‘They almost broke me’: Parents fighting to give birth to children with Down syndrome

Jehan Casinader, like myself, was recently reading about countries such as Iceland having almost “eradicated” Downs Syndrome. Thanks to pre-natal testing, the birth rate of children with Downs Syndrome has plummeted globally.

Jehan sought to find out if New Zealanders too were feeling the pressure to abort. I was one of twelve families he spoke to and sadly, I could confirm the pressure does exist. Please read the article or watch the video if you are interested in learning more about these issues and the pressures experienced by those with special needs.

https://www.stuff.co.nz/national/health/125739984/they-almost-broke-me-parents-fighting-to-give-birth-to-children-with-down-syndrome

It’s Not You I See

It’s not you I see

This face staring back at me

It’s not a face I know

Reflected in the hospital window

.

Times have changed and seasons have passed

The hospital corridors have left their mark

Gone are the frivolous smiles and laughs

Inside instead there is a damaged heart

.

I thought I knew

Brokenness and pain

That was before I had a son again

Who would spend too many nights

In these drab walls

As I watched my laughter fade and my fears mount

.

That’s what it does to you

Isolated within a hospital worldview

Gone are the bigger scenes

The family holidays, the big picture things

.

Everything drills down to one simple thing

What do the monitors read and what do the doctors think?

.

It’s hard to feel like a person

In your shrunken room

Knowing that doctors and others

Will be arriving soon

.

It takes time to recover

For not just your son

For your heart too

Has seen and been through a ton

.

Your hair now shows greys

And you are quick to fright

Your adrenal glands

Have had to constantly fight

.

You’ve been on stress mode

For far too long

Riding the waves

Of the many unknowns

.

You wish you could recover

The person you once were

Is she gone forever?

You hope she will return

.

I would give anything to smile

Without shadows filtering through

Colouring the light

With which I see through

.

It has been a hard road

That’s not something I can deny

But I hope that one day soon

Will reveal a new light

.

I look forward to the day

Joy and surprise find their way

Back into my life

Gone with the lifeless, drab greys

And putting full colour back on display

.

Too much has happened 

In this season just past

To wash away quickly

Though I’d like it to pass

.

I suppose it’s no surprise then to know

That there are those who look at my wedding photos

And have no idea

That the face that they see

Once upon a time

Really was me. 

Luke: What you didn’t know

You were too young to understand

The world into which you were thrust

You were used to holding Mummy’s hand

And having her full attention

.

The arrival of a second child

Was not something you knew

And the process

Was not something for which we could have prepared you

.

You didn’t understand the constant tears

The medical appointments

The bleeding at 18 weeks and the regular fears

And that was just the pregnancy!

.

You saw your Mummy doubled over in pain

And you helped rub her back

At 36 weeks as labour began

.

You didn’t know you were saying goodbye for many days;

That this little brother would take away your Mummy

You didn’t know why hospital became a second home

That Mummy seemed to always reside at

.

We couldn’t explain medical terms to you

Things like special needs and disabilities

You didn’t know what heart surgery meant

Or that we used to count your brother’s every breath

.

But what you NEED to know

Is that despite all these things

You were never far from Mummy’s heart

And her thoughts were always for you

.

Her heart was with you

As you went to bed at night

Tucked in by your loving Gran

Her thoughts were with you

As she drove to hospital

And unpacked yet again

.

She cried for you

Many nights

Wondering if you were okay

And what she could do to help you

.

The world into which you were thrust

Was not a fair one

Nor was it just

.

Mummy had no idea having a second child

Would come with so much unexpected pain

.

But what you need to know

Is that your Mummy loves both her boys dearly

And will always protect you and love you

Some things Mummy can’t control

Even though she will do her best

To tuck you close and wipe away your pain

.

But one thing Mummy can control

Is that for each of her boys,

She will always, desperately love you

And hold you in her heart

And never let you go.

.

Your Mummy loves you

And is sorry your life began with so much struggle

She would change it if she could

And take “special needs” away from our vocabulary

.

But Mummy just has to trust

That God has a plan

Even though she can’t see it

And believe that we are just the family

For your little brother too,

Just as we are the right family,

Chosen for you.

