{"id":7790,"date":"2017-01-27T13:25:37","date_gmt":"2017-01-27T20:25:37","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=7790"},"modified":"2024-07-17T10:14:05","modified_gmt":"2024-07-17T16:14:05","slug":"coming-together-save-mom-baby","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/coming-together-save-mom-baby\/","title":{"rendered":"Coming together to save mom and baby"},"content":{"rendered":"
<\/div>
\"Veronica
Veronica Wilkins\u2019s scar is visible while she holds her 9-week-old son, Thane, who was born by C-section just minutes before Wilkins had emergency open-heart surgery in July 2016 at UCHealth Medical Center of the Rockies.<\/figcaption><\/figure>\n

Veronica Wilkins suddenly began feeling intense chest pains that seemed to shoot right out her back. She was 36 weeks pregnant and was being monitored for preeclampsia after being diagnosed with gestational hypertension, but she knew it wasn\u2019t normal pregnancy pain. It was crippling, so she called 911.<\/p>\n

\u201cI remember telling [my teenagers] to get the young kids out of the house,\u201d Wilkins recalled. \u201cI really thought I might die right there.\u201d<\/p>\n

The 39-year-old, soon-to-be mother of six was experiencing a dissecting aneurysm in her aorta.<\/p>\n

The aorta is the largest artery in the body, running down the front of the backbone. It supplies blood to the circulatory system. In some cases, the wall of the aorta weakens and bulges in what\u2019s called an aortic aneurysm<\/a>. However, instead of bulging, Wilkins\u2019 thinned aortic walls tore between its layers \u2014 a dissecting aneurysm. This causes blood to flow inside the separate layers, diminishing flow in the artery.<\/p>\n

UCHealth cardiovascular surgeon Dr. Mark Guadagnoli <\/a>was at Medical Center of the Rockies in Loveland when the call came in.<\/p>\n

\u201cThis is a case with 200 percent mortality because we can lose mom and baby,\u201d Guadagnoli said. \u201cI have experience with this type of case [a pregnant women needing emergency cardiovascular surgery], so fortunately I knew how to manage the problem.\u201d<\/p>\n

Guadagnoli had UCHealth LifeLine transport Wilkins from Longmont United Hospital to MCR.<\/p>\n

\u201cThis was a high-risk call, so we grabbed our fetal monitor to take with us,\u201d Air Link\u2019s Wyandt Holmes said.<\/p>\n

\"Cian,
Cian, 7 (back row), Vidanna, 5 (left), and Ali, 3 with mom, Veronica Wilkins, and newborn brother, Thane, at UCHealth Medical Center of the Rockies after Wilkins had an emergency C-section and open-heart surgery in July 2016.<\/figcaption><\/figure>\n

UCHealth\u2019s northern Colorado critical care transport team, which includes both ground and air services, underwent special training in early 2016 to transport expecting mothers. The training<\/a> included how to monitor the mother and baby with a new high-tech fetal monitor.<\/p>\n

But when the crew received Wilkins, they weren\u2019t able to use the new equipment because they had to position Wilkins to address her heart emergency, preventing the fetal monitor from functioning properly. But Holmes\u2019 training prepared him for that as well.<\/p>\n

\u201cWe found out that the baby\u2019s only risk was the mom dying,\u201d he said. \u201cYou have to decide who you are treating \u2014 a baby that\u2019s fine or a mom that will die. If we didn\u2019t address the aneurysm, the other parts would be irrelevant.\u201d<\/p>\n

Meanwhile, Guadagnoli gathered his team for emergency open-heart surgery and simultaneously called labor and delivery so they could prepare a team for an emergency C-section in an operating room reserved for cardiovascular surgeries.<\/p>\n

\u201cWhen I was wheeled on the gurney from the helipad, there were just a couple people, and from that point things got so real for me and they were all moving so fast that I sort of shut down,\u201d Wilkins said. \u201cThere were so many people in the OR, and they were all racing around me, that I focused on just me and I prayed.\u201d<\/p>\n

