Amy

Amy’s daughter was diagnosed with exomphalos* when she was 15 weeks pregnant. She was 6 years old at the time of the interview.

Amy was very surprised to discover she was pregnant. She was in her early 30s. She went along for her first scan at 15 weeks, and was told that her baby had a large exomphalos*. The next day she went to see the fetal medicine consultant who confirmed the diagnosis. The research that she had had a chance do on the Internet mostly just frightened her.

She found her consultant very serious and negative. She felt he encouraged/pressured her into having a termination, which she had decided that she wasn’t going to have. The various tests and scans that they went on to have, including a CVS, did not reveal any genetic problems, although the exomphalos was very large; the liver, stomach and bowel were outside the abdominal wall. Amy felt that she missed out on a normal pregnancy, as it became very medicalised with regular scans and tests. She and her partner decided to change hospital, as they were not completely comfortable with their original hospital. Although this meant that Amy would give birth in one hospital and her baby would be taken to another immediately, they felt it was the right choice. She highlighted two features that reassured her it was the best choice for them; one was a leaflet they were handed about abdominal wall surgery, indicating that the staff knew what they were doing, the other a caf‚Äö√†√∂¬¨¬© waitress saying a cheery hello and welcome when they first arrived. They were shown around the hospital and neo-natal intensive care unit. A caesarean was planned, but her waters broke and she went into labour earlier than planned (at 36 weeks), so she had an emergency caesarean operation.

Her daughter was born safely and Amy was able to see her briefly before she was transferred to the specialist hospital where she spent the next 3 months. Amy had to spend two nights on a ward with mothers and their new babies, which she found really hard.

The surgeons used the silo method and performed approximately twelve operations. Amy had to stay in hospital two nights and was then able to stay in a hospital hotel for a few nights so she could be near her daughter. As things stabilised and her daughter came out of intensive care (after 5 weeks), Amy was able to stay in a room with her, which she really appreciated. Her daughter was looked after by the same surgeon throughout, and Amy really liked him she felt his manner was calm, steady and matter of fact, making no false promises.

Amy’s daughter came home after 3 months. She had to return to hospital for a hernia operation a year later, which Amy found very difficult. But apart from that, she has developed well. At the time of the interview Amy’s daughter was 6 years old. She has no ongoing health issues and is happy and healthy at school. She does not have a belly button, which has been noticed by other children (e.g. in the swimming pool) but it is a mark of uniqueness, rather than something she is bullied about.

*Exomphalos
An abdominal wall defect, that occurs when the baby’s tummy wall does not develop fully in the womb. Some of the baby’s intestines and sometimes other organs such as the liver, develop outside the tummy and are covered by the umbilical cord.

Amy said it was very important and healthy to get out once in a while. She didn’st do enough of it, but time on her own was very valuable.

Age at interview 39

Age at diagnosis 33

Amy remembers that the best piece of advice that she was given was, you are your child’s best advocate’s.

Age at interview 39

Age at diagnosis 33

Amy’s daughter had exomphalos and finding other parents through an online forum was her number one support during that time.

Age at interview 39

Age at diagnosis 33

Amy felt that she wasn’st always clear who was making decisions about her daughter’s care, and what role she and her partner had.

Age at interview 39

Age at diagnosis 33

Amy made a scrapbook which will help as she talks to her daughter about how she is different and unique as a girl who had exomphalos.

Age at interview 39

Age at diagnosis 33

Amy wasn’st prepared for the emotional rollercoaster she was on. She was petrified to go home with her baby. In hospital she had been closely monitored and had doctors and nurses all around.

Age at interview 39

Age at diagnosis 33

Amy was so happy to take her daughter out for the first time. The hospital lent her an old fashioned push chair, and she was thrilled to do something normal.

Age at interview 39

Age at diagnosis 33

Amy found the setbacks after her daughter’s surgeries very difficult, but trusted that in the long term they were worth it.

Age at interview 39

Age at diagnosis 33

Amy’s daughter had an exomphalos and had had a silo stitched on when she first saw her in intensive care.

Age at interview 39

Age at diagnosis 33

Amy was terrified about the outcome for her daughter who had exomphalos. For her, looking at the worst case scenario was her way of coping.

Age at interview 39

Age at diagnosis 33

Amy was at her daughter’s bedside from morning until night. Her mum stayed with her, but she isolated herself from friends. She kept herself going with a diary.

Age at interview 39

Age at diagnosis 33

Amy’s partner coped by being all light-hearted. She knew it was helpful for her and his way of coping, she also got pretty annoyed by it.

Age at interview 39

Age at diagnosis 33

Amy said it was the one thing she was able to control during those frightening weeks when her daughter was in hospital.

Age at interview 39

Age at diagnosis 33

Amy felt that the only thing she could do for her daughter was sit by her side. It was a small bit of control, in a situation where she didn’st really have any.

Age at interview 39

Age at diagnosis 33

Amy had expected to be able to bond with her daughter immediately. But when she was in intensive care it was hard. The first time she held her was like Christmas.

Age at interview 39

Age at diagnosis 33

Amy said all she could see was her beautiful baby.

Age at interview 39

Age at diagnosis 33

Amy was able to cuddle her daughter, and wanted to be able to take her baby straight home, but sadly that wasn’st going to be the case.

Age at interview 39

Age at diagnosis 33

Amy said even if you have to write in my notes, not agreeing with medical opinion, I’m going.

Age at interview 39

Age at diagnosis 33

Amy said that while people ask how’s the baby’s, they don’st really know what to say if there is a problem.

Age at interview 39

Age at diagnosis 33

Amy was shocked to be told her baby’s bowels were outside its body. She had no idea what it meant.

Age at interview 39

Age at diagnosis 33

Amy felt like a mamma lion’s wanting to do the best for her baby, but wanted to feel she was having a normal pregnancy too.

Age at interview 39

Age at diagnosis 33

Amy felt more comfortable in the second hospital she tried. She felt it was the right place for her daughter’s care.

Age at interview 39

Age at diagnosis 33

Amy had researched exomphalos* at home and so was clear she wanted to give her daughter a chance. She found the consultant’s manner very negative.

Age at interview 39

Age at diagnosis 33