Maternity Services Prenatal complication has a happy ending!

Ashley & Madison
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Diabetes can have a profound impact on pregnancy, and childbirth. Ashley, a type 1 diabetic, was being treated for a kidney infection at Seton Medical Center Austin when her pregnancy was first detected. The hospital introduced Ashley to Karen Kish, MD, Ob/Gyn (OB/GYN Group of Austin) who began working on the case.

Fluctuation of one's blood sugar level, naturally intensified during pregnancy, can in turn have a detrimental effect on the development of the baby's organs. At 20 weeks, prenatal scans showed some fetal abnormalities and Ashley's child was diagnosed with heterotaxy syndrome: displacement of certain organs. In this case, the baby's stomach was on the opposite side, two livers were detected, and the heart's aorta was situated to the right of the left ventricle. It was also determined that the baby had no spleen, and could be at risk of additional cardiac issues unrelated to the syndrome.

As is the case with most high-risk pregnancies, Seton Medical Center Austin organized a care conference uniting Dr. Kish and several members of the Seton Austin maternity team with Ashley and her family to educate and prepare them for what would be occurring at delivery. Dr. Kish also contacted Dr. J. Pat Finnigan, MD, - a pediatric cardiologist at Dell Children's Medical Center, another member of the Seton Family of Hospitals - to coordinate and provide optimal in utero care. The pair worked in concert with perinatologist Timothy Harstad, MD (Texas Perinatal Group), an obstetrical subspecialist trained to care for mothers and babies involved in complicated pregnancies.

Maternal diabetes can also alter development of the baby's lungs. Therefore, timing of the delivery is vital, and always induced. Ashley delivered her new little girl, Madisyn, at 36 weeks.

After 11 days in Seton Austin's Level III Neonatal Intensive Care Unit (NICU), and two surgical procedures, Madisyn is a happy, healthy child. Ashley is new to Central Texas, and so thankful for the care provided at Seton Medical Center Austin - with a special call out to Morgan Lanier, RN, who literally stayed at her side for the 24 hours preceding delivery - that she's preparing to deliver Madisyn's little brother at Seton Austin later this year.

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