Glasgow Hospital… the ‘Walk’

Started writing on 11th January 2023 (Not felt ready to post until August)

I’m writing this at the suggestion of my psychologist Anna. Technically it’s part of my therapy for the ptsd, this ‘walk’ is one of my many recurring flashbacks, it’s one of the trauma triggers I have. I decided to publish it on here, as it also talks of Ambers and my journey together, that is after all one of the main reasons for this blog and it’s been a while since I continued writing of our story during her life.

I have run through this walk endless times in my mind, deliberately if I choose to (which I generally don’t, the result is me collapsing into sweating, crying, breathlessness), more often it happens randomly, unexpectedly and spontaneously. It’s so vivid. I can see it, hear it, smell it, feel it. It’s like literally being there again and as I’ve tried to explain in my previous post on mental health, my mind can’t differentiate between ‘then’ and ‘now’. It’s crippling.

Anyway, it’s been the focus of a couple of my recent EMDR sessions and Anna suggested that I write out the ‘walk’ as a way to help process the trauma associated with this particular memory. To write everything as it ‘is’, to see how strong it’s effect is on me after our last couple of sessions. I’m going to write how I still ‘see’ it.

So, here goes…

My room is warm, I’m exhausted. Every morning is the same. I drag myself out of bed, it’s a really comfy mattress though I still hardly sleep and flick the kettle on while I have a shower to try and wake up. Breakfast as always.. pain au chocolat or a pot of porridge which I add hot water to. I don’t enjoy it, it’s simply functional, it’s easy and I don’t have to go to the communal kitchen. I just want to be with Amber as quickly as possible. Eating and especially washing clothes are both a huge inconvenience. My wardrobe is limited, all cosy, comfort clothing that I can sit in all day, always layers as it’s getting cold outside but is like a sauna on the NICU ward, I have to be able to strip off to a vest top when I’m there. Fluffy socks so I can kick off my ugg boots in Ambers room.

I pack my bag for the day, my phone and charger, purse, a magazine that I probably won’t read but take with me every day, a bottle of juice to drink on the ward. More nappies and a clean swaddle for Amber, her book to read to her ‘The Lion, the Witch and the Wardrobe.’ The third notebook I am filling with medical notes about Ambers treatment, this never leaves my side.

I open the room door, it automatically locks when it closes. Did I remember my key card? My stomach flips as I check, as I always do every morning. Not that it matters, reception can let me back in my room but I want to try avoid people and conversation if I can. I’m too tired, too desperate to get to Amber as fast as possible. I can feel the fear which always sits heavy in my stomach. How is she? Has she had a good night? What will today bring? No phone calls from the ward overnight so nothing too serious could have happened. I try reassure myself again.

I turn left out my room, walk down the short corridor, past the family bathroom door, flash my keycard at the door to open it. The door opens automatically. You’re not supposed to push it open but it opens so slowly, it feels like a lifetime rather than just seconds waiting for it. This corridor always is empty. It is lined with doors to other family rooms but I never see anyone even though I know the parents accommodation is full. I mainly only see other parents in the kitchens or occasionally the laundry room.

Through a small hallway to the left again, past the beautiful, old fashioned rocking horse. The wall next to it is covered with thank you cards and photos of babies and children who were in the hospital at some point. I try not to look too closely, I know some of those cards are in ‘rememberance’ and it’s not something I want to think about.

Down the corridor, past the reception and out through two double glass sliding doors, some mornings I get spotted at reception and have a brief conversation. The staff are all lovely but I don’t want to be delayed. I turn slightly right before crossing through the accommodations small car park and through the gated entrance. The gates are broken at the moment so they are never closed but will be getting fixed soon apparently.

Into one of the main outdoor carparks for the hospital, I think this one is for hospital staff but I’m not sure. Walking across the tarmac towards the small walkway under a big tree I’ve become fond of in this concrete desert. Dipping in and out of parked cars, it’s busy at this time, around 8.30am, I like to be at the ward before 9am to catch the morning ward round and speak to Ambers doctors. I’m trying to stay calm, trying to enjoy this brief moment of fresh air before the claustrophobia of the ward, I touch the bark of the tree and a leaf as I pass. I want to feel a brief connection with nature, to try find a moment of peace in it but the traffic is noisy and the hospital is visible and I can feel the panic and desperation rising. I walk too slow, I just want to be there with her now.

