LOUISVILLE, KY (WAVE)-Ultrasound images are an exciting part of a pregnancy. But 25 weeks, a Fort Knox par trode when everything was perfect, the pictures showed something very different. Save baby's life they would undergo and accelerated procedure never before performed in Kentucky.
Back to a check-up at Kosair Children's Hospital keeps Dawn Saldivar a bottle handy. As soon as Mariela leaves out a huge cry, Dawn is prepared. "She's got very good lungs," says Dawn, "She loud and she lets us know when she is not pleased and usually means she hungry."
It is these same tiny lungs, which caused an enormous fright. Had they had an ultrasound 17 weeks looked perfect, but because dad's military duties at Fort Knox prevented him from being there, they requested a second ultrasound 25 downloads. By ultrasound image had changed drastically.
Dr. Thomas Tabb is Maternal Fetal Medicine specialist with Norton Healthcare where Dawn was sent to have ultrasound peer. He points to the pictures explains, "this is the fluid filled area of the right lung." The condition known as Fetal pleura application. Marielas the right lung was broken completely and threaten the heart. All fluid pushing on the heart and compress the vessels.
Dr. Tabb says in his 30 years of experience he has dealt with this problem about 5 or 6 times. This is due to genetic abnormalities, infections, but Dr. Tabb says, "most of these cases, we never find out why this occurs."
What is certain, he says, "If this situation is not dealt with what will happen, # 1 you lose the lung tissue, on the one hand, it does not develop correctly. Secondly, the heart will be compressed so much, baby stands a good chance to touch on heart failure. "
The news of poor Saldivars, "Oh was so frightening" Dawn recalls while holding back tears, "a lot of beans."
After two attempts to drain the fluid with needle aspiration, Dr. Tabb is carried out and an emergency thoracentesis. Use ultrasound, he inserted a shunt through the mother's stomach and between baby's chest cavity and membrane.
Pigtails on either end of the shunt hold the device in place and through tiny holes "it just pushes the liquid out of the lung into membrane sac" allows lung to the headings.
It takes approximately 10 minutes to complete but requires a ton of patience. The child must be in perfect position to avoid both the breast tissue and spinal cord.
With Mariela is now 8 weeks old, a tiny scar the only proof she even necessary a life-saving procedure.
But without it, says Dr. Tabb, "I am fairly sure baby would have been too still birth."
What-hviss in this history are many and Dawn remembers them all. They had only been at Fort Knox, a few months, "I think about a lot. How we ended up in Fort Knox, we could have gone anywhere. "
And the second ultrasound without it they probably would not have found the problem in time. Dr. Tabb says, "there are other places in the country, to do this. They were lucky enough to be here, we were fortunate enough to be able to look after them. "
Dawn believe it is more than happiness, "it was just that in itself is a miracle" and perhaps Dr. Tabb agree, "yeah, I think things happen for a reason safe."
The miracle they now call Mariela. "She is perfect, just perfect and we just love her so much"
Shunt was removed shortly after Marielas arrival and x-rays Show the liquid does not have returned.
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