Forbidden Tears

It comes quickly, silently

In moments when I’m unprepared

This deep, gulping sense

That there are a thousand tears

Curled up and mashed together deep inside

.

They are forbidden tears

Too little time to give them any notice.

Too little energy

.

If I had capacity

I might look at them one day

Bring them into the light

One by one

And ask which moment it reflected

.

Was it my sinking dreams

That my baby had Downs Syndrome?

Was it my fear he would never live?

Was it one of the moments when he stopped breathing

Or when they put his heart on pause for heart surgery?

.

Was it when I saw other people’s healthy children

Reaching all their normal milestones?

Or was it when my son no longer looked at me

And I had to come to terms

With diagnoses like brain damage and epilepsy?

.

Was it looking at my older son at night

Thinking of how little I had to give

Or was it when I was packing yet another hospital bag?

Was it an uncontained moment

Of wild emotions and swirling rage?

When I had passed all ability to filter anything

And I truly wondered if my baby’s journey

Would cost my own?

.

Which of these moments

Did these forbidden tears capture?

.

They stand as markers

These silent tears

Prisms of repressed emotions and agonies

Of colliding hopes, dreams and crushed realities

.

One day I’ll look at them

And honour each moment they could not be shed

And I will remind myself

That while they could not be shed then

They are now collections of moments

That have passed

Memories that no longer have power

.

One day I hope to be able

To let those tears flow

And then to be able

To let those moments go.

Brain Damage


Standing at the kitchen bench

Surrounded by medicines and heartbreak

A future unquantified

Broken only by the constant repetition of medication and struggle


This was not the future I anticipated

It’s not even a future I want

Will my son be like this forever?


Despair settles like a cloak over my shoulders

Anguish spreads its tentacles throughout my veins

A son that doesn’t even register my presence

When I go to collect him from his cot


What happened to the world of happy children?

Who respond with smiles upon seeing their parent?

Who look up eagerly and stretch out chubby hands?


My future yawns in front of me

Cavernous and never ending

The world of disabilities

Feels like a chain around my neck


I can see no way forward

No way through

All I know is that to keep going

Is going to take everything I have.

I can honestly say that these weeks were the hardest of my life. Being told my son had infantile spasms and had already sustained “significant brain damage” – there are no words adequate to describe those emotions. Being told next by the doctor that “left untreated, he would die a slow and painful death” are words I will probably never forget. This was me staring at my younger son in his hospital cot, wondering if he would survive – or not. And if he did survive – in what capacity would that be? What kind of future did he – and we – have ahead of us now?

When hospital becomes your home

For those who’ve wondered what being in hospital 74 days is like…..

It’s waking up in the morning, not because you want to, but because you have people in your room and you only have so long to shower and dress before all the doctors arrive.

It’s not sitting on the toilet seat… for months… because who knows who else has sat there and when it was last cleaned?

It’s not knowing what’s on the menu for that day – or actually, pretty soon it’s knowing EVERYTHING on the menu – ANY day!

It’s finding yourself in a hallway discussing your toiletry habits with a middle aged, black African male nurse, before you realise how institutionalised you have become that it just felt “normal” – “Yes, I’m just racing to have a quick shower, then I’ll be back in the room and we’ll change his nappy to weigh it, strip him down, weigh him, give his morning meds and prepare for the doctors to arrive”.

It’s being woken up all through the night…all the time… with lights on… with nurses being so rough changing your son’s nappy they wake him and you… with monitors alarming and you’re flying out of bed to check them… with nurses shining their cell phone lights in your face… with helicopters coming and going all night… with rubbish trucks slamming over the jutter bars through the night… with cleaners on machinery in the halls at 5:30am… with other screaming children… with nurses putting a hand on your shoulder and startling you awake because they want you to express another 5ml for the next feed which is in three hours, not knowing they just woke up a bear who was in desperate need of sleep…

It’s not knowing how to walk one more situation of conflict with staff who often don’t seem to know the hell what they’re doing… like the nurses who openly admit they haven’t read your son’s notes. They don’t know he is a highly complex cardiac baby and so it’s listening to nurses flood the room looking at his oxygen saturation going, “It shouldn’t be dropping this fast.” And you’re sitting on the bed finally succumbing to tears because you’re freaked out of your mind at their reactions, wondering what’s going wrong – until you find out – hours later – that the nurses didn’t know he was a cardiac baby so put him on oxygen when he never should have been. And you realise in that moment to trust no one. Unless they seem really knowledgeable – and have actually read your son’s information file!

