The New Zealand Herald

IVF couple’s last hope

13 miscarriag­es in two years hit baby dream

- Natalie Akoorie

Stephen and Alana Franklin have been counting down to today. It’s when a simple blood test will confirm if Alana is pregnant. But getting pregnant has never been the hard part for the Taranaki couple.

They’ve suffered through 13 miscarriag­es, including two ectopic pregnancie­s and the removal of both of Alana’s fallopian tubes, since they were married in August 2015.

When they first conceived soon after their wedding the couple, who own a painting and decorating business, were overjoyed at the prospect of becoming parents.

“We knew we had a pregnancy — we had two lines,” Stephen, 43, said of the positive test result.

“We were really excited. This was going to be awesome. We had a midwife. We were buying little clothes.”

But as the weeks wore on Alana, 27, began to get stomach pain and slowly some vaginal spotting turned to continuous bleeding.

She endured at least two miscarriag­es before the situation became life-threatenin­g on Christmas Eve 2015 when it was discovered her third pregnancy was ectopic.

This is when the pregnancy occurs outside the uterus, in most cases in a fallopian tube — often if the tube is damaged and the fertilised egg gets trapped inside it.

Alana was rushed into an emergency

surgery at Taranaki Base Hospital, where one of her fallopian tubes had to be removed.

Stephen said the experience was traumatic and left the couple devastated and confused.

They were given a booklet on ectopic pregnancy.

Over the next two years they kept trying to have a baby. Every time Alana conceived it ended in a miscarriag­e.

“We went through 13 miscarriag­es. Some were eight weeks, some were five weeks.”

Alana said the process became a blur.

“I went quite numb for a while and shut down,” she said.

“At the start it was quite dishearten­ing. Then the second one, I was more devastated thinking ‘Wow, another one’. Then the third one, fourth one and I was thinking ‘This is getting quite ridiculous’ and I was getting depressed.”

With each pregnancy she had less and less hope. She saw specialist­s and had a barrage of tests and scans, but the miscarriag­es continued.

In November 2017 Alana had her final miscarriag­e, another ectopic pregnancy.

She was rushed into theatre again where doctors performed emergency surgery to remove the pregnancy including her only remaining fallopian tube.

It was a huge blow and meant the Stratford residents can no longer get

pregnant without in vitro fertilisat­ion [IVF].

They have spent the past 18 months preparing for and undergoing IVF at Fertility Associates in Hamilton.

But because the process requires regular visits to the clinic for blood tests, scans and procedures, they had to stay with friends and, as a consequenc­e, stopped work.

Without an income they started a Givealittl­e page in the hopes they could raise some money toward their living costs. Any extra would be used to fund a further round of IVF, more than $11,500.

If this one is unsuccessf­ul the couple qualify for a second round free. After that, regardless of success or not, they must fund their IVF treatment.

The Waikato District Health Board clinical director of obstetrics, Dr Isabel Camano, said 13 miscarriag­es was unusual.

“The more [miscarriag­es] you have the more chances of having another one and it becomes quite frustratin­g and painful and they become really

At the start it was quite dishearten­ing. Then the second one, I was more devastated, thinking ‘Wow, another one’. Then the third one, fourth one and I was thinking, ‘This is getting quite ridiculous’ and I was . . . depressed. Alana Franklin

distressed, and then there’s the whole component of mental health.”

Camano said only between 0.4 and 1 per cent of the population will suffer recurrent miscarriag­es — that is, three or more consecutiv­e miscarriag­es.

She said there are various reasons for recurrent miscarriag­es including age, chromosoma­l, ovarian and uterine abnormalit­ies.

“Approximat­ely 5 per cent of women with recurrent miscarriag­es have a chromosoma­l abnormalit­y and between 10 and 25 per cent with a uterine abnormalit­y,” she said.

That could be a septum which divides the uterus in two, or a heartshape­d uterus.

“And sometimes we do many investigat­ions and we don’t find a cause and we call it unknown causes.”

In New Zealand about 1600 babies are born annually through IVF.

When Fertility Associates opened in 1987 success rates were at 15 per cent.

Now they sit around 50 per cent for women under 37.

In January Fertility Associates celebrated 20,000 babies born through IVF.

 ?? Photo / Russell Dixon ?? Alana and Stephen Franklin are now undergoing IVF treatment.
Photo / Russell Dixon Alana and Stephen Franklin are now undergoing IVF treatment.

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