I knew there was something wrong by the last two weeks of what had been an
uneventful pregnancy. I was still carrying high, couldn't breathe real well,
and any internal examinations by the doctor were excruciatingly painful. When
examined at 35 weeks the baby was determined to be head down. We would find
out later that the doctor had felt her head and thought it was her posterior!
I was put on bed rest for the last two weeks, because my blood pressure shot
up. On July 2, two days before my due-date, my doctor scheduled me to
be induced on July 7 - the next time he would have hospital rounds.
I didn't make it. At about 3 a.m. July 6, my water broke with a gush, on the
way to the bathroom. We went straight to the hospital because I had tested
positive for group B step. They started to administer pitocin, because I
wasn't contracting. I had a epidural in order for anyone to be able to give
me an internal examination. The nurse declared me "high and tight" at 6 a.m.
At 7 a.m., the doctor on call stopped by to meet me and check my progress
for himself. During the exam he proclaimed "this baby is breech!" and ran to
get an ultrasound machine. There she was, classic "Frank breech" (rear down,
feet up by head.) I was scheduled for a Caesarean-section in a few hours.
The C-section was routine, and after all the pain I had been in the last two
weeks, it was a relief to know I wouldn't have to push this baby out. Haley
was a surprising 9 lbs. at birth.
The next morning I was visited by two of the doctors from the pediatricians
office I had selected. They told me that during their examination of Haley,
they noticed that both hips seemed to be what they called a "bilateral hip
dislocation." They assured me that this was a common result of a first born,
female, large sized, breech birth. They would send an pediatric orthopedist
to talk to me later that day.
The pediatric orthopedist stopped by and told my husband and I the results
of his examination of Haley. She would need to wear a Pavlik harness for
four to six months, and an office visit every two weeks. OK, we would get
through this, right? It wasn't forever, and everyone told us to be grateful
that she didn't need surgery. We tried to be as optimistic as we were
expected to be.
At six weeks of age, we were finally allowed to remove the harness for two
hours, each day - she could finally have a real bath! At 10 weeks, she was
allowed "out" for six hours a day. That was semi-problematic because I had
to coordinate that with the day-care she was in at the time. At 12 weeks,
she was out for 12 hours a day, and I had convinced my sister to become Haley's day-care provider. At four months, she
was able to stop using the Pavlik Harness altogether.
We had a "follow-up" X-ray scheduled for her at six months of age. That
X-ray showed that the balls on the top of her femurs were not sitting
correctly in their sockets, so a Hewson Brace was prescribed. Needless to
say, my husband and I were devastated. It was like taking a step back! They had told us the Pavlik would fix the problem! We searched out two other
respected doctors' opinions, and the first said he might wait and see, the
second said it was an excellent catch of a rare condition. So we tallied the
score and went with the Hewson brace.
Because she was already eight months old by the time we finally got the
brace, her doctor wanted her out of it for four hours a day, so as not to
impede normal crawling and standing progression. I do have to say that the
brace never slowed her down. She learned to walk in it! We kept going back
for X-rays every four months, and she gradually was only in it at night.
In March of 2001, the doctor told us that her progress had been minimal in
the last four months, and that if there wasn't significant improvement at
her July appointment, surgery would be the best course. Surgery! How did we
get here?
Luck must have finally been on our side because at her July appointment, she
beat the odds. Her doctor was very surprised. So were her parents - we were
prepared for *bad news* - it was all we knew!
She now has to continue wearing the brace until November 2001, be out of it
completely for two months, and then have a follow-up X-ray, just to make
sure that the ball of her femurs are still correctly seated in her hip
sockets.
We hope this is the end of her saga.
|