Finding treatments & cures for childhood illnesses

 
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Nov 20, 2013

Predicting pre-eclampsia in pregnancy

Heidi was diagnosed with pre-eclampsia when she was 27 weeks pregnant. One week later, her daughter Chloe was delivered by emergency caesarean, weighing just 1lb 8.5oz. Heidi explains how pre-eclampsia has affected their lives, and why she’s so keen to support research into improving the diagnosis of this condition.

“I’m a midwife myself, and my friend noticed I looked under the weather when I was on the nightshift. I was 27 weeks and two days pregnant. I was very surprised to be diagnosed with pre-eclampsia as I had felt fine all the way up to my diagnosis.

Chloe was delivered at 28 weeks and one day by emergency caesarean – I was over the moon as my consultant said getting past 28 weeks is crucial. She weighed just 1lb 8.5oz and had to be put on a ventilator.

Effects of pre-eclampsia

“My daughter is now four years old, and she’s obviously the one who has been most affected by pre-eclampsia. She had such a tricky start to life but she continues to surprise us with how well she’s doing. She was at a higher risk of complications because I had developed the condition so early on in my pregnancy.

Chloe suffers from chronic lung disease, due to scarring on her lungs. She suffers more than others with wheezing and really bad coughs, but she will grow out of this eventually. We tend to be a bit more anxious with her than we would probably be with a full-term, healthy child, but I think most parents would be the same. She will always be smaller than a full-term child, as she has a lot of catching up to do, but developmentally she has caught up with other children.

I donated my placenta for Sparks research into pre-eclampsia. I really look forward to seeing the results of Sparks research project to improve diagnosis of pre-eclampsia. At the moment, I would shy away from getting pregnant with another child in the fear of suffering from the condition again. My consultant told me that, as I had early onset pre-eclampsia, there is a one-in-four chance of it happening again. If researchers could find a marker that would show if it would happen again, or could pick up on it earlier, it would be a massive breakthrough for me, and for all those other mums out there.”

Research for the future

“For those of you who have raised money or awareness for Sparks, I am eternally grateful. Anything that can help prevent other women going through what I’ve gone through, and what I see other pregnant women going through everyday, can only be a good thing. I look forward to the day that research can pinpoint those women at risk of pre-eclampsia, and maybe one day they can prevent it from happening at all.”

May 13, 2013

Using mirrors to treat cerebral palsy

Holly and her mum
Holly and her mum

Using mirrors to treat cerebral palsy

When Holly was 20 months she was diagnosed with cerebral palsy a condition which affects the movement and co-ordination of her right hand side. Holly is involved with a Sparks research project which uses mirror therapy to help improve the function of her affected arm. Here her mum Denise tells us more about Holly’s story and why they decided to get involved with the project. 

‘Holly is a very happy, very cheeky and determined little girl who is loved by all who know her. She’s quite the performer and is forever putting on dance shows for us with her sisters Alice and Amy. They’ll disappear into the dining room for hours and emerge with their latest show that they’ll perform for me and my husband Paul.

Holly was born at 2.40am on 24th May and initially everything seemed fine. When Holly was about 17 hours old, she stopped breathing for a short period of time and turned grey. My sister was visiting me at the hospital and as she picked Holly up she turned to me and said that she wasn’t breathing. This was horrendous and of course we immediately rang for the nurses. Holly started breathing again naturally but was transferred to the Special Care Baby Unit, where she had a brain scan, a lumbar puncture and numerous other blood tests.  Nothing untoward showed up and we were able to take Holly home when she was six days old.

Holly was around four months when we noticed something wasn’t quite right. She never relaxed when I was feeding her and her little body seemed so tense. When she was about six months old, we started encouraging her to try and sit up but she would seem to throw herself backwards, and always held her right arm behind her, with her fist tightly clenched. As Holly was our second child we knew that something wasn’t quite right and at first we worried that she may have dislocated her shoulder.”