It’s getting used to telling nurses information or instructions – and having the opposite happen… fifteen minutes later.

It’s learning to tell your story… over… and over… and over… again.

It’s learning to speak “medical speak” like you know what you’re talking about… although… pretty soon you do!

It’s talking to eight different specialist teams and realising most of them see YOU as the central point – “What did the cardiac specialists say?” “What did the respiratory specialists say?” You realise it doesn’t matter how overloaded, how overwhelmed, how exhausted or frankly even how terrified of your son’s health you are – you are the central cog seen as the fount of constant information at everyone else’s mercy – you don’t get to choose how often you have these conversations, or when.

It’s learning no time is EVER your own. You don’t control who walks through your room. Whether you like them. Or not. Whether anyone will ever actually ask – “How are YOU?”

You learn not to bother with things like moisturing your hands or flossing in your room at night, because you should only do them if you’re willing to have an audience at a split second’s notice.

It’s hearing things like, “Your son has heart failure. Your son has fluid build up on the lungs. Your son has pneumonia. Your son has combined bronchiolitis, parainfluenza and rhinovirus.”

Or my personal favourite – “We’re going to break your son’s bones and stop his heart in heart surgery.” And you stare at your husband, neither of you showing any emotion. Your husband suddenly jumps up to stare at your small, innocent son, struggling on a cot just to survive where he is fed continuously through a nasal gastric tube.  

And you know there’s a chance. There is a chance this could be your last night with him. And you can’t even begin to process that.

It’s holding back the tears and emotions until the surgeon leaves the room and knowing the countdown to surgery the next morning has begun.

And then –finally – letting yourself breathe… and cry. And then it’s watching while your son vomits bright yellow bile, and the nurse you hate walks in. She sees you, and your son, and flippantly states, “Oh I wouldn’t bother worrying about a little thing like that.”

And you’re staring at her, going “Do you know my son has HEART SURGERY tomorrow?”

“Oh, yes.”

And you have no energy left to care that this woman doesn’t have a clue. And you are so spitting angry at her insensitivity that you have to walk out of the room, and the evening you envisioned of holding your son close and talking to him has just evaporated, because you’re too angry to want to taint your son with your emotions the night before you could lose him. Knowing that any “little thing like that” could change whether your son HAS the life saving surgery in the morning, as so many other “little things like that” have changed the surgery date so far.

It’s the constant terror of not knowing… if your son will survive… if your son that has been SO strong so far, can continue to be strong, when he has given so much already and gone through so much…

It’s wondering for yourself. If YOU can survive this, when YOU have already seen and watched too much.

The 50 odd blood tests. The people squeezing your little’s baby delicate heel like it’s a stress ball, determined to ooze out enough droplets of blood. Then finding they squeezed it TOO hard and the blood separated (don’t ask me) and so they got a false reading… and they have to do it… again… and again… and again.

It’s fleeing the room because you just can’t watch one more traumatic procedure on your son. You can’t comfort him one more time as they hurt him (while trying to help him) because your own heart is breaking in two watching this happen, over… and over… again.

It’s wondering when things will ever get easier.

And finally, not even wondering that anymore.

It’s night-time conversations with God, saying, “I know You’re there. But frankly, I don’t have anything to say to You right now.”

It’s Heaven-flung violent, tear soaked pleas when your son stopped breathing and his oxygen levels dropped to 15/20% POST heart surgery – “God, please, SAVE MY SON!”

And it’s surrender and resignation all in the next breath, whispered – “God… please… save my son. But not my will, but yours be done.”

It’s feeling your heart break, a thousand million times, and not knowing if you will EVER feel whole or the same again.

If you yourself, will EVER recover from what you have seen and what you have walked.

