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kidaroundmag - > mom life crisis -> Expecting Emmett
Expecting Emmett
This is my editor's note for my Sept/October issue of Kidaround. Timely and crazy, considering McCain's nominee for vice president is a mom of a baby with Down syndrome, Sarah Palin. I am so excited for this next issue to come out, look for it September 1! ~ Barbara


There I was, shopping in Payless. I can still smell the pleather as we rang up some Thomas the Train sandals when something else rang: my phone. As soon as the woman on the other end of the line spoke, I knew it wasn’t good news. It was the genetics counselor.
  
Two weeks prior, during my second trimester, I was at my OB’s office. “Do you want to take the AFP?” he asked of the elective blood test that screens for various defects like spina bifida and chromosomal issues. He told me of the AFP’s fluky nature. “You’re 35, right at the age where this test is more likely to give a false positive.”
   
I’d taken it with my three previous babies and never had any issues come up, and it was free, so I said, “Sure. Why not?”
   
Here’s why not: So I don’t get a call from the genetics specialist halfway through my pregnancy. What did she tell me? “Your AFP result came back positive.”
   
After doing the mental math (is positive bad and negative good, or the other way around?) everything was kind of a fog. I do remember—clearly—her saying, “Your test screened positive for Down syndrome, one in ten,” which meant that one out of every 10 women with similar hormone levels will be carrying a child with Down syndrome. That’s not bad, I thought. There’s a 90 percent chance that there’s nothing to worry about. Then she told me that these are the highest odds the screening test can give. Ouch.
   
Google AFP and the first thing you see is “simple blood test” and “recommended by the State of California for all pregnant women and can detect if they are carrying a fetus with certain genetic abnormalities.”
   
Again, I was reminded that this was a screening test, meaning my baby simply had an increased risk. However, the next step would be to come in for a second-level ultrasound, where they look for physical markers like shortened femurs, heart defects and a thickened nuchal fold.
   
The geneticist then recommended I have amniocentesis right away if I wanted confirmation and the chance to terminate my pregnancy (I think I was running up to the deadline where you are talking about a more complicated medical procedure). I asked about the risks of amnio and she told me there was anywhere between a one in 200 to one in 300 chance of miscarriage. I told her I didn’t want to risk that. Even if the baby did have Down syndrome, I told her, I wouldn’t have an abortion, to which she replied, “I’ve heard that before, and you might change your mind if it’s a reality.”
   
We opted for a level-two ultrasound, which revealed a “borderline” marker: The nuchal fold thickness qualified as a marker, but there were no other markers so we were still in the dark. The presence of a marker increased the odds even more and again the doctor recommended amniocentesis. Scared, we scheduled one, but I cancelled it the next day.
   
Before all this unfolded, I was planning, of course, the perfect pregnancy, the one I didn’t have with my first three babies. I wasn’t going to gain 50 pounds and complain about my aches and pains. I was going to splurge on sexy maternity clothes. This was going to be our last baby and, damn it, I was going to be the happiest, cutest expectant mama I could possibly be. Then all this happened.
   
While we decided to wait it out, that’s not to say my husband and I didn’t do our fair share of stressing out like no expectant couple should ever have to. It was possibly, looking back, the hardest five months of my life. But during this time, as most modern moms do, I Googled the hell out of screening tests, ultrasounds, Down syndrome, amniocentesis—and learned a lot.
   
Among the lowlights of my research was the same uncertainty dumped on tons of other women, all because of a test that is inconclusive and fraught with false positives, when ideally the worst we should be dealing with is edema and hemorrhoids. On one hand, I was relieved to see I wasn’t alone pouring through the forums on Baby Center. On the flip side, I would see women freaking that their test came back one in 800, and I’d think to myself, “That’s nothin’! Try one in 10!” I also discovered that the abortion rate for amnio-confirmed Down syndrome pregnancies is 90 percent. Nine out of 10 pregnancies with confirmed Down syndrome are terminated…because why? As my mom said when she learned of Emmett’s possible fate, “He might have to ride the short bus…so what?”
   
That leads me to share the highlights of my Google search: With today’s early interventions and therapies, people with Down syndrome do quite well, go to school, hold down jobs. But most importantly, they positively affect everyone around them. Show me a family touched with Down syndrome and I’ll show you a family that is better for it.
   
Why is our culture so afraid of people that may be limited in IQ or physical capability, and what is so wrong or “defective” with persons who are not jaded by superficiality, drama and the typical bullshit the rest of us give credence to? Our society has historically tolerated so much worse—racism, sexism, bigotry—yet these statistics reveal a record of discrimination against and fear of those who are innocent, loving, accepting and will positively touch the lives of everyone around them. What’s to fear?
   
Of course it did occur to us the work we could be facing in the future should he have Down syndrome. It’s impossible to know the degree of disability you are facing until birth—or even years after. How would we be able to travel to Ireland someday, to have a life, if we were burdened with a severely differently-abled baby?