So leaving the little walkway I turn left onto the wide pavement, this is the main road which runs through the hospital grounds. One of the large main entrances is now behind me and there is a continuous line of traffic coming in. I have a full view of the hospital now, huge and looming slightly to the right of my line of sight. I veer towards it, crossing a wide grass verge and wait impatiently to cross the road, take a chance and run in a brief break in the traffic to the other side. There is another large outdoor carpark, another wait to cross at the entrance to this one. Ahead of me now is a long, long path to walk along. It heads straight to the main hospital but there are so many large buildings in sight, three multistory carparks, one across to the far left, another to the right, another I can’t quite see yet but I know it will come into view once I reach the end of this path, there are other large buildings too, I have no idea what their purpose is. I can see the more colourful children’s hospital, to the right of the main hospital.

The path is long and smooth and fairly straight. To my left is a sort of low, dipped grassy area, it’s all fenced off and has warning signs to stay out. It looks like it might be marshy, maybe an overgrown pond type thing? I’ve never looked closely, I’ve not paid too much attention to it. My focus is always on the building ahead. To my right is a grassy area, occasional benches, a few immature trees. I suppose it’s meant to make the approach less intimidating, maybe it does a little, I like to see some green but the hospital itself is terrifying. This bit of the walk drags, it feels as if Queen Elizabeth Hospital is looming above me, maybe it’ll crush me one day, perhaps this is where I will completely fall to pieces. My breath is shallow, my heart is pounding, the fear heavy and solid in my stomach, I’m trying to remind myself to breathe, trying to hold back the tears, I don’t want to break down in front of all these strangers on this walk. Maybe they’re going to work, maybe they’re visiting, maybe their world is falling apart too. It doesn’t matter, their world is not mine. Their pain is not mine. Right now all that matters is Amber and I and I need to try keep it together for her.

This walk gives me time to think, to tear myself apart with questions and thoughts, my mind is never silent, never at rest, never peaceful except in the moments when I have Amber in my arms and we are in our own little world together, safe and one.

What if? What if she had a bad night and they just didn’t call me? What if she has a bad day? What if they won’t listen? What if they can’t help her? What if they can? What should I do about work, bills, paying my post office cover? What is my daughter Coreigh doing right now? Amber… What if she dies? What if she lives? What if I can’t cope? What if I get sick? What if I can’t manage financially? What if today is the day that things get worse/better/improve/become more hopeful?

Why me? Why her? Why did this happen? Why is my baby not healthy? Why did my daughter have to get this rare chromosome disorder? Why is life so unfair? Why is her father so unsupportive? Why doesn’t he realise how important she is, too busy playing the victim himself? Why won’t he make the sacrifices he should be making for her? He’s constantly gaslighting me and I don’t have the energy for it. Why have I got another migraine.. why won’t they just go now I have my betablockers again?

How I am going to cope? How could I take her camping with oxygen and a sats monitor? I want her to experience the joys in life. How am I going to shop? How can I make both her life and my life easier for us to try and have some normality? How am I going to manage when she gets bigger? How am I going to approach the doctors today? How am I going to get through today? How will I manage to SEE anyone when her immune system is so fragile?

When will we know? When will I be able to take her home? When am I going to see my daughter Coreigh? My mum? My dad? My dog? My house? My friends? When should I eat lunch?

Am I ok? Am I going to have a heart attack/panic attack because I can feel my heart thumping in my chest and I can’t breathe properly. I keep reminding myself to take a deep breath because my breaths are so shallow. I’m dizzy/exhausted/dehydrated/aching… am I getting ill? If I do I won’t be able to go on the ward and the terror of that is overwhelming.

Where will I be able to get everything she needs? What support can we get? What do I need to buy for Amber now? More tapes for her tubes? Add it to the mental list in my head. Who do I need to call or message today? My mum? My daughter? When did I speak to them last? Is her father going to be difficult today? Will he make me cry/angry/upset again? Will he finally send some money to help? It’s expensive staying here… food costs a fortune from the hospital and I can’t survive just on the cafeteria food it’s so bad. At least £20 a day in the Marks and Spencer shop to buy salads, fruit and a decent meal to heat up. Does Amber need more nappies? Where can I buy them? I’m so angry, angry at the unfairness of it all. Angry at myself for being so tired. Angry at the mum I pass pushing her pram with her healthy baby in it. Angry at the world. Angry that Amber has to suffer and have a more difficult life. Furious, so furious at her dad…try not to think about him… he’s not important, he’s shown his true colours.