It’s calling your husband as you walk down the corridors, saying, “I know I’ve walked these hallways 50 times already, and twice today alone, but I CAN’T REMEMBER. How do I get to the carpark? My mind is shattering under the load it’s carrying, AND I CAN’T REMEMBER HOW TO GET OUT OF THE HOSPITAL.”

It’s your toddler kicking and screaming in the hallways, yelling at you from the concrete floor, while you realise all the security cameras are watching you, and you look like one hell of an awful mother.

It’s watching your toddler struggle to handle knowing his mother is no longer there for him. It’s silent tears in the night, wishing you could be there to comfort both boys, while knowing you can’t.

It’s realising the impossibility of being there for two boys, who each now live in different suburbs. It’s trying so hard to split yourself in two, to be there for both, that you get sick yourself from the level of strain on you.

It’s looking forward to an afternoon alone of “special time” with your toddler at an indoor playground. Only to find your toddler completely disintegrates and screams at the top of his lungs, hitting his head repeatedly against a rubbish bin. It’s being asked by other mothers, “Do you need help?” And wanting to laugh insanely. But explaining calmly – instead – that you’ve been in hospital for weeks and your toddler is venting all of his fears and anger on you. It’s being let out the fire alarm door and setting off fire alarms because the owner of the establishment is so desperate to get you out of there, and your child is in no state to be carried back through all of the other parents and children.

It’s watching your baby vomit, and vomit, and vomit, and knowing you’ve got to take your screaming toddler to daycare so that you can rush your baby with bronchiolitis back to hospital. It’s watching while your toddler crushes your neck in a stranglehold, pleading and screaming with you, not to drop him off. While your baby waits in the daycare reception in a capsule on a monitor for his breathing and all the instructions you quickly gave were – “If the monitor alarms – call an ambulance.” And once again, it’s feeling your heart severed down the middle. Feeling utterly torn, that you simply can not be there for both boys. It’s handing your toddler over, watching him cry so hard he vomits too. It’s fleeing daycare, ready to utterly and absolutely shatter and cry yourself. And maybe vomit too, it suddenly feels appealing to join the crowd!

And finally, it’s packing yourself back up, mentally and emotionally. Piling all of the emotions, issues, struggles and fears into a little space, stuffing them all in, pushing them down, and straining to close the zip. So you can present… for one more day… that you can do this.

You think.

The heart rending journey of complex medical needs…

Vacuum of pain

3 days old

Monitors beeping

A rude intrusion

The backdrop to a cacophony of stimuli

Wires running

Ulraviolet light spilling

Syringes filling

.

Wheeled machinery

Ultrasound scans

Doctors rounds

Earmuffs on

Impromptu heart surgery

Room sectioned off

Positivity mounting

Just for a season

.

.

Three months old

We will cut open his bones

Stop his heart

Run his blood through tubes

Pump him full of others blood

.

Wanting to grip my husband’s hand

The words slicing through

Barely able to take them in

Hold back the tears

.

Try not to focus on the words

The images

Our son’s perfect body

About to be torn apart in the morning

The morning of Cayden’s heart surgery. Holding him and crying.

.

.

Four months old

In hospital

Short toilet break

Alarms smashing

Heart rate rising

Quick dry hands

Not likely my son

Remain calm

Is that my son?

Phone call

“You might want to come back.”

Legs propelling

Arms jerking

Thoughts spinning

Emotions exploding

Parents watching

Cubicles cut off

.

Skidding to a stop

Swarm of doctors and nurses

Panicking

I can’t see my son!

Nurse approaches

Eyes wide, fear filling

“He went blue. Oxygen levels 17%. On oxygen.”

Hand on mouth

Inwardly collapsing

Tears overflowing

Backing, backing, backing away

Turning and spinning

Phone out

Friends! Help!

Crying

Crying

Crying

Crying

What’s wrong with my son?

.

.

9 months old

Arms jerking

Body stiffening

Eyes flare

Body thrown back

Piercing wail

Repeat

.

Arms jerking

Body stiffening

Eyes flare

Body thrown back

Piercing wail

.

Something is wrong

Something is desperately, terribly wrong

Internet searching

Infantile spasms

“Sweet Jesus, no.”