In my heart, though, I knew that we were the “retarded” ones, in those moments when we feared being burdened by our child. The true burden is society’s concept of perfection. Who determined what is perfect enough? Must you have a high IQ? We know there are plenty of paste-eaters out there, and they got a shot at life. There are plenty of us with “perfect” chromosomes, and yet not one of us is perfect.

At the time of my AFP test, it was recommended for women aged 35 and over. Now it’s recommended for EVERY pregnant woman regardless of age. This scares me because I think of all the women who will be unnecessarily filled with fear of the unknown.

But you know what? While I certainly had so much to dwell on, complain about and fear—and even worse hemorrhoids than ever before—I had the pregnancy I wanted, no matter what the odds told me I may be in for. I simply couldn’t wait to meet my baby, and was actually more curious about what the next chapter of my life held rather than dreading some diagnosis. I was proud I decided to remain in the dark about our future and this baby—and I went and bought my designer maternity jeans.

A friend recited to me a favorite quote: “Ninety percent of the things we worry about don’t even happen.” I held on to that and still do. Curiously, those odds are one in 10. Hmmm.

The simple fact is, there was one thing I did know: I loved him no matter what. When Emmett was born, all that worry was for nothing, and now I worry about a million other things like all moms do, most of which are not in our control. Who knows? He may still have to ride the short bus, or he may be a rocket scientist. I really don’t care either way. I’m his mom.

PS. During my Google-fest, I found Elaine Linn, executive director of DSIA who became  a supportive  e-friend. I’m also happy to feature a piece from Jen Sanchez, a local mom who has found herself happy in Holland.
Topics: kidaround, down syndrome
posted by kidaroundmag on Friday, August 29, 2008 at 10:28 AM
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6 comments from 6 users

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posted by kellimwheeler on Aug 29, 2008 at 11:03 AM
Nice job Barbara. A beautiful piece. I can't wait to see the rest of what September's Kidaround has to offer.
posted by creatress on Aug 29, 2008 at 01:23 PM

Great piece.
I was pregnant at 20 and did take a AFP test. If I did it over again, I wouldn't for every reason you stated in your article. If you would keep your baby no matter what, then what's the point! And stressing over a false positive isn't going to do anyone any favors.

As the mother of a special needs child, I wouldn't change a thing. I'm thrilled to be his mama and convinced I was given the perfect child for me!

Thanks for sharing.

posted by teacheroftwos on Aug 29, 2008 at 01:44 PM
What a wonderful peice! I have a child with special neds that could not be detected by a simple blood test or an ultrasound, so what am I suppoe to terminate him because he is a challenge! I DON"T THINK SO! Every child is created different and they are given to the mommy that God knows will do the best job and love them  unconditionally!
posted by Momx4 on Sep 1, 2008 at 07:16 PM
Excellent article.  I refused the tests for my 4th baby as I did with my other children.  I learned of his Down syndrome shortly after his birth but I wouldn't change a thing, either.  I love what you said...  "We are the "retarded" ones...."  I really hate that word, but it's so true.  He is the happiest, smiliest, chubbiest 9 month old baby and he's doing very well.  But even if "all" he contributed in life was his unconditional love to all who care about him, isn't that worth more than all the hatred we see in the world?  Eliminating birth defects via abortion isn't really eliminating birth defects... it's just hiding what they see as an imperfection and a burden on society.  Show me one perfect human!  The world screams for diversity but can't really stand when someone is born "different".  I, too, have a friend who received a false positive for her 5th child.  The nurse at Kaiser told her, "You could just abort and try again."  Just abort?!?!?!?  Congrats on having your piece published!
posted by kidaroundmag on Sep 1, 2008 at 08:07 PM
Thanks! Please believe me, I thought long and hard about using that word. I put it in quotes to hopefully emphasize the fact that I didn't use it lightly. I know that those in the community are super sensitive to it and would like to see it never used at all. The true definition is delayed or slow, and I felt that applies quite appropriately to those that see a baby with DS as an inconvenience or worse, burden to eliminate. They are in fact the ones that are slow in their thinking, and need to get with it. :) But of course, I feel a lot of that responsibility lies in the hands of the nurses and counselors who it seems tend to counsel on the dark side of things (as we both experienced first-hand!). Hopefully this article and the cover feature will help shed some light on the reality and facts, and not be basing their recommendations on gloomy, worst-case, and extremely dated information.

And your little one is an adorable chunky monkey indeed! Congratulations! :)
posted by cakebread on Sep 2, 2008 at 02:32 PM
Your blog was great I really enjoyed reading it I wish the best to you and your family and I am glad to read your keeping the baby no matter what.I had a friend a year ago in the same situation at the same age and unfortuanitly she lost the baby at 6months but is trying now and is pregant again yeah! Anyway best wishes and good luck.
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