 Getting a diagnosis

“I remember mentioning our worries to our health visitor who told us that all children were different, and not to compare Holly to our first. When she was eight months we raised our concerns again and were referred to the physiotherapist. We went to see her when Holly was about 10 months old, at which point she was still not sitting up properly and couldn’t roll over. Within minutes of meeting Holly the physio said she believed Holly had suffered a brain injury. Holly was referred to our local children’s physiotherapy unit immediately.

At first, when we were told Holly has a brain injury, I don’t think we fully understood its significance. We asked how long it would take to get better but the physio told us that it wouldn’t. How Holly was then, was how she was always going to be. I think we only understood this fully when we got the final diagnosis of cerebral palsy when Holly was 20 months old.

Following her diagnosis, we spent two days questioning what it meant for Holly and us as a family. Naturally we were extremely upset. But then we realised that Holly was still Holly, our cheeky and determined little girl. So we just carried on as normal and we’ve never really looked back.”

Living with cerebral palsy

“Holly knows she has cerebral palsy, although initially she called it ‘terrible palsy’ which is what her little sister Alice now says too. Holly knows that it’s why she falls over, why she doesn’t always make it to the toilet in time and why her right hand doesn’t work in the same way as her left.

Holly’s sisters, Amy, 10, and Alice, 5, understand the condition. Alice knows that Holly can’t run as fast and falls over, and even wonders why she can’t have a splint like Holly.

Amy is very much a big sister to both Holly and Alice but more so with Holly. She gets upset when Holly falls and hurts herself and takes extra special care of Holly at school. Whatever therapy Holly has had, her sisters have always been involved, whether it’s playing games, helping with speech exercises or going to watch Holly when she does hydrotherapy. They always celebrate Holly’s achievements because they recognise that anything Holly achieves always takes that extra bit of effort.

I would say that Holly’s diagnosis has changed the way we approach things in life. We have had to devote more time to Holly’s needs and I gave up work when Holly was diagnosed.  But I wouldn’t call it negative. Our children are our life. As a family we go swimming together a lot, Holly in particular loves it and has been an avid member of the local swimming club for the past year. The girls look forward to going to the Donkey Sanctuary for the sibling sessions where they can ride donkeys together and enjoy each other’s company.”

 The mirror box

"Holly loves being involved with the mirror box and had a wonderful time when she visited the project. She likes things that are personal to her and holds them very close to her. Before we went I told her why we were going and how it will help her affected arm move better, so she knew what to expect. She is very pleased with her mirror box and I can already see it’s starting to make a difference.

I think Sparks is a fantastic charity that is there to support so many areas of research.  It is because of such research that children like Holly are given hope for what they can achieve.”

Links:

Jan 8, 2013

Adapting our lives for Batten Disease

Laura and her mum Ellen
Laura and her mum Ellen

Laura has Batten disease, a very rare neurodegenerative disease. Children are born apparently healthy, develop epilepsy, and lose their sight, speech, mental and motor abilities before dying between the ages of 5-30. The condition affects approximately 200 – 250 children in the UK with at least 10 new children being diagnosed each year. Laura’s mum Ellen explains how juvenile Batten disease has changed their lives.

“Laura is a bright, beautiful, kind girl who is fiercely independent. She’s everything I could ever have hoped for in a daughter.

When Laura was six years old we noticed that she was holding books closer to her eyes and was edging nearer to the television. We took Laura for a check up at the opticians, which lead to a visit to our local hospital and an
initial diagnosis of bilateral macular dystrophy. We were told this would mean a slight decline in her vision which would then stabilise for many years with partial vision. We were told it might be another 10 to 20 years before Laura
would suffer any further decline.

We re-organised our home and Laura’s schooling to adapt to Laura’s partial sight. But 18 months later she had no useful vision left at all. We changed everything again and started home-schooling Laura. She began achieving
more than we could have ever expected and we believed Laura would live a very fulfilling life as a blind person.

One day Laura had an epileptic fit but we were told that it was not related to her vision, that it was very common for children to have one-off seizures.