Crawl into my husband’s lap

Sob

Not this too!

.

Doctors

“I’m sorry we missed it”.

Emergency department

“We hardly ever see this.”

EEG’s.

“Significant brain damage.”

“Untreated will die a slow and painful death.”

“Well done for finding this. It’s hard to diagnose.”

.

Future incomprehensible

Disability intense

Loss of communication

A void, a zombie

Shut my heart down

Incomprehensible

Long term survival

Palliative care?

Do not resuscitate?

Survival stretching

This isn’t living

Anxiety clawing

Hope crushed

Fear mounting

Struggle intensifying.

Goodbye… or hello?

Will I get to see my precious son alive?

Am I preparing for his first hello?

Or bracing for his final goodbye?


Wrenching, terrifying thoughts

Too many times told he could die

That I may never see his bright, open eyes


Sharp, white hot pain

Arching up my back

“That looks like labour,” the obstetrician said


I know it’s too early

“Prematurity and cardiac is not a good mix,”

I’ve been told


But what can I do?

Nothing in this pregnancy

Has been in my control


Stress levels beyond measurement

I don’t doubt that’s a contributing factor

To this sudden onset of labour


Harsh grip on my thigh

Needle plunged through

Meds to swallow too


“Hopefully this will slow things down,” I’m told

“Steroids to develop his lungs

And meds to stall labour,”

Hospital tests show

This will only be a delay

Labour is imminent


How many days do I have?

Who would know?

Am I preparing for his final goodbye –

Or for his first hello?

The Day I Heard You

It’s confirmed

Downs Syndrome

Only 14 weeks pregnant

And my whole future just changed


Sitting in shock

And disbelief

Staring at a world that looks the same

But the colour palette suddenly changed


How am I to do this?

I’m not the right mother for Downs Syndrome

Couldn’t I just have a “normal” child?

The one I thought I was to be pregnant with?


No answers

No clue

No idea of how I am to do this


Then all at once – you moved

With a rhythmic tapping

From deep inside

You made your presence known


Like tiny little hiccups

Resounding like a heart beat

That even my husband could feel

With his hand pressed against my side


And suddenly, I heard you

From deep within my soul

I knew what you were trying to say


“Mum – I am here.

Downs Syndrome, they say.

Dodgy heart, they say.

But Mum – I’ve got this.


I’m a fighter, Mum.

I can do this.

Let me have my chance.

I want to LIVE.”


Immediately my heart grew firm

And resolve grew, along with you

I would give you your chance

To fight for the life

They said you may not have

To overcome the obstacles that would be in your way

If this is what you want

Then I will fight alongside you

I will do all I can

To look after you and protect you


I will stand against those who think I should abort you

Because child,

This is YOUR life

And your heart is already beating


And so I will journey with you

No matter what lies ahead

Though I pray you are miraculously healed

Of your Downs Syndrome and “dodgy heart”

I will walk the path with you

One day at a time

For your heart

Beats with mine


This poem speaks to our pre-natal NIPT DNA diagnosis of Downs Syndrome at 14 weeks. I sat on our swing chair and just internally froze, wondering how to accept, brace and recalibrate to this curveball that paired with a totally different life than I expected. The photo was taken of Cayden (which means fighter) later in the pregnancy. We named him fighter partly because of this moment – feeling him move and knowing he wanted to fight and beat the odds against him.

You were made to be

“Your baby should not be,”

He said to me.

“Any abnormality

I do not want to see.”


I disagreed.

While I didn’t know the outcome for my son

Or what struggles he may face

One thing I knew

Was this little boy –

Had infinite value


My own capacity?

My own strength and ability?

Absolutely a question mark

And not something I could pre-weigh


But this little child?

I would do what it would take

No matter how infinitely hard it was to grasp

How to raise a child with a potential disability


But one thing I knew

Is that to me –

Little boy,

You have infinite value.

And you were DEFINITELY

Made to be.
.


.
This poem was written regarding the pressure from an obstetrician to abort if any chromosomal abnormalities were found in a pre-natal diagnostic test. He believed it was black and white – if there were any abnormalities in your baby, you abort. My husband and I did not agree with his view.