Showing posts with label london. Show all posts
Showing posts with label london. Show all posts

12 June 2013

Choices & Challenges - Erin & Kate's journey to a family

By Hannah Latham, Editor of We Are Family Magazine
First Published in We Are Family Magazine, www.wearefamilymagazine.co.uk

Having kids was part of the package from the second date for Erin and Katie. Once their relationship was established they pushed ahead with plans to start a family. The couple are now the proud parents of a beautiful daughter, Maisie, but they had no idea it would take three years, all their savings, months of therapy and the heartache of two miscarriages to get there. The conception also turned out differently to how they’d planned…

When they met, Erin was 38 and really wanted to have a child. Katie could see herself as a parent but was not interested in being pregnant. It was the perfect match. Erin had a friend in London (Tim) who had approached her about becoming a dad. They invited Tim over for the weekend with his boyfriend, Blaise; the four of them got on famously and started meeting regularly to talk about parenting. They discussed everything: their upbringings, discipline, education, schoolyard bullying, culture. They would, after all, make a diverse family: Erin and Blaise are American, Tim is Dutch and Katie is English. They also needed to consider the geographical logistics between Portslade and London.

Teasing out everybody’s expectations took time as it often can in co-parenting
arrangements. They laid out their expectations and found as they did so some of
their needs changed. At this stage Erin and Katie went to a therapist to establish if co-parenting was for them. They were still seeing the therapist eight months later. So although exciting, the discussion process was long and emotional.

“The boys wanted to discuss their involvement,” says Erin. “We were really worried as we wanted to be the primary parents. We imagined having the child 90% of the time with them parenting 10% of the time.” “We thought they’d want more then that,” Katie continues, “but they were really worried – they’d imagined a similar split but thought we’d want them involved more.” They had an awkward discussion. “Tim nervously suggested a split of 85% us parenting, 15% them parenting”, says Erin. “We were like great, yeah, it’s a deal!”

The two couples also considered drawing up a pre-conception agreement through a solicitor, outlining the terms of their arrangement; who has how much responsibility, where the child lives and who takes what role.

The law protects the best interests of the child so such documents are not legally binding: they would only be taken into consideration if things went to court. For this reason they decided against it. “We came to the conclusion that you couldn’t ever cover every scenario; we’d have to have a bit of trust in one another,” says Erin. “So long as we communicate and are honest about our feelings, we’ll be alright.”

It was decision time. After a lovely day all together, Erin and Katie texted the boys asking them to be the daddies. “They were on the train. Blaise burst into tears! They had a cuddle and it happened to be Father’s Day so it was the greatest Father’s Day present,” says Erin.

It was all systems go. Erin had some tests through the NHS. Erin and Katie planned to go to a clinic as it would give them the best chance to conceive and they could legally both be on the birth certificate. The tests gave Erin the green light, but to be sure she had her ovarian reserve checked at a private clinic – a test not offered on the NHS. The result was awful. It came back as ‘critically low’ – she had very few eggs left and those that she did have wouldn’t take or would end up with abnormalities. “I was in shock,” says Erin. “My periods were a little irregular but not much. The scary thing is the tests on the NHS were positive. I could have been trying for years.” Their only option was for Erin to have IVF with donor eggs. Katie then had tests. “Ironically my fertility rate was really high,” she says.

Katie decided to donate her eggs to Erin. This would save a lot of money as donor eggs are expensive. Erin would still get to carry the child and one of them would still be genetically related to their child.

Complications forced the couple to move to a London clinic. The travelling added extra stress to the already stressful experience of IVF. Both women went on strong hormone treatment – Katie in preparation for egg harvesting and Erin to prepare her body for having the fertilised embryos implanted. The drugs can cause serious physical and emotional side effects. “We were both batty,” says Erin. They were also administering the daily hormone treatment themselves – Katie’s by injection, Erin, who is phobic of needles, had pills. When they added injections into her backside to her plan she was in tears. Katie had to do them for her. The sheet explaining how to avoid the sciatic nerve did not help with Erin’s anxiety levels. They got through it and the first egg was implanted. After two weeks the pregnancy test was negative. Erin and Katie were upset but Tim and Blaise were optimistic and positive. The second attempt was a success. Everyone was over the moon.

Erin felt symptoms and everything went well until week seven when she had a scan (they do them early in IVF pregnancies). They couldn’t find a heartbeat. “They told us to come back in a week because it happens and can be wrong. I think they were trying to be optimistic,” says Erin. They went home and did some research and suspected she was no longer pregnant. With heavy hearts they got a blood test. It confirmed she’d had “a missed miscarriage” – the foetus had died but her body was yet to flush it out.