In the November of that year I made an appointment for Laura to see a leading consultant at Moorfields Eye Hospital. I nearly didn’t mention the epileptic seizure that Laura had suffered 18 months earlier as I had almost
entirely dismissed this from my mind.

At the mention of the epileptic seizure the consultant’s demeanour changed and in that instant I knew that we were facing the worst sort of news. He made an immediate appointment with the Paediatric Neurologist upstairs and I
was offered a quiet room and a cup of tea. I could not stop the tears flowing, though I tried to shield my dismay from Laura. Laura needed a blood sample and we had a wait of six weeks before we got the result. My husband David and I travelled back alone to the hospital in January 2009 and were given the diagnosis of juvenile Batten disease. Laura was nine years old.”

Family life
“Life before Batten disease seems like a different world to me now. Every aspect of our family life has changed. Almost every day involves heartache of some sort. The unrelenting pain of this situation has definitely taken its toll on us. On the more positive side, we have all become much better at handling this constant pressure. One of my favourite quotes is, ‘Life shouldn’t be spent waiting for the storm to pass, but learning to dance in the rain’. We are now very good at recognising and seizing every opportunity to dance!

When we explained Batten disease to Laura we described it as her ‘naughty gene’ and she knows that it is this naughty gene that has taken away her eyesight, which causes her to have epileptic seizures and makes her clumsy
and forgetful.

Laura is still exactly the same person. Her circumstances continue to become increasingly difficult as this cruel disease closes more and more doors for her. The exclusion she encounters every day is heart breaking. She does cry quite often, especially when facing rejection. Having said that, I could not be more proud of Laura for the way she copes. She never complains and always makes the very most of any opportunity she is given.”

Living with Batten disease today
“Laura now spends her week away at school in Worcester but when she is home she enjoys listening to audio books, re-enacting these books and playing cards or walking the dog. When Laura is at home I spend all my time caring for her. It’s relentless and exhausting and trying to find meaningful activities to fill Laura’s day is one of my biggest challenges.

My hope is that in my lifetime, we will find a cure for Batten disease in order to save other children from suffering like my own daughter has. I am really grateful to Sparks for funding a research project that looks at therapies to treat juvenile Batten disease. This project offers real hope of moving us significantly closer to finding an effective treatment. Sparks’ research into Batten disease is inspiring and we really believe it can make a difference and provide the hope that is needed for children like Laura.”

Links:

Sep 28, 2012

Losing our twins

Michelle with Poppy and Henry
Michelle with Poppy and Henry

Michelle  gave birth to twins at just 24 weeks. Sadly they were born so prematurely that they died.

"My husband and I were trying to get pregnant for a long time.  In the end, we discovered that the only way we could have a baby was through IVF.  The first round didn’t work but the second time I was told that I was pregnant with twins. I’m not very tall so with twins I was huge and felt quite uncomfortable. A day before I reached 24 weeks I went into labour.

I gave birth to a little boy and girl. The boy was born alive but his water had suffocated my little girl and she was stillborn. As he was under 24 weeks, the hospital was unable to resuscitate him. I only really remember bits and pieces of this, I was shell-shocked and couldn’t process anything, especially not the hospital staff asking me to sign a 'Do not resuscitate' order.

We kept trying

Six months later we tried again but I didn’t get pregnant, my body had gone through so much that the doctors thought it was too distressed to take on another pregnancy. Four months later we tried again but this time I had an ectopic pregnancy and miscarried. A few months later we gave the IVF one last shot. It had cost us such a lot and we decided we couldn’t do it again.

This time round I fell pregnant. I was pregnant with twins again, which terrified me in one respect but in another made me think that my twins had come back to me. Everyone around me was incredibly scared and some people couldn’t even talk to me because they didn’t know what to say, that was something that I found really difficult.

Henry and Poppy arrive

I went into labour while watching Desperate Housewives and Poppy and Henry were delivered by an emergency caesarean, weighing 4lb 12oz and 4lb 15oz. They were healthy and well but because they weighed less than 5lbs they were taken to the Special Care Baby Unit.

