This morning, we went for our 3-week post laser surgery ultrasound checkup, and the 1-week post amniopatch follow-up ultrasound.
The good news is that the amniopatch seems to be holding, as evidenced by the fact that there was very little fluid remaining between the membrane and the uterine wall. We will need to go back in another week to see if there is further improvement.
The heartbreaking news is that Baby A, the former donor, has passed away. He still had a heart beat six days ago, at the ultrasound 1 day after the amniopatch procedure, so he must have died sometime between then and today. He was doing well after the laser surgery, as far as having a visible bladder and building up amniotic fluid in his formerly completely dry bag, as well as the fluid levels surrounding the brain normalizing. But he had not been gaining weight as he should have been, a result of the fact that he only had about 20% of the placenta, and a velamentous chord (which means his cord was attached only to the very edge of the placenta, and mostly attached to the membrane, with the blood vessels then going to the small share of placenta he had). In the end, Dr. Elliott feels that this was just not enough to sustain his growth at this stage in the pregnancy.
Because of the laser ablation to separate the babies' blood cycles, Baby A passing should have no negative implications on Baby B as far as survival. Without the surgery, statistically chances were Baby B would have bled out into Baby A, without blood returning to him, resulting in the death of both babies, or severe brain injuries to the surviving twin. So we are thankful that our chances of having Baby B survive are looking very good.
We are also thankful for all the love and support we have received from friends, family, and people around the world. I will not be updating the blog much for the time being, as I sit down to write the many thank-you cards I want to be mailing out, and also finish writing the missing parts of my "Diary of a Twin Pregnancy." This post today marks my 1000th post on this blog, and believe me, it's not what I had in mind to share.
Please keep our family in your prayers. The other children are, understandably, devastated as well, and dealing with the news in their own ways. We are thankful to God who has blessed us with all the children that we do have living with us today, and for knowing that His will is what is best for all of us.
Baby B and Baby A - looking alike even on ultrasound.
Job 3:13 For now should I have lain still and been quiet, I should have slept: then had I been at rest,
14 With kings and counsellors of the earth, which build desolate places for themselves;
15 Or with princes that had gold, who filled their houses with silver:
16 Or as an hidden untimely birth I had not been; as infants which never saw light.
17 There the wicked cease from troubling; and there the weary be at rest.
18 There the prisoners rest together; they hear not the voice of the oppressor.
19 The small and great are there; and the servant is free from his master.