Grateful.. grateful my daughter is still here with me, she’s such a fighter, so brave, so strong, so beautiful…. overwhelming love… I cling to that, to love for my Amber.

So many thoughts on this path, on this walk. And all the while the hospital looms, getting larger and closer. I look up at it often, it makes me feel very small and I wonder about all the people in there now whose lives are maybe also falling apart. How many people in there will die today? How many will get bad news or good news? How many tears will be shed in that hospital in one day?

At the end of the path at last, to my left is an undercover seating area, to the right a huge wide path to either pass or enter the main hospital. There is a long row of busy bus stops curving around the front of the hospital. A taxi rank too. It’s like a little city, crazy busy. So many people, I walk past not really seeing anyone, averting my eyes, I feel invisible, not quite there. I’m not really part of the world anymore, my world is the ward and Ambers big dark eyes, beeping monitors, flashing screens and learning complicated medical procedures and medication routines. My world is planning a new life, with my complex, complicated little girl and making it the best I can. Right now my world is keeping her alive and as healthy as possible. I don’t matter too much in my mind, though I know I HAVE to put myself first enough to keep healthy for Amber and Coreigh. Whatever else, my daughters need me. Giving up is not an option. It is the only certainty I have in life right now.

So I walk to the right, walking past the huge main entrance, always two security guys stood at the end, they check people have masks, ask you if you know where you’re going, offer help and directions. It’s usually the same two guys in the morning. One always smiles and says hello, they recognize me now, I walk past multiple times a day. Once he approached me to check I was ok, he’d overheard an argument the day before with Ambers father, could hear him shouting down the phone at me. Had seen me in tears and shaking and trying to compose myself before going inside for lunch. Anyway, I smile as I pass briefly but carry on, there’s an open space to my left, enclosed in a ‘U’ by the hospital. There’s always people there smoking, talking, waiting, milling about. If I look up at this point I can glimpse the helicopter landing pad on top of the hospital. Once one landed as I passed, the sound of it was loud, overpowering. The noise of it echoed off the surrounding buildings and had I not known where the landing pad was it would have been difficult to pinpoint where the sound was coming from.

The children’s hospital entrance is approaching on my left now. It is attached to main hospital by long faceless corridors inside, (eventually I’ll have to learn the route through so I can avoid walking some of the way in the dark after midnight) outside it has it’s own entrance. Ahead of me I can see the third multistory carpark but I don’t need to walk that far. The children’s hospital building curves around to the left and it’s there I follow. I stare at the children’s building every day. I know that it will become familiar to me. If Amber does well, if she lives, that is where she will be for her heart surgery. For her G Tube fitting. For any complicated treatment she may need in the future. Every day on this walk I remind myself that even when we leave, when I get to take her home, we’ll be back. Probably often, regularly. This, along with Raigmore Hospital in Inverness will become a ‘second home’ for us.

Turning the corner I can see the windows to the NICU department now, it is in a separate building to the right of the path, ahead of me. This is the building which houses the maternity wards, fetal medicine, the NICU, the SCBU. This is the building I first got Ambers diagnosis all those months ago. This is the building that the bottom first fell out of my world and that has now become my world, my life, Ambers life. It is here that I spend my precious moments with my daughter.

To my right is a covered area, it is here I sometimes sit for a breath of air, to try and compose myself, to cry. Surrounded by other families who are in their own darkness, it is the area people come to smoke, to shelter, to grab a moment in the terror. There is childrens play park just behind here too, a small area of gardens that sometimes I circle briefly before returning to the ward.

Every morning though, I bypass this area quickly, my only thought is to reach Amber. There is an overhead corridor which passes from the maternity hospital to the childrens hospital. I walk under this, past the ambulance entrance into maternity, around to the front entrance. There is a carpark attendant who sits every morning, singing and rocking to his music on his headphones, I can hear the low buzz of his music. At the entrance to the hospital I put on my face mask, sanitise my hands, say hello to the same security guard who every morning greets me and wishes me a good day. I don’t linger to chat, he knows me by sight now and always smiles.

I pass the cafe, I walk past the toilets, through the double swinging doors, down a long, depressing corridor. Past the fetal medicine department where I avert my eyes, right along to the end to where the lift goes up to the NICU department. I try not to glance to my left here, that’s where the labour ward is and its so hard, so heartbreaking when I see other, excited women going through the doors to have their babies. They don’t need to see my pain and I feel guilty that I find their happiness so soul crushing.

