Amy E

Amy was expecting her first child when her 12 week scan picked up that her daughter had gastroschisis*. She was born at 37 weeks and needed two operations. She is now three and doing well.

Amy was expecting her first child. She had a feeling that things were not right, and her suspicions were confirmed at the 12 week scan that showed her baby had gastroschisis*. She was referred to the hospital with a specialist paediatric surgical team closest to her, but it was a two-hour journey away. She had a stressful pregnancy with regular scans.

At 37 weeks doctors decided it was time to deliver her baby, and she was induced. Her daughter was born and taken immediately to the neonatal intensive care unit (NICU)* for assessment. The surgeon soon came to tell Amy that her daughter’s condition was worse than they had feared and she required immediate surgery to widen the hole in her abdomen to allow her organs to move back into her body. She was only a few hours old. This first surgery was a success, and Amy’s daughter was returned to NICU. But she was still very poorly, unable to feed properly and on total parenteral nutrition (TPN)*, for several weeks. When she was a week old she had another setback and needed further surgery. Amy said the consultant surgeon flew back from South Africa to operate on her daughter, and tried an experimental procedure which was successful. Amy’s baby started to make progress and was able to start having milk when she was about 4 weeks old. But progress was slow and it was another 5 weeks until she was able to go home. Amy was able to stay in hospital accommodation, as it was a long journey from home.

Amy’s daughter progressed from NICU, to high dependency and finally to the special care ward. At 6 weeks old doctors felt that she was well enough to be discharged. Although Amy still takes her for regular check-ups, her daughter is doing very well. She was 3 years old at the time of the interview and due to start school in a few months.

*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.

Amy E lived two hours away from the hospital where her daughter was being cared for. She went to stay with her parents the first night out of hospital, as they lived closer. She didn’st want to talk to any visitors.

Age at interview 32

Age at diagnosis 29

Amy E felt she wasn’st given as much information as she would have liked about her daughter’s gastroschisis*. It was a case of waiting and seeing, if her daughter’s case would be straightforward or complex.

Age at interview 32

Age at diagnosis 29

Amy E’s matter of fact conversation with the surgeon was just what she needed.

Age at interview 32

Age at diagnosis 29

Amy E had poor experiences with a counsellor, but was then offered someone through her work as a police officer, who she has found very supportive.

Age at interview 32

Age at diagnosis 29

Amy E is a police officer. Her daughter had gastroschisis and now she has flashbacks of driving a police van with the blue lights on. She was pregnant with her second child when interviewed and very nervous whether her new baby will be OK.

Age at interview 32

Age at diagnosis 29

Amy E felt lost and isolated when she came home with her daughter.

Age at interview 32

Age at diagnosis 29

Amy E felt abandoned when she took her daughter home from the specialist centre, and was told to just go to the local hospital if her daughter developed any problems.

Age at interview 32

Age at diagnosis 29

Amy E said she found coming home very hard. She had been used to knowing everything about her daughter’s temperature, breathing etc, and found it hard to cope knowing nothing at home.

Age at interview 32

Age at diagnosis 29

Amy E described the 8 hours her daughter was in surgery as the worst hours of her life. Seeing the surgeon afterwards was very reassuring.

Age at interview 32

Age at diagnosis 29

Amy E’s daughter had to be given muscle relaxation medicine so that she didn’st pull out vital breathing tubes.

Age at interview 32

Age at diagnosis 29

Amy E had not even met her daughter properly when the surgeon arrived to tell her he needed to operate. She was helped up to the neonatal unit to see her before she went to surgery.

Age at interview 32

Age at diagnosis 29

Amy E stayed in the hospital house for 6 weeks, and found the staff who worked there like mini-counsellors.

Age at interview 32

Age at diagnosis 29

Amy E was shocked to be told her baby would need surgery, but the midwife who sat with her answered all her questions and was lovely.

Age at interview 32

Age at diagnosis 29

Amy E was left thinking what’s happened while her daughter was rushed to NICU.

Age at interview 32

Age at diagnosis 29

Amy E said it was one of the low points of her experience, to be put on a ward with mothers and their babies, and she had no baby.

Age at interview 32

Age at diagnosis 29

Amy E wasn’st really bothering to look after herself, and there was no one to look after her as she wasn’st at home but miles away in another hospital.

Age at interview 32

Age at diagnosis 29

Amy E was very frightened as she waited for her labour to progress. A midwife was very supportive.

Age at interview 32

Age at diagnosis 29

Amy E had a plan in place with her local hospital in case she did not have time to get to the specialist hospital to give birth.

Age at interview 32

Age at diagnosis 29

Amy E said she didn’st really feel she coped very well, but had to keep going.

Age at interview 32

Age at diagnosis 29

Amy E found the tour of NICU* really helpful. She was able to speak to the staff and it took away some of the scariness of it all.

Age at interview 32

Age at diagnosis 29