a strawberry milkshake as that always got her moving. Still there was nothing. Back up in my room I poked and prodded at my belly to get her to wake up. Now I definitely knew that something wasn't right. I went and got some ice water and on the way back to my room I walked past one of the midwives and she asked if everything was OK I said yeah I was just tired. I drank so much water and still couldn't feel her move. I told my husband over the phone when he called me and he said she is probably just tired and we both needed our rest. I said I would call the midwife in to check everything was OK. I buzzed them and they said to try the ice water and everything, I explained that I had already tried that. They then went and got the portable Doppler out and couldn't find the heartbeat, but lately they had trouble even picking it up with the CTG because the excess fluid made it hard. The midwives did all they could to reassure me, they went to get the CTG and still couldn't get it, so they called the registrar on duty. They then brought in the portable ultrasound machine and after what seemed like forever the Doctor said to me that "I have checked everything and I cant find the heartbeat" she said "the baby hasn't moved her arm is still in the same spot resting above her head"....just how I sleep. I tried to hold it together. I couldn't believe that we had got so close for her to die right there in the hospital with all my doctor's and the medical staff around me, they were supposed to look after her. Why didn't they deliver her earlier after I raised my concerns, she was OK in the morning.

At the time when they told me I was alone in my room and my best friend who was also pregnant and due later that week was calling me, I couldn't answer the phone. She knew something was wrong. I had to call my husband and tell him over the phone what had happened. He had just got home from work and was getting ready to come in with our son. I told him to come alone that she had died and couldn't say much of anything else, another horrifying moment in my life. Only that morning everything had been OK. How could things change so quickly? The doctor's always said to us that "they didn't know what the outcome would be for the baby", but I always thought she would be born and maybe not survive life, but it never really occurred to me that she would die inside me. I never even knew it could and did happen! I thought I would have some warning if something was wrong pain, bleeding, my waters breaking anything, not nothing! Why didn't they ever say "Your baby could be stillborn" I would of preferred their honesty. I remember once during my hospital stay overhearing the doctor's and midwifes outside talking about me and they were asking why I had to be in here and the doctor said in case the baby dies! That made me so angry at the time that they wouldn't say it to me. Maybe I was naive to think that it was all going to work out.

They let me go home and come back the next day to be induced.

We had another ultrasound to confirm that she had indeed passed away. My husband was allowed to stay with me in hospital. I was given gel at 2pm and then again 9:15pm and was told they would break my waters the next day. I had to be monitored closely through the induction because my son was delivered by emergency c-section after a 21 hour labour (we almost lost him too) and they needed to make sure that my scar didn't rupture and I didn't progress too quickly. I took some sleeping tablets at 2am to try and get some sleep. To my shock and surprise my waters broke naturally at 3am. My poor husband woke up with a fright as he was in a bed next to me and he said it was like someone turned on a fire hydrant or a waterfall, there was just so much water. We were so glad that didn't happen at home.

They then took me down to the birth unit where I had an epidural. At 9:58am on Thursday 26th March 2009 I silently delivered my beautiful sleeping little angel, my baby girl Yasminah Ann. She was just beautiful and perfect and she looked so peaceful. Yasminah was really long 50cm, she weighed 2.38kg. Beautiful jet black, thick curly hair and she had the same cute little button nose as her brother did as a baby.

The midwives were fantastic, so supportive and understanding and will forever be in my hearts for making it as relaxed as possible. They are the memories I have. I was able to have a natural birth and felt like I had achieved something. It was a very different experience from my son's birth. Zach was born by emergency c-section after a 21 hour labour as he was in distress and had passed his meconium and was inhaling it. I really wanted to have a natural birth with Zach and with Yasminah I did it - all on my own with no medical intervention. It was really calm and so quiet.
They let us bathe her and then they brought in some dresses for us to choose. I didn't bring her clothes in and we didn't have our camera charged. Everything just happened so fast and I didn't think about these things, but wish I had or someone had said to me bring your camera and clothes for her when we left the hospital the first time. Only two relatives from my husband's side wanted to see her, which at the time I wasn't very comfortable with and spoke to the midwife and asked if they could show them Yasminah in another room and then bring her straight back to me. I wanted to be the 'last' to hold my little girl in my arms. Now I feel a little hurt that no one in my family wanted to see or meet her. She was and will always be a part of our family. Some friends later told me that they would of liked to have met her but the thought never even crossed my mind at the time to ask them.
The midwives gave us a book with a handful of photos that they took of her inside it and they took her hand and foot prints and a lock of her thick black wavy hair, she even had little ringlets at the back just as I did as a child. We had the book with the special keepsakes, the blanket we held her in, a little white teddy bear and a box to keep everything in that had a beautiful blue butterfly hand painted on the lid.

She fought as long as she could but just didn't make it all the way. I take comfort in the fact that she passed away peacefully in the comfort of me her mum and didn't suffer. I think she wanted to spare us from seeing her in pain as it would have been a very challenging life for her, but it doesn't mean I don't wish that she could be here with us today.

I feel blessed to have been able to hold her for 37 weeks and 4 days and proud to be her mum. We gave her a chance at life that alot of other people wouldn't of. She was very much loved and wanted by all those around her and not a moment in my day goes by that I don't miss her or think about her or what might have been.

We had a Post Mortem performed to try and find out an exact cause, but alot of the time they just cant tell. The results came back as 'no known cause'. They put it down to her abnormalities. My Doctor's came in and saw her after she was born and they got upset too, they said that she was such a fighter and they were amazed that she fought as long as she did. They also admired my husband and my strength and love for each other and our child. They said with everything that happened we always remained positive, we always held onto hope.

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