Erin was devastated. She was given three options: a pill that would cause a miscarriage in the next couple of days, to have the foetus removed in hospital, or to go home and let the miscarriage happen naturally. “I was so upset. I just wanted to go home.” So she did. A week later nothing had happened despite her still feeling pregnant. “That bit felt so cruel,” she recalls, “the nausea was still there as my body was still full of hormones.” She couldn’t take any more and went in to hospital to have the foetus removed. It was a difficult time for everyone.

Erin picked herself up and gave IVF another try but it didn’t take. Having spent several thousand pounds already, the pressure was on. They discussed their options and for the first time Katie considered pregnancy. They had embryos on ice, which had “cost a fortune”, but the fee for implantation was small.
Katie decided to give IVF a go. Two embryos were implanted and two weeks later she was pregnant. “I was relieved but in shock,” she says.

Normal pregnancy symptoms kicked in: feeling sick and tired. The date for her early scan came up and as they knew this was normal proceedure, Katie trundled off up to London on her own, unprepared for what they were about to discover. The scan showed two heartbeats – twins! “It was amazing. I couldn’t believe it,” she says. She phoned Erin who was in total disbelief, then elated. This solved the problem of siblings. They’d be tired but they wouldn’t have to face IVF and pregnancy later.

Everyone adjusted to the idea and the couple thought about moving house as their two-bedroom home in Portslade was quite small. But then at around nine weeks Katie started getting painful cramps and blood-spotting. After Erin’s miscarriage they feared the worst. Could it possibly be happening again? After everything they’d been through? Were they about to lose a second pregnancy and twins too…?

It was a Saturday night after a busy day working a stand at an art fair (Erin’s other passion is for her art). They were in bed early. Katie got up with a sense of urgency. “Oh God, something’s happening,” she said, waddling to the bathroom. Erin watched, panic setting in. “I saw blood rise up to her panty line, over and down – nothing but blood. It was horrific. Never mind the pregnancy and losing the babies, I thought she was going to die.”

They suspected a miscarriage but didn’t know what they should do. Erin phoned a gynaecologist friend. “She said, ‘forget about the babies, you need to think about Katie. If she’s really pale get her to hospital.’” Katie was slumped on the bathroom floor in a pool of blood with no colour in her face. They drove straight to A&E where she was admitted to the early pregnancy unit. A miscarriage was confirmed but it was the weekend and there were no staff to do a scan and find out exactly what was going on inside. “They said they didn’t want to get our hopes up but the cervix wasn’t open,” says Erin. “If the cervix is open everything comes out.” They were sent home, told to rest and let the miscarriage run its course.

“I was devastated,” Erin says. “We had no money left. It was done. We’d have to adopt.”
“But I had a really strong feeling I was still pregnant,” says Katie.

They got home at 4am and spent the rest of the weekend holed up. Tim and Blaise were also upset. They then had an agonising two-day wait for a scan. Back in hospital they dimmed the lights. Erin gripped Katie’s hand. The first thing they saw was the spot where an embryo had come away. Then, there it was, the other embryo, intact with a strong heartbeat. “It was amazing one was alive after all that,” says Erin.

The next couple of weeks were torturous. Katie was a mess. Bleeding on and off she was obsessed with checking the blood was brown, not bright red (the sign of a miscarriage). She also had severe morning sickness. They had a scan at just over 11 weeks and were told their baby had grown, was a healthy size and all was well.

The debate about finding out the sex of the baby had been long. With Tim outnumbered, it was decided they’d wait until the birth, but after everything Katie had been through she felt she’d be able to connect more with the baby if she knew. Everyone understood. At the 20-week scan they were told it was a girl.

The pregnancy continued without any more scares. The due date was the 1st of May, but things kicked off a few days early and after an initially fast labour, then a ventouse delivery, Maisie Marie JoAnne Parker Burns was born at 7.35am on 29th April 2012, weighing 8lbs 8oz.

27 September 2012

Building a happy family

This week we made the not-so-life-changing decision not to have our own children. To pretty much all of our friends and family, this will be a complete surprise. So how did we get from deciding between a known or unknown donor to help create our family to a life path that does not include having our own children at all?
If you'd have asked us a week ago if we were going to have a baby now that we've got married (or civilly partnered if you're being pedantic) we would have said yes without a doubt. So it is quite surprising to us that we have both had a re-think and changed our minds.

The scene is a rainy sunday car journey on the way back home to London from a softball tournament (a common situation for us on summer Sunday afternoons). The conversation, which we have been having on and off for the best part of the last 18 months (following the trend of many of our friends starting their own families), began with an attempt to reconsider using a known donor.

