Baby Yoder is on the way and we are very excited. Big Brother Mac can't wait (not sure he really "gets it" but he LOVES babies). We would like to use this site to update you because Baby Yoder is also special.
We found out that our baby has a heart defect called Pulmonary Atresia with Intact Ventricular Septum. This means that the valve that allows blood to flow out of the right ventricle and into the lungs did not form and is sealed shut. This has caused the right ventricle of the heart to be smaller due to muscle build up because the ventricle is working extra hard to try to push blood through the closed valve.
While Baby Yoder is with Mom everything is alright and there is little risk. There is a hole in the heart in all babies that allows blood to flow between the ventricles and get to the lungs via this route since Mom is doing all the work. Once babies are born this hole closes and because our baby cannot survive if the hole closes when he/she is born he/she will be given meds to keep this hole open and keep blood flowing to the lungs. We are learning SO much about the heart that this just skims the surface.
Normal Heart:

Hypoplastic Right Heart:

To make a long story short, Baby will not have a strong enough right side of the heart to push the blood to the lungs. Lucky for us, the left side of the heart is usually "stronger" because it is meant to pump blood to the whole body and the doctors say it appears to be working fine. As of now, the most likely surgical option is to bypass the right ventricle (the small one) completely and let the left side do all the work. This will make Baby easier to fatigue and limit activities.
At this time all care for Baby Yoder and Mom has been transferred to the University of Iowa Hospitals and Clinics (UIHC) and it means we spend a LOT of time there - not ideal but they do have fantastic chocolate chip cookies. If you ask when the next appointment is, you will probably get a confused look and a response of "which one?" At this point we are seeing a pediatric cardiologist, heart surgeon, high risk OBGYN and high risk ultrasound doctor (quite the list).
There are so many intricate details to this condition that it is hard for us to know exactly what to expect. While the doctors look at everything they can, they really won't be able to give any precise information until Baby Yoder is here. For this condition, so much depends on Baby Yoder's unique make-up and how the babe responds to what needs to be done.
What we do know is that we are going to be taken on a new journey in life. This includes lots of time spent in the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU)after baby is born. We are unsure of when we will get to take our babe home. This journey more than likely includes multiple open-heart surgeries, the first being within the first week of life.
We wanted to let everyone in our lives know what is going on and find a way to keep everyone updated on Baby Yoder so we have created this blog. While this is a very challenging time in our lives we are constantly reminded of how blessed we are as well. Thank you to everyone who has shown us love and support - we are so grateful.
We will do our best to keep you informed of what is going on. Please feel free to post any comments or questions you may have and to share this site with anyone you think may want to be kept informed. At this point, all we ask is that you keep our precious babe in your thoughts and prayers.
We found out that our baby has a heart defect called Pulmonary Atresia with Intact Ventricular Septum. This means that the valve that allows blood to flow out of the right ventricle and into the lungs did not form and is sealed shut. This has caused the right ventricle of the heart to be smaller due to muscle build up because the ventricle is working extra hard to try to push blood through the closed valve.
While Baby Yoder is with Mom everything is alright and there is little risk. There is a hole in the heart in all babies that allows blood to flow between the ventricles and get to the lungs via this route since Mom is doing all the work. Once babies are born this hole closes and because our baby cannot survive if the hole closes when he/she is born he/she will be given meds to keep this hole open and keep blood flowing to the lungs. We are learning SO much about the heart that this just skims the surface.
Normal Heart:

Hypoplastic Right Heart:

To make a long story short, Baby will not have a strong enough right side of the heart to push the blood to the lungs. Lucky for us, the left side of the heart is usually "stronger" because it is meant to pump blood to the whole body and the doctors say it appears to be working fine. As of now, the most likely surgical option is to bypass the right ventricle (the small one) completely and let the left side do all the work. This will make Baby easier to fatigue and limit activities.
At this time all care for Baby Yoder and Mom has been transferred to the University of Iowa Hospitals and Clinics (UIHC) and it means we spend a LOT of time there - not ideal but they do have fantastic chocolate chip cookies. If you ask when the next appointment is, you will probably get a confused look and a response of "which one?" At this point we are seeing a pediatric cardiologist, heart surgeon, high risk OBGYN and high risk ultrasound doctor (quite the list).
There are so many intricate details to this condition that it is hard for us to know exactly what to expect. While the doctors look at everything they can, they really won't be able to give any precise information until Baby Yoder is here. For this condition, so much depends on Baby Yoder's unique make-up and how the babe responds to what needs to be done.
What we do know is that we are going to be taken on a new journey in life. This includes lots of time spent in the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU)after baby is born. We are unsure of when we will get to take our babe home. This journey more than likely includes multiple open-heart surgeries, the first being within the first week of life.
We wanted to let everyone in our lives know what is going on and find a way to keep everyone updated on Baby Yoder so we have created this blog. While this is a very challenging time in our lives we are constantly reminded of how blessed we are as well. Thank you to everyone who has shown us love and support - we are so grateful.
We will do our best to keep you informed of what is going on. Please feel free to post any comments or questions you may have and to share this site with anyone you think may want to be kept informed. At this point, all we ask is that you keep our precious babe in your thoughts and prayers.
We'll be thinking of you all and hoping Baby Yoder #2 comes out as healthy as possible and goes through any surgeries with flying colors. He/She is so lucky to have fantastic parents and a wonderful family.
ReplyDeleteLet us know if there's anything we can do to help!
Love,
Adam, Katie, and Lincoln
Hey lady! I've been praying for you lots lately and think you might find a bit of comfort in my good friend Angie's blog: http://baquiver.blogspot.com
ReplyDeleteI went through middle and high school with Angie and her third son was born with a heart condition. Her recent posts have been about her journey dealing with her worries and experiences related to her boy, Gabe!
You're the sweetest thing ever, Abby!
Yours and Derek's strength is so admirable. I love you both so much - and of course, my sweet nephew and nephew/niece to be.
ReplyDeleteYou both know that no matter what you need - I will always be there.
With all my love, Erin
Thank you so much for this blog! Your family is on my prayer list. The NICU & PICU at the U are truly miracle workers. We have many people in our own community who work in these 2 units. Hang in there! - Edye
ReplyDeleteI'll be saying lots of prayers for your family! love you guys! :)
ReplyDeleteDerek and Abbie,
ReplyDeleteWe are so proud of you both. We often wonder how you could possibly make us prouder - then you do.
Love you both,
Mom and Dad V
Hey Derek and Abbie,
ReplyDeleteOur thoughts and prayers will be with you. If there is anything we can do to help out, please feel free to reach out to us. Baby Yoder is truly blessed to have 2 parents as awesome as you guys are!
Kyle & Bekah
My prayers are with you. I read about your beautiful baby through Larry Cassabaum's facebook post. Please know even those of us who don't know you will pray for you and your family! Stay strong! Joanie
ReplyDeleteLove both of you guys. If there is anything we can do from Omaha, let us know. Hope to see you this weekend at the Johnson nuptials. Will definitely be following my first blog with this one. - Brad and Amanda
ReplyDelete