Usually the lift comes quickly, if not I get impatient and turn to run up the stairs instead. There is then a small waiting room outside the NICU, I ignore this, NICU security is through a fingerprint access. They register your fingerprints the day of your babies arrival so you don’t have to wait to get in. I find myself getting irritated each day by this, it should be easy, it IS easy but I’m so desperate to get in that often it takes me a couple of tries to get my finger read clearly, I sanitise first and my fingers are damp with the fluid. Through the doors, towards the front desk and then turn to the right down through the ward. Amber is in a small private room on the left, I smile and say hello to her nurse outside her room, walk in, smile and coo and my girl and kiss her gently before turning to scrub and sanitise my hands again before I can actually touch her.

My breath can now calm a little, I can get all the updates from the night, find out the plan for the day, prepare my questions for the doctors on the ward round but most importantly I can sit and watch my daughter. I can hold her hands, stroke her face, cuddle her close, sing, read, talk and breathe with her. I can try to just enjoy my time with her and every day, EVERY day I try so very hard not to sit and cry when I’m with her.

Our time together is so precious, I want it filled with smiles and love.

Ambers 1st birthday approaches… My letter to my daughter.

19th August 2022

I haven’t written on here for a while, I’ve been struggling with the ptsd and anxiety. Trying to find a balance to live each day amidst life which just continues regardless, the world rushing by as I feel stuck and hopeless and unable to see much light in the darkness.

As Ambers birthday approaches, far too fast, I am hit daily with memories of this time last year. My energy levels are very low, my sleep patterns horrendous, my emotions unpredictable and my brain feels slow and forgetful. I recently made the decision not to return to one of my jobs as a glassblower. It simply doesn’t feel safe right now to be working on a 1200 degree blowtorch and I struggle in company often too, so having to have long chatty conversations with happy tourists is beyond me right now. I have instead taken a job at a local fuel station, to give me some breathing space while I finally undergo trauma therapy which began around a month ago. The serious therapy is yet to begin but I am practising grounding techniques ready to start EMDR (Eye Movement Desensitization and Reprocessing) soon.

I have decided to share my ‘Letter to Amber’, I wrote it for her funeral service while I wept and tried to find the words to do her justice.

This is one of my many letters of love to her, I’m sure there will be many more that I will write as time terrifyingly moves on…

Dear Amber,

I don’t remember a day when I haven’t cried.

It seems like I have been crying forever and I can’t imagine a day now when I’ll ever be able to stop.

I cried with happiness when I found out I was pregnant. With fear that I’d lose you before I even got to my first scan. With relief to see your heartbeat on the screen at 12 weeks. With joy when it was confirmed that you were the girl I’d always known in my heart you were. With devastation when I got your diagnosis of Trisomy 18. Edwards Syndrome… I’d never even heard of it and it brought with it months of research, decisions, discussions, unknowns and heartbreak. A difficult, incredibly stressful pregnancy where I lived from scan to scan, listening to your heart beating strongly at every midwife appointment and struggling to accept that you weren’t as healthy as you sounded.

I snatched joy where I could, I loved seeing you on screen… ‘Edwards babies don’t move much’ I’d read and yet you never stayed still during scans. When Mairi was trying to find your heartbeat she’d have to chase you around as you shifted constantly and then Alison would chase you around during scans! It was the start of you proving to everyone you were stronger than expected. I loved my ‘bump’, watching you grow, feeling you move and talking to you as I walked by the river with Pandora was one of the few moments I felt any peace during pregnancy. Finding out your spirit animal was unexpected and now everyone knows you as ‘my little fox’.

‘Not compatible with life.’

That’s what I was told at your initial diagnosis, you were not expected to reach birth or to live if you did. I don’t know when I really started to believe that may not be true but gradually my plan changed from preparing for losing you to planning for your life.

I will be forever grateful to our doctors and nurses, Alison, Allie, Sheena, Mairi and of course Philine. You all kept me going, answering endless questions, listening to all my research, my thoughts, my fears and my wishes. Listening to advice I’d been given from Martin McCaffrey in the US, that actually Amber had more of a chance than had been assumed. Thank you for never running away from my notebook, keeping me going and never saying ‘no’ to anything I asked of you, no matter how unlikely you thought the outcome may be. Thank you for helping to create a complicated and detailed plan that brought my little girl into this world alive and for making sure that everyone, in every department knew about her in advance, not just in Raigmore but in Glasgow and Aberdeen too. Thank you to all the other doctors, nurses and others who dedicated themselves to Amber and myself after she was born.. there are so many of you, far too many of you to name here but all of you are amazing and you will all stay in my heart forever.