Henry and Poppy are now 2-and-a-half years old and those 2-and-a-half years have been the best years of my life. But I will never forget my first twins. If I regret anything from that time, it is that I didn’t name them.

I wanted to share my story with Sparks to give strength to others who have had similar experiences and to highlight the work that Sparks is doing to change the outcome for babies born prematurely. People don’t realise how many twins are born prematurely and why this happens.  The work that Sparks does continuously helps parents who have had a premature baby and also works to understand why it happens and how it can be prevented. Sparks is a truly wonderful charity, devoted to children and their families."

Links:

Jun 26, 2012

Conquering Club Foot

Mum Anna with Archie
Mum Anna with Archie

Since 1991, Sparks has committed over £23 million for research into serious conditions affecting the health of babies, children and mums-to-be. Being born with clubfoot (congenital talipes equinovarus) means that life has not always been easy for 12-year-old Archie.

His mum, Anna, tells us their story and why there is such a need for medical research in this area…

“I remember the moment when Archie was born, thrilled at the safe arrival of our first born child but shocked when we noticed his left foot. It was severely curved inwards at 90 degrees, or rather it pointed East rather than North; his leg badly bowed from the knee and there was no cartilage inside the heel to naturally weigh the foot down. Our instant euphoria turned to fear and dread.

We were really lucky that the hospital where Archie was born employed one of the UK’s leading Paediatric Consultants specializing in clubfoot. She diagnosed Archie’s condition immediately and he was given the right treatment at just five days old – he was tiny.

He had to wear a plaster cast for the first 10 months of his life and learned to walk with a cast on his leg at just 13 months. This kind of perseverance and determination is a big part of Archie’s personality even now.

Since then he has had lots of different operations and treatments to get him where he is today. But he has coped with it fantastically and he is the one who has given us strength. He has one leg that is thinner and weaker than the other so he has to be careful not to damage it. Sometimes he gets embarrassed and doesn’t like to wear shorts but he won’t let it hold him back.

Shoes can be an issue for us as Archie’s feet are not even nearly the same size – one is a size four and the other is a size seven! So we end up buying two pairs of shoes. It can be hard to match the colors and styles between adult shoes (size seven) and children’s shoes (size four).

Sometimes we get a special insole made in the hospital with a toe block at the end, rather like a blocked ballet shoe, in order to buy just one pair of size sevens and get the left shoe to fit comfortably on the smaller foot! Still it’s a small price to pay to watch him indulge and succeed in his passion for all sports.

When Archie was seven years old he had an operation to release the tendons in his left foot in order to stop his foot curving inwards and to prevent him walking on the outside of his foot only, rather than on the whole of the sole. The op was estimated to take 40 minutes however he ended up in surgery for nearly three hours. I was beside myself. I think I’ve watched too many episodes of Casualty – and was thinking the worst, like most mums do. In the end it was a success, but months of physiotherapy followed. I used to bribe Archie with sushi, his favorite food, to encourage him to cooperate at his physio appointments – that and missing a bit of school always did the trick.

I’m so proud of Archie’s achievements, he is incredibly determined and he won’t let clubfoot beat him. He does nearly every sport going from rugby to skiing, even though he needs specially-made ski boots to compensate for the difference in the size of his feet.

Clubfoot is something people don’t know much about and we want to give it more exposure so people can understand what it is, and what advances need to be made. It sounds like something out of a Dickens novel but clubfoot actually affects around 1,000 children born every year in the UK. Not so many years ago a boy like Archie would have been condemned to life in calipers and the cruel social exclusion that would have gone with it.

Now treatments can be improved even further. They have already made developments in the 12 years since Archie was born and research plays a huge role in this. I’m also aware that there is virtually no government funding into lower limb disorder research and that it’s largely down to charities like Sparks, who funded one of the world’s largest studies into the disorder.”

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Organization

Project Leader

Eleanor Windle

Miss
London, London United Kingdom

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