Grace
Hello,
I hesitated writing on this site because I do not want to discourage anyone who is currently in a situation where their baby has been diagnosed with hydrops. I do believe there is hope and that the power or prayer is incredible. Whatever you do.... do not give up!
Sadly, my daughter Grace did not survive hydrops. I am simply hoping that my story may be helpful to someone else in a similar situation. Whether your baby is fighting for life, or you have just experienced this tragic loss, please know that my heart is with you. If I can pray for you or answer any questions, I encourage you to write me.
Grace was delivered by c-section on January 15th, 2010. I was 26 weeks pregnant. I did not know that Grace had hydrops until the day she was delivered. I ended up at the hospital the night before because I noticed her movement had decreased. Once her illness was discovered, we were given the choice to either continue with the pregnancy (do nothing) and expect a still-born baby within 48 hours, or deliver her with a less than 2% chance of making it out of the delivery room. We chose to deliver her. Grace was born at 5:37pm. They immediately had to resuscitate her, intubate her and insert chest tubes in her body in order to drain the fluid (hydrops) that was building in her body. She did make it out of the delivery room and fought for her life for 9 full days!
Losing Grace was positively the most horrifying experience of my entire life. My husband and I have had an extremely difficult time accepting that our little girl is gone. It has been a grueling 4 months. When Grace died, we chose to have an autopsy performed in hopes of giving doctors more answers and a better understanding of the disease. It was a very difficult decision to make but my hope was for the parents out there that would be sitting in our very situation, desperately searching for answers. As you know, there is not a lot of information out there about this disease.
Here is what we found out about hydrops and how it affected our daughter. Grace was diagnosed with non-immune hydrops fetalis. (non-immune - so blood compatibility was not the issue). We learned, in general, hydrops is caused/associated with something else. It is a secondary condition so something else actually causes it. In Grace's case, she was also diagnosed with Trisomy 21 (downs syndrome). Hydrops was a result of her primary "condition"...downs syndrome. We did not even know she had downs until 2 days after she died. We learned that 34% of the time, babies with Trisomy 21 also have hydrops.
My husband and I had an appointment this past week to go over her autopsy results. The pathologist thoroughly explained her cause of death (respiratory distress---caused from Fetal Hydrops) and gave us a printout with these interesting statistics. Here is what is reads:
Major Causes and Associations of Hydrops Fetalis in 1644 reported cases:
Percentage Cause
22% Cardiovascular
13% Chromosomal
10% Thoracic
8% Anemia
7% Cystic hygroma
6% Monochorionic twinning
5% Fetal Infection
2% Ascites/peritonitis
2% Urinary tract malformation
1% Fetal hypomobility
0.6 Hepatic pathology
0.4 Genetic metabolic disease
0.0 Nephrosis
2% Misc
20% Non determined
Chromosomal Abnormalities in Hydrops:
42% 45, X
34% Trisomy 21
9% Trisomy 18
5% Triploidy
10% Other
Please note that I am not a medical professional, I just wanted to share the information I have been given. It is from "Potter's pathology of the fetus, infant and child", should you want to search deeper into it.
It is my understanding that hydrops affects 0.4% out of 10,000 babies. Such a small number and therefore the information about it is just not as easy to find. If I can be encouraging, both the neonatologist and pathologist told me that the chance of having another child with hydrops was nearly impossible. I know how frightened we are to think of having another child and exposing her/him to this disease. This is where our faith steps in.
I hope this information will be helpful to someone reading this. Please, do not hesitate to write me if you have any other questions about our experience. It would be my pleasure to help in any way possible.
God Bless you!
~ Mara
Email: heyitsmara@hotmail.com





22 May 2010
1 year 31 weeks
Thank you so much for the information - we just lost our baby last night and it really helped to come back to your blog (esp. for the stats)--
Thank you, Pasha
7 June 2010
1 year 3 weeks
Pasha,
How are you doing? I just logged back on and thought of you and your family. I hope you are finding peace and healing during these past couple of months. My heart is with you.
2 May 2010
23 hours 49 min
Hi Mara,
That info is really useful... I wonder where those 1644 cases were? The US perhaps?
I'm not too sure though about...
"both the neonatologist and pathologist told me that the chance of having another child with hydrops was nearly impossible"
Because if the cause is genetic then I guess the chances of a repeat of hydrops is very possible... I've read of quite a few cases of repeated hydrops insubsequent pregnancies...
I'm going to see if I can find a copy of this book :)
Thanks again Mara!
7 June 2010
1 year 3 weeks
Hi there,
Thanks for writing. I just logged back into the site. It's been quite a while since I've been on. The 1644 cases were in the U.S.
Thank you so much for the copy of the book. I am going to look into it.
From what I understand, since Grace had Trisomy 21 (downs), there is definitely a possibility of having another baby with downs even though they say it is not very likely, our chances went from 1/400 to 1/100. And since we can have another downs baby, he/she could be born with the same complications (hydrops). It's strange though, even though the geneticists say the possibilities of having another child with Trisomy 21 change to (1/100) they also tell me that it is very uncommon for a family to have more than 1 child that has downs. It's sooo confusing! It seems to me that the they still don't have a lot of information out there. I have to admit, I am scared of having another child with the same diagnosis. I don't think I could go through it again.. :(
2 May 2010
23 hours 49 min
Here's the book :)
28 January 2009
1 year 22 weeks
thanks for the info. I am so sad for you all. We also we surprised about the hydrops diagnosis and baby Daniela was born asleep dec 2008. We did not have an autopsy but they found nothing that caused the hydrops - no genentic or chromosomal problems. So, I will always wonder...... On a positive note - I became pregnant 3 months after Daniela was born asleep and had baby emma Nov 2009. emma is happy and healthy. She is our joy although we will always miss baby Daniela. She will never be forgotten. I have an angel preparing a place in heaven for us. We wish you all the best and we will be praying for you.
7 June 2010
1 year 3 weeks
Thank you for your kind email. I am happy to hear the news of baby Emma. My husband and I have yet to decide if we want to have another child. Obviously we are terrified. It is encouraging to hear that you had a beautiful and healthy baby girl. I'm so very happy for you.
2 May 2010
23 hours 49 min
Hi Chalvara,
Very sorry to hear about Daniela. Yes often we can never find out the cause... according to the stats above more than 20% of the time. It also matters where you live and which hospital - because it takes good doctors and good equiptment to get answers.
Congrats on the birth of baby Emma! :)