I have to mention my sister Jo-anne here too, as a doctor she guided me with advice and difficult choices but she also sent me daily silly messages to make me laugh. Spent hours on the phone while I cried and reassured me that all my decisions would be led by Amber herself. She taught me to trust myself with Amber and her life.

Seeing you Amber, in theatre for just two minutes when you were born was amazing, you were even more beautiful than I had known you would be. Seeing you whisked away and having to wait almost 6 hours to see you again felt like a lifetime and when I was finally wheeled through you swept my breath away. I was exhausted but couldn’t take my eyes off you, tiny, perfect and covered in tubes, wired up to machines I didn’t understand yet. And your hair! So much thick dark hair… no wonder I had terrible heartburn when I was pregnant!

You have been through so much, ventilated three times, endless scans, xrays, blood tests, surgery, the tubes, the needles… so many needles they struggled to get cannula in you any more. You were poked and prodded and on so many medications I lost count. You scared me more times than I can count, a few times I thought I’d lost you, at least twice on scbu, the terror of the transfer to Glasgow, and home of course, at least twice at home where my breath became yours. I became your expert, your advocate as well as your mummy but unable to do all the normal things with you.. I remember being jealous that I couldn’t change a nappy straight away and the first two times I held you it took three nurses, 20 minutes to lift you into my arms, where I hardly dare move I was so terrified of knocking the tube in your throat.

All babies are beautiful but you were in a world of your own. Your personality for such a tiny little girl was powerful and feisty and brave.

I shouldn’t have been surprised, after all when you contacted my Reiki master Elizabeth while I was still pregnant asking for an attunement, refusing Reiki 1 and wanting the Masters immediately I knew I was carrying an exceptional little soul. She said you had beautiful energy, she was so right.

In those first days when so much of you was covered in wires and needles I would sit and cuddle your tiny right foot, talking and endlessly singing ‘The lion sleeps tonight’ on a loop to you. It didn’t take long for you to start waving that foot at me as soon as you heard my voice, demanding I cuddle it more! You have the most amazing feet, long and elegant but with a crazy short big toe and two little webbed toes on each foot. Those funny little feet that I longed to kiss but couldn’t for weeks until you were out the incubator. How many hours have I massaged those toes for?

Your rages became legendary on scbu! You battered everyone with your little fists, sometimes using the splint keeping your cannula in place, sometimes whipping people with the tubes. You’d have everyone trying to figure out what was wrong and it could be something as simple as your toes needed covering with your blanket and you’d immediately go quiet and be your sweet calm self again! When you finally got to wear clothes you’d rage when your nappy needed changed but go silent as soon as a popper or two were undone… it didn’t matter if you had to wait while I got out a clean nappy so long as I undid your baby grow first you’d be quiet and happy.

You didn’t really cry so much as squawk .. you sounded like a baby pterodactyl, I missed your voice so much, you never really got it back after being ventilated the second time in Glasgow… instead you chittered like a little bird. Still.. the nurses in Glasgow witnessed your rages, silent though you may have been you had a way of expressing yourself!

You hogged the SCBU Ipad, it wasn’t really your fault.. we can blame your nurse Kim who would play you Disney lullabies, placing it face down so you could watch the chalk drawings on screen while you were still in your incubator and ventilated. No one else got much chance though… if the Ipad was missing it was usually with you! I bought you a kindle fire in the end of your very own, good job as we needed it when we shared our room in the children’s ward.. it kept you peaceful when I went to shower!

Your sugar addiction.. not something I’d imagined my tiny baby to have but necessary to comfort you through endless blood tests. I still have a sucrose supply in my kitchen brought home from Glasgow with us, it was clearly a habit you didn’t want to give up.. along with your less desirable morphine addiction!

Those big, wide dark navy eyes of yours… always so watchful, I was memorised when I saw your eyes open properly for the first time. If ever a soul has lived before I knew you had. You often had a knowing and wisdom that would take me aback. You were very good at rolling them at appropriate times too, you’d make everyone laugh as it was as if you were reacting perfectly at what was happening around you.

