Wednesday 15 January 2014

Meeting with the doctor to discuss why you died

We went to the hospital today get the report/results for why you may have died. 
Didn't enjoy going back to the hospital. Don't get me wrong. They did their job well when we had The complication with Hannah it just doesn't bring back nice memories. It's sad we were so close to having our little girl to raise and now we don't. It is however the place we got to see Hannah alive and swimming around at 11 week, 20 weeks and 34 weeks, very much alive. 

We went to the appointment already knowing really why Hannah died, that was that she had he cord wrapped around her ankles so many times that the blood couldn't flow. 

The results however weren't fully what we had expected. They basically showed no cause of death, that Hannah had simply died and no conclusive reason (and conclusive is the key word), could be found. There is very strong speculation though that the cord wrapped around her ankles was the cause. The cord between the placenta and the tangle round her ankles was red/purple (the correct colour) and obviously had blood flowing through it. The cord between the tangle round her ankles and her navel was very pale and looked like no blood was flowing through it. I still, despite the PM (i hate that word) not showing any signs of hypoxia believe that this was still the reason she died. There was a couple of thing that did come up however. One was that the cord had one artery instead of two. Hannah also had a small hole in her heart (but this wouldn't of caused her to die). All stuff to think about I guess. 

It's dangerous to dwell too much on these things though. Hannah is dead and nothing changes that fact. We love her dearly, miss her and wish we could've see her grow but we won't. Nothing can change that fact and knowing or not knowing why she died will not bring her back. 

Here are some of the questions I put together before we went to see the consultant. 

Question for consultant 

Hannah died at 35+3 weeks and was 6lbs 2oz when born. Is that not quite big for that gestation? 
Was the cord longer than normal? Was it attached to the placenta in a funny place? 
What causes to the cord to be tangled? The midwife did think baby was breach at one point (I'm pretty sure she turned) would this cause the cord tangling. 
Was there anything wrong with the cord? Thickness? Wharton's Jelly (not thick enough)? 
I have read these things can cause cord accidents 
Too little amniotic fluid
Abnormal blood pressure in the cord
Velamentous cord insertion
How will I know if I have these causes/features next time? 

Next time 
What scan would I have to check the cord? 3D scan 
What extra care would I get? Appointments, tests, scans, consultant care? 
Would the baby be induced early? And why
What is the risks and warning signs of it happening again? 
If it happened again how bigger window do I have to get o hospital and get baby out? 
Measuring level of amniotic fluid 

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