Only July 18, 2016, only minutes after Wilkins arrived in the operating room at MCR, the healthy, 6-pound, 13-ounce Thane Ashley Corlett-Wilkins was delivered via C-section. Wilkins\u2019 open-heart surgery to fix her aneurysm and replace her aortic valve started immediately after the delivery nurses cleared the room.<\/p>\n

\"Two
Two months after emergency open-heart surgery and C-section, Veronica Wilkins is back to doing things she loves, as well as new ventures. Here she drives a Belgian draft horse for the first time.<\/figcaption><\/figure>\n

\u201cOur focus was the baby,\u201d said registered nurse Carrie Guffey. \u201cOnce the baby was out, we backed down and let the other teams take over. Mom was in surgery, but we had the dad, so we grabbed him to bond with the baby.\u201d<\/p>\n

MCR, as with all UCHealth hospitals, is Baby-Friendly, a certification identifying hospitals that support such things as breastfeeding and skin-to-skin bonding.<\/p>\n

\u201cThane did miraculously,\u201d Guffey said. \u201cWe were prepared for anything but pleasantly surprised. As the newest member of their family, we needed to make sure he was able to bond. We think of our patients as being the whole family. And when we put that baby in the dad\u2019s arms, despite everything going on with mom, you could see them both relax a bit.\u201d<\/p>\n

Wilkins remained in surgery, during which time the dissection was surgically corrected and an artificial valve replaced her damaged aortic valve.<\/p>\n

\"Before
Before Veronica Wilkins woke from her emergency open-heart surgery, nurses at UCHealth Medical Center of the Rockies made sure that her son, delivered via emergency C-section minutes before his mother\u2019s surgery, gets time to bond.<\/figcaption><\/figure>\n

The aortic valve opens each time the heart pumps to let out a burst of oxygenated blood, and then it closes. It\u2019s important that it works properly. UCHealth Heart and Vascular Center – Medical Center of the Rockies<\/a> performed 240 valve replacements in patients between July 2015 and June 2016, along with attending to over 30 emergent aortic dissections and aneurysms. Guadagnoli said Wilkins\u2019 surgery was very high risk.<\/p>\n

\u201cIt\u2019s unusual to have this combination, but the multidisciplinary coordination that happened went perfectly,\u201d he said. \u201cWe could have lost mom and baby, but we saved both.\u201d<\/p>\n

Wilkins woke to find her baby and husband by her side in the cardiovascular intensive care unit.<\/p>\n

\u201cThey let dad and the baby stay with me in the ICU, and that meant a lot to me,\u201d she said. \u201cThe nurses were so good to me. They would come into the ICU, put him in my arms and then wait hours while I held him. I also think I saw almost every cardiac surgeon at MCR, and they made sure I wasn\u2019t going to go home until I was ready.\u201d<\/p>\n

\"Registered
Registered nurse Kerry Minster, a cardiovascular intensive care nurse at UCHealth Medical Center of the Rockies, helps Veronica Wilkins recover from her emergency C-section and open-heart surgery.<\/figcaption><\/figure>\n

Wilkins spent a week in the ICU and another in an inpatient room. A strong woman, used to doing things for herself, she struggled with her post-surgery self, but her nurses were very supportive.<\/p>\n

\u201cI told them I needed lots of encouragement,\u201d Wilkins said. \u201cI didn\u2019t know how I was supposed to feel. I didn\u2019t know how I was supposed to be doing. I didn\u2019t feel like I was making any progress. It was hard.\u201d<\/p>\n

But she did make progress, and each day she became a little stronger. During an interview with UCHealth Today 10 weeks later, Wilkins said she had finally gotten a bit of her old life back.<\/p>\n

\u201cYesterday was a big deal for me,\u201d she emailed to UCHealth staff, along with a photograph, on Sept. 29, 2016. \u201cI drove a big ol\u2019 Belgian draft (horse) yesterday, and it was my first time ever driving. I am looking at keeping involved and spending time with my horses, and this could be how I do it. I would love it if Dr. Guadagnoli could see that I am trying to get back to as normal life as possible. He did an amazing thing for me \u2026 He gave me a chance to make it, and I have.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

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