By the time we got home I swear you’d learnt how to set off your sats monitor, if you were hungry or needed a nappy change. I’m certain you deliberately held your breath so it would beep at me because you knew I’d come running and then one second later you’d be at 100% again!

You have always exceeded everyones expectations, it seemed you would always prove everyone wrong, so when I had to make the devastating choice to bring you home for comfort it was the hardest decision I’ve ever had to make. We’d fought together for so long, the pregnancy, those long weeks of scbu and nicu have left me with trauma I’ll never recover from. Not just mine but also the other mums I have become close to, Tracy and Kimberley and their two little boys, Harris (your future hubby!) and Archie. We lived each others extreme highs and lows, bonded in a way only those who have experienced it can understand. I hope that we are always part of each others lives and you will live through them too.

But I got you home and in those two weeks we lived a lifetime I’d dreamed of having with you. You only slept in your crib a couple of nights and then after that you snuggled in my bed, tucked up cosy with Pandora lying adoringly at your feet. A place she still sleeps every night searching for you. We went out with your pram, you wrapped up toasty and warm with your oxygen underneath in the basket and your mini sats monitor beeping at me reassuringly as we walked down the road. Cuddled on the sofa with Pandora, time with your grandma and grandad and your big sister. You got to meet your nephew Oliver.. he seemed so big next to you and honestly he was more interested in your oxygen tube! You adored your bath time, the only time I felt comfortable taking off your monitor for any length of time as you were so happy and relaxed in the bubbles and getting your after bath massage with baby lotion. Watching me with your big eyes putting up the tree sat in the same bouncer your sister Coreigh sat in 25 years ago and meeting Father Christmas. Wearing your Christmas dress and listening to your lullabies in our own home and snuggled safe in my arms. Sleeping sweetly by the fire on your playmat or on your beanbag and smiling when you tasted a tiny bit of milk from a syringe. I’m so glad I got to see you smiling… your tiny size made me forget sometimes that you were almost 3 months old.

I miss you Amber, so much. I can’t breathe and the pain is unimaginable, I don’t know how to live without you here. I miss the weight of you in my arms, your sweet smell, your soft dark hair against my cheek. I miss the complicated schedule of your feeds and medications, the whoosh of air in your nasal prongs and yes even the damn beep of that monitor.

Possibly the smallest Reiki Master in the world, you are the bravest and most precious little girl. You have changed minds, won hearts and surprised everyone who met you.

A tiny warrior queen, my little fox, so very, very loved.

All the way to the moon and back, forever dancing in the stars and forever in my heart, where there is a hole which can never be filled.

My Amber.


Friday 17th June 2022

Such a hard, emotional and at moments devastating day yesterday.

I went back to SCBU at Raigmore for the first time since losing Amber for a meeting with her paediatric consultant Philine and Joyce her neonatal consultant in Glasgow.

It was an opportunity for me to discuss Amber, her care, address any questions or concerns I had and feedback, as well as see many of the doctors and nurses who looked after us and whom I miss so much as well.

I met with my psychologist first to try prepare myself and give me the strength to go through with it.

In Scotland there is always a review of every death in children under 18, I’ve been offered the opportunity to contribute to this which I have accepted, though I’m not looking forward to it I feel it’s important.

I also brought up my concerns about how Amber’s diagnosis was given to me at fetal medicine in Glasgow. It’s been agreed to set up a meeting with them to feedback and advise them the effect it has had on me, Ambers consultants have agreed to be there with me for support at that.

My hope is that it will help parents in the future who have this devastating and complicated diagnosis.

I want them to know that ‘Not compatible with life’ is NOT an acceptable way to break the news.

Trisomy 18 is life limiting yes, but parents need to understand their options and be given hope.

I was also able to ask and try to understand ’episodes’ that Amber was having in her last week. They believe her symptoms were likely a combination of her heart failure, her getting tired and potentially seizures. This was really heartbreaking to discuss but it’s been playing on my mind and though I’ve never truly doubted my decision to bring her home, occasionally I do have ‘What ifs..?’ What if I had risked the surgery on her heart?

Though not comforting her doctors both agree she likely would have not made it through the surgery.

I have to try and find comfort that I had her at home and have memories of her here with myself, Coreigh and our family.

I then went up to SCBU and saw 4 of our favourite nurses, Bethan one of Ambers main nurses but also Ginny, Mairi and Alison. It was lovely to see them all but tears were shed.

Hardest of all, as there were no babies intensive care… I wasn’t sure if I could go in that room again but felt the need to see where Amber spent her first 5 weeks.

