02/07/2020
CHD Awareness Week Photo Challenge 2020
Day 1: Diagnosis
Everyone goes into that 20 week anatomy scan so excited to see their little growing human, possibly find out the gender, it's one of those appointments you look forward to your whole pregnancy. This was my 6th pregnancy, it was nothing new, I was so excited to walk into that office and see our little girl again (we brought all of our kids with us because they loved getting to see the ultrasounds and we knew this was likely our last, so we tried to let them be a part of as much as possible to soak it all in). We already knew we were having a little girl. It was April 10, 2019, I was 22 weeks. I remember the tech taking a little more time than normal, but she congratulated us on our 5th daughter, and then said she couldn't get good enough images of her heart, so they'd try again in two weeks.
Ok, fair enough, that's just another time I get to see my baby. Two weeks later we loaded the younger two kiddos up and made the long drive out to my OBs office for another ultrasound. This time I took notice how many times the tech kept typing "LVOT". I figured she maybe kept getting a slightly better angle or image. She had the doctor come in and talk to us, and she basically said that they weren't getting great images, it was probably nothing, but she'd like the specialist to come in to look at it but she wouldn't be in for another two weeks. I started to panic a little but reminded myself that ultrasounds aren't very accurate, I'm sure everything will be fine.
We went in for the specialist ultrasound and fetal echocardiogram and she told us that the baby had extremely severe aortic valve stenosis and I couldn't continue my care there, I wouldn't be able to deliver there, and I would have to be seen over 6 hours away. They scheduled me in for an all day appointment with the hospital up in Portland, having ultrasounds, echocardiograms, seeing cardiologists, nurse coordinators, nicu specialists, MFM, a new OB, the works.
Honestly, again, we just thought "oh, itll be fine, I'm sure that the hospital in the smaller town just doesn't see this often, it's probably not as bad as it seems, I'm sure everything will work out." We were in for a real awakening. Our last appointment of the day was with the cardiologist to discuss her findings from our testing, and come up with a care plan.
The doctor told us that she had a very severe form of Aortic Valve Stenosis, and she drew a diagram. AVS is basically where the aortic valve (the valve that pushes the oxygenated blood out through the last chamber of the heart and delivers oxygenated blood to the rest of your body) didn't develop properly. There are varying degrees of AVS, hers is critical. The 3 tissue paper thin flaps that make up the valve "door" actually never formed into seperate flaps, and the texture was thick and "gnarly" in texture. It was actually worse than we had expected. This was the critical time when we made the decision to move before she was born, to ensure that she got the best care possible from day 1.