Zoe

Zoe was pregnant with her first child, who was diagnosed with gastroschisis*. Zoe was referred to a specialist surgical hospital 3 hours away. Her daughter was born at 37 weeks and had her operation when she was 6 days old.

Zoe was expecting her first child. The 12 week scan showed that her daughter had gastroschisis*. Zoe was scanned regularly and was then referred to a hospital with a specialist paediatric surgical team at 28 weeks. At the first visit, she met with the surgeons and neonatal nurses who explained to her what to expect after her baby was born. The specialist hospital was a long way away, a three-hour drive. Zoe found the rest of her pregnancy very hard, as there was so much uncertainty about how her baby would be when she was born. She and her partner also found it hard not knowing why her daughter had the condition.

Zoe was induced at 37 weeks and she was able to see her daughter only briefly before she was taken to neonatal intensive care (NICU)*. As expected, her daughter had to be transferred to the children’s hospital, which was separate to the maternity hospital, so Zoe did not see her daughter for another 12 hours. She was set up in NICU with a silo and assessed. Surgeons were keen to operate on her bowel as soon as possible, and she had her closure operation when she was 6 days old. The operation was relatively quick just a couple of hours and successful, although Zoe’s daughter was very distressed for the first few hours as she was in a lot of discomfort and pain. But she recovered well.

Because the hospital was so far away from home, Zoe was given a room in the Ronald Macdonald house, where she stayed for the full month that her daughter was in hospital. However, her partner had to go back to work and was only able to visit at weekends, so she spent the weeks on her own, with just the occasional visitor. Soon after surgery, her daughter was well enough to start trying to have very small amounts of breastmilk, and was weaned off total parenteral nutrition (TPN)* after 18 days. Doctors built up the volumes of milk very slowly, checking that her bowel was working well, and could cope with the milk. She was soon transferred to the general paediatric ward and after a month she was well enough to go home. Zoe’s daughter was 19 months old at the time of the interview. She has had a couple of follow-ups with the surgeons who are very pleased with her progress.

* Gastroschisis
An abdominal wall defect, that occurs when the baby’s tummy wall does not develop fully in the womb. A hole is present next to the umbilical cord through which, the baby’s intestines protrude into fluid around the baby while in the womb, and outside the baby’s tummy after birth.

*Neonatal Intensive Care (NICU)
A unit for critically ill newborn babies and infants who need the highest level of nursing and medical care. Babies in NICU often require support for their breathing. Those undergoing major surgery will often be looked after in a NICU.

*(Total) Parenteral Nutrition (TPN)
TPN is nutrition is delivered directly to the blood via a vein.

Zoe said speak to someone else who has gone through it, the support of other mums and dads was second to none.

Age at interview 24

Age at diagnosis 22

Zoe described how vital it was to talk some time out for herself, to feel a little normal for a while.

Age at interview 24

Age at diagnosis 22

Zoe’s daughter with gastroschisis was in a hospital 3 hours drive from home. She could stay over but it was lonely during the weeks when her partner was back at work.

Age at interview 24

Age at diagnosis 22

Zoe said the nurses on the unit were amazing and made getting through it possible.

Age at interview 24

Age at diagnosis 22

Zoe found it frustrating that she didn’st know when they would be able to live as a normal family.

Age at interview 24

Age at diagnosis 22

Zoe said she made lifelong friends while sitting with her daughter in hospital. Those relationships really helped her through.

Age at interview 24

Age at diagnosis 22

Zoe said she found information was limited, but she was also wary of looking at forums because they don’st paint a true picture.

Age at interview 24

Age at diagnosis 22

Zoe didn’st want her daughter to be alone, so she sat with her every hour she could. It was hard to remember to look after herself as well.

Age at interview 24

Age at diagnosis 22

Zoe said that in the midst of all the worry, there were positive moments to cherish.

Age at interview 24

Age at diagnosis 22

Zoe remembers the generosity and support she received from the nurses in NICU. They sent her off for meals, and would sit and chat with her in the long hours she spent at her baby’s cot side.

Age at interview 24

Age at diagnosis 22