They left me alone and I sat in the recliner I’ve sat in so often, by the incubator which had held my baby girl and cried and cried. From that position I could almost believe she was still in there and listening to the beeps of monitors from the next room took me back in an instant… yes definitely a ptsd trigger for me and a sound I still wake to often and can hear in my head.

I do have an open invite to pop in to Scbu anytime to see everyone and I spoke to them about Ambers birthday and the gift baskets so that’s all in motion and agreed.

I also gave them the £250 cheque raised at Ambers service so I’ll let everyone know what they spend it on in due course. I hope it buys something much needed for the ward.

I feel drained and exhausted and extremely tearful but I’m so proud of my Amber and how much she was loved by everyone.

The impact she has had and continues to have on people is beautiful.

I miss you baby girl, love you to the moon 🌙 and back 💛🦊💔💛

What is Trisomy 18/Edwards Syndrome?

Trisomy 18 / Edwards Syndrome

Trisomy 18 / Edwards Syndrome is a rare, genetic disorder caused by the presence of 3 copies of all or part of chromosome 18.

Every cell in your body contains 23 pairs of chromosomes, 46 in total, half from your mother and half from your father. A Trisomy 18 baby has 47 chromosomes, instead of the usual 46, this affects the babies development in utero. It is a random condition and very rarely inherited from either of the parents (higher in partial trisomy). It is usually an error in cell division and there is no way to predict, treat or avoid it.

Trisomy 18 is the second most common trisomy, the first being Downs Syndrome (Trisomy 21) and the third being Patau Syndrome (Trisomy 13). About 1 in 1500 pregnancies is diagnosed with Edwards Syndrome and about 1 in 5000 make it to birth, with girls having a higher chance of survival according to some. Most pregnancies end in miscarriage in the first or second trimester, and babies who make it to birth have a high chance of being stillborn or dying shortly after, though this can often be increased due to a lack of medical intervention. (In pregnancies diagnosed at 12 weeks this is around 70%) The longer the pregnancy the continues, the higher the chance of your baby being born alive.

It is often referred to as ‘Not compatible with life.’ This is an outdated medical opinion, the correct term for Trisomy 18 is ‘Life-limiting’. Devastatingly, most babies will die during their first year of life, with around 5-10% making it past their first birthday. (I was also told by a Trisomy specialist that if Amber made it past her first month she would have a 40% chance of making it to her first birthday.) The most recent research shows survival rates at 13.5% at 1 year old and 12.3% at 5 years old. Medical interventions also increase the chances of life. It can be difficult to predict how many children would survive if all pregnancies continued, due to the severity of Trisomy 18, many families choose TFMR (termination for medical reasons). It is a heartbreaking, life-changing, traumatic experience and it is certainly one of the hardest decisions anyone has to make. There should never be any judgement on the choices that are made during this time, it is unimaginably difficult and almost impossible. It took me 5 weeks of intensive research to decide conclusively that I would let Amber guide me and that I would fight for her chance at life.

There are 3 types of Trisomy

Full Trisomy is the most common, this affects every cell in the body and the effects from this can often be more severe.

Mosaic Trisomy, where only some of the cells in the body contain the extra chromosome. The severity of mosaicism is dependent on the type and number of these cells. This occurs in about 5% of cases.

Partial Trisomy (translocation trisomy) is the most rare of all. The affected cells contain a section of the extra chromosome instead of the full copy. Again, severity is dependent upon which part of the chromosome is translocated.

Both mosaic and partial trisomy can lead to much less severe affects but this is not guaranteed. Nor is it absolute that a baby with full trisomy will not survive or be more affected. There is a large variety of conditions associated with Trisomy 18 and all our children are unique and should be treated accordingly.

You can be screened during pregnancy for Downs, Edwards and Patau syndromes, through ultrasound scans/blood tests, these are not conclusive and may only suggest an issue. If they do you will be offered diagnostic testing, CVS (chorionic villus sampling, this takes a sample of cells from the placenta and is not routinely offered unless potential problems detected during initial antenatal screening. CVS is done around 11-14 weeks and are around 99% conclusive) and amniocentesis (a sample of amniotic fluid is tested. This is usually done around 15-20 weeks but can also be performed later in pregnancy. It is 98-99% conclusive.) Initial results are within 3 working days but secondary results can take up to 3 weeks.

