Parting the clouds and moving forward…
Today was our meeting with the pathologist, perinatal specialist, family doctor and midwife to go over Evan’s final autopsy results. I feel very good about it and still a little shocked.
We had been led to believe all along that Evan likely died from a placenta issue in terms of blood supply related to my testing possitive for the lupus anticoagulant OR due to lack of placental function because of post dates. The pathologist today said there was absolutely nothing wrong with my placenta, or Evan, all was perfect, no blood clots and no reason to believe he starved or this was a slow blood supply issue. IN FACT his cause of death is now deemed a cord accident and there was exact scientific evidence to support that Evan died fast, less then 5 minutes, and that my placenta was not the problem at all.
He found the structure of Evan’s brain and nervous system as a whole demonstrated fast death related to asphyxia. He went through the entire report with us and showed us how he came to that conclusion. He thinks because Evan was large, at 21 inches long he was as tall or taller then a typical 43 weeks gestation baby, and that I am so short, 5’2, that Evan had litterally had run out of space to move and because of this leaned up against the cord cutting off his own oxygen supply. He also mentioned the possibility of me having low fluids which could have gone missed due to not having had any ultrasounds since 30 weeks or so. I have all this in medical jargo so I am just doing a laymen’s terms summary here.
The good news is that everyone at the table agreed that the chance of this re-occuring is very, very slim. Like lightening hitting the same place twice. So this pregnancy is very, very likely to be perfectly fine.
The bad news is that all the bio-physical profiles in the world could not have prevented Evan’s death, as it was instantaneous and unforseable, so all the super close attention I will get with this pregnancy won’t make a lick a differance in terms of preventing another cord accident.
I do feel hopeful though in the reassurance I got from the team today that this baby’s chances are just as good as any other baby. In fact they compared Evan’s death to the probability of getting hit by a car, or killed in a plane crash. My midwife and family doctor who delivered Evan are over the moon at the news of my new pregnancy and want to be part of the process. The midwife will be involved as more of a friend and aquaintance, the family doctor will be responsible for 50% of my prenatal care and the specialist for the other 50% in terms of very specialized testing and observation like my weekly biophysical’s in the last timester. The specialist will also do a dating ultrasound around week 10-11, I am in week 5 now according to LMP. I don’t know what any of this means in terms of the Heparin..I think she said she would do a follow up test and we can discuss from there, but the Lupus Anticoagulant test has been ruled out as a cause of death, as I have been saying ALL ALONG, the placenta was perfectly normal and fine and so was Evan, this was not a blood clot issue.
We both somehow feel a massive weight off our shoulders anyways, at least we know now. It can’t bring Evan back no matter what, but I am so happy to leave all the questions behind me.
After the meeting my doctor and midwife took Dave and I out to a local cafe for yummy fresh squeezed juice and cheers all around for getting that off the table for all of us.