Helen Matthies never thought of herself as a resilient woman, but when she was tested with the preterm birth of her son at 27 weeks, she discovered how truly deep her well of strength was.
WARNING: This article includes reference to infant loss. If this is triggering for you, please contact Beyond Blue on 1300 224 636.
Like most mothers, Helen Matthies never imagined how her baby could take over her life and her heart, nor did she expect the road to motherhood to be fraught with complications.
A previous pregnancy made the first 12 weeks the most anxious. “I had to have a termination of my first pregnancy after the 12-week scan… a neural tube defect [meant] the baby wouldn’t have survived outside the womb,” Helen explained. Naturally, she worried that something would go wrong early as it had before, but after an all-clear at 12 weeks she turned her focus to enjoying her pregnancy. “Preterm birth wasn’t really on my radar, it is a whole other world that you don’t think about too much until it happens,” said Helen.
At the end of her second trimester, Helen experienced a bit of bleeding and was instructed to go to the hospital by her obstetrician for tests and monitoring. She had no idea that at 27 weeks, she was going into labour.
“My husband took me [to the hospital] in his suit assuming he would head to work straight after I’d been checked out,” said Helen. When they arrived it became clear that something wasn’t right. Her obstetrician explained that at best, she would need to stay in hospital and rest for a few weeks, and at worst, the baby would come early. Helen was immediately hooked up to several machines and multiple nurses helped her obstetrician try to prevent and prepare for the worst-case scenario.
The nurses tried to keep things positive by telling Helen that the contractions could stop, but the next thing she remembers was her water breaking and her obstetrician explaining that there was nothing they could do to stop the baby from coming – and it was coming straight away. The baby was in breech position meaning it had to be delivered by C-section, and with no time to get to a hospital with a Neonatal Intensive Care Unit (NICU), a whole team of specialists had to rush over for the birth from another hospital.
Suddenly, Helen and her husband were thrown into one of the most distressing situations an expectant couple can face, and understandably, this brought on a whole new level of fear. For Helen, the thought of losing her child was overwhelming, “I remember begging them to put me to sleep for the birth as I wasn’t sure my baby would survive and I would’ve preferred not to be awake for it if he died,” she said. The doctors explained that it was important for her to stay conscious and so, despite her anxiety, she remained awake for the procedure and witnessed the birth of her baby boy. “He looked blue and I wasn’t sure if he would make it, no-one was! It was seriously the scariest moment of my life, not the happy birth moment that most people get,” said Helen.
For many women, including Helen, the hardest aspect of extreme preterm delivery is being away from the baby. Most mothers can connect with their baby immediately, but as a preterm mother, all Helen could do was watch, wonder and worry about what was happening.
“They took him straight away from me in a plastic bag (to keep the heat in), put him into a Humidicrib and me to a recovery room… there were paediatricians working on him for the first few minutes not sure if he would survive and breathe on his own,” said Helen.
When she did finally see her son, it wasn’t what she expected. “They brought him [into my recovery room] in the Humidicrib so I could see him before he was transferred to the other hospital. He was hooked up to so many tubes… it was surreal,” Helen described.
Shortly after, her husband accompanied their son in an ambulance to a hospital with NICU, but a shortage of beds meant that Helen had to stay behind. She spent three night away from her baby, and despite the physical and mental pain of the experience, continued to express every three hours to keep up with crucial milk supply.
A baby born at 27 weeks can come into so many complications – infections are life-threatening; and heart problems, cerebral palsy, blindness, or deafness are all very real outcomes. Each day is a blessing and paediatricians, nurses and social workers in NICU stress that health, and even survival are not promised.