Trisomy 18 is a complex diagnosis and the symptoms are wide ranging, from physical characteristics to severe and life threatening medical complications. Babies may have a combination of some/all of the following. (I will label next to those relevant to Amber and place a * next to those that were detected whilst I was pregnant with her)

Indicators may be

Small strawberry shaped skull with prominent occiput

Small mouth/jaw

Wide set eyes

Clenched fists/overlapping fingers (this is very commonly spotted in scans) Amber*

Rockerbottom feet

Short breastbone

Cleft lip/palate

Webbing between 2nd/3rd toes Amber

Lowset ears

Choroid plexus cysts (not problematic themselves but commonly a marker during scans) Amber*

(During pregnancy) Polyhydramnios (excess amniotic fluid) Amber*

(During pregnancy) Intrauterine growth restriction Amber*

(During pregnancy) Single umbilical artery (cord should have 2 arteries and 1 vein) Amber*

Low birth weight Amber (4Ibs 11)

Medical complications may be:

Congenital Heart Defects (VSD/ASD/PDA) About 90% of T18 babies will have a CHD Amber* (I only knew about the VSD whilst pregnant)

Abnormalities with other organs including kidneys/liver

Gastrointestinal conditions (Oesophageal Atresia/tracheoesophageal fistula/omphalocele)

Feeding difficulties Amber (it was discovered she had a bowel malrotation at 6 weeks old)

Respiratory conditions (apnoea – sometimes central, often obstructive) Amber, mild obstructive apnoea

Epilepsy

Scoliosis

All children will be affected by growth delays, learning difficulties and developmental delays.

I personally refused amniocentesis when offered it initially after my dating scan at 12 weeks, everything looked good on my first scan and having already had two miscarriages I wasn’t prepared to risk another. Also, I had never heard of Edwards (or Patau) syndrome, I didn’t know anything about them and certainly wasn’t aware of their severity. I think like most mothers (parents) Downs syndrome was the one everyone knows about, for me Downs was never an issue. I used to teach children with Downs riding and stable management and never saw it as something to be particularly concerned about.

It was at my anomaly scan where the sonographer thought Amber may perhaps have a small VSD (ventricular septal defect) but wasn’t absolutely certain. From some angles her heart looked fine, so I was sent to Glasgow for her to be checked by a cardiologist at fetal medicine.

It was at this next scan, when I was exactly 20 weeks pregnant that other indicators were picked up. She had a large VSD, a choroid plexus cyst, clenched fists, a single umbilical artery and I had polyhydramnios. When told their suspicions of either Edwards or Patau I was told ‘Not compatible with life’ and my heart and world shattered. I had an amniocentesis that day to confirm diagnosis. By the time I received initial results 3 days later I was certain that she had Trisomy 18/Edwards syndrome due to the presence of the cyst and clenched fists, both very common T18 symptoms. I got the full results 3 weeks later where I was told she had Full Trisomy 18, though I insisted on a retest once she was born as they only checked 30 cells.

I want to raise awareness of Edwards syndrome for many reasons, in memory of my beautiful, brave daughter, to help other families and also to try and change minds about this diagnosis.

It is not acceptable that families are still being told that it is incompatible with life. Once I started researching Trisomy 18 I found many, incredible children who HAVE survived. Who live or have lived happy lives. Children whose families have fought for them and children who have proven medical opinion wrong.

Families should instead always be told that Trisomy 18 is ‘life limiting’. I was incredibly fortunate in both mine and Ambers medical teams. They were all understanding, open and fought for my little girl with everything in their power. They treated her as an individual, not on the basis of her diagnosis. I was so very lucky and am so very grateful. I have met some amazing people on Ambers journey.

Others are not so lucky however, I have read awful stories of families having to fight during pregnancy for interventions. Of families being told there is no hope. Of families having to fight to get treatments even after their baby is born and beyond as they grow and survive.

This shouldn’t be the case. Though a complex and serious diagnosis our children deserve a chance and their families deserve to be listened to and shouldn’t have to battle for every treatment. I would wish that everyone could have the experience that Amber and I had with our doctors, nurses and other specialists because they were, honestly fantastic.

Though shattered by her loss, I have no regrets. Amber brought with her such joy, hope and love. We had 12 wonderful (though often exhausting, complicated and scary) weeks together. I love her beyond measure and she knows she is loved. I would do it all again without question. She is my daughter and her life matters.

The Trisomy community I have become part of is one full of love and compassion.

Our children matter.