We charted the pros and cons of the unknown donor route and considered the two biggest cons with this route. 1) the personal safety risks of meeting up with a stranger; and 2) the challenge to guarantee medical history without the use of a clinic.  Another consideration was the cost in thousands of pounds when using a clinic for insemination. These had also become top of the list of reasons to say no to this option. So we went back to the original plan and we discussed building a relationship with a potential known donor, where the main risk we considered would be the donor's proximity to the upbringing of the child and potentially wanting shared custody, however tight our family contract defining relationships might be.

Our decisions weren't difficult in the end, but it wasn't easy either and it has taken months to mull over and consider the multitude of routes available. Over the last few months, we've looked at a lot of options. Partly because we could potentially face fertility issues due to (Katie's) ongoing health problems, and partly because the cost of using a clinic is prohibitive and money we would rather spend on the family than making the family. However none of the myriad of options has ever felt quite right. Perhaps this was why we had been having the debate for the last 18 months rather than settling on a method and working towards it. We then started to think about adoption as an alternative for us to having a child, this conversation developed, and then we decided that rather than have a baby of our own perhaps we could adopt a baby. Then we took our thoughts a step further, because we know that the adoption process in the UK is slow and drawn out, and also that we would still have to make quite a few adjustments to our busy and fun lives (Planet London would surely not survive and which one of us would get to play softball?).


We thought more and more about the fostering route and supporting LGBT young people through Albert Kennedy Trust, and maintaining an open door policy for friends and family in need. Both of us are really keen on this and want to incorporate it into our life. Having our own children would potentially be a hinderence to this.

We are also really committed to Planet London and the other activities we do outside of work. Could we really continue to do any of those if we started a family? Probably not, or not to the same extent. And in all of the couples we know, we've found one is able to still take part, the other stays at home with the baby. How would we agree who got stuck at home?

It was at this stage that we both realised that there was another option, one that quite suits our ethos, and general love of providing a safe haven whenever we can to people who need our support. We decided that we would look to have a home where we would have a spare room. The aim being to offer a space for working with a charity like Albert Kennedy Trust to home young LGBT people who have been made homeless due to their sexuality; and for friends who need a sofa for a week or two.

For some reason on that particular Sunday, for the first time in our many conversations, we posed the question "do we need to have children?" It was a revelation. It was the one aspect of having a family we had never seriously considered. And we had considered all the elements of having a family very seriously. From naming the children, to picking out friends who could be potential donors, to saving to buy a family friendly home near a good school.

All of a sudden it felt like the clouds where clearing in our conversation.

The options for our life together without having our own children felt like the possibility we'd been waiting for. Rather than adapting our lives to accommodate children, why not just not have children? What were the reasons we thought about starting a family for anyway? Because it's what all our friends are doing, or because as women in their early thirties there is still a societal pressure that's what we should be doing.

We're letting the dust settle on the decision. And also, it's one we could change our mind on at any point. But we both agree, having babies isn't the right way for us to grow our family - at least for now. And we're excited about the opportunities we'll have to help young LGBT people in need.

Article by Naomi and Katie Bennett-Hall
 

6 December 2011

Equality Act 2010 - what it means for lesbian women

Under the Equality Act 2010 PCT’s would be unable to treat same sex couples any differently to heterosexual couples. It would be unlawful therefore for your local PCT to say a particular treatment was only available for heterosexual couples and not same sex couples or for heterosexual women and not lesbians. The criteria they ask for from same sex couples would need to be the same and they would need to assess you in the same way. If their policy states that a heterosexual couple would be entitled to fertility treatment if the woman has been diagnosed with a fertility issue and are entitled to certain drugs then the same should be applied for same sex couples.

Stonewall are working with PCT’s across the country to help them address the health needs of lesbian and bisexual women. You may also find the following contact of use:

Equality and Human Rights Commission
http://www.equalityhumanrights.com

Infertility Network UK
http://www.infertilitynetworkuk.com

29 October 2011

The Miraculous Conception

Well it’s come to that time for us where we are starting to think seriously about having children – we’re not ready to start quite yet, but we are starting to think about the ifs and hows, and are wanting to ensure that we are ready and fully prepared.

Now, for any female-female couple this takes a lot of planning, discussion and decision making given there is a missing ingredient, and many sources of obtaining and using this vital ingredient. There is so much information available online, and so many avenues you could choose to take. How do we choose what is right for us?

However, we were also approaching our GP for advice because of previous gynae conditions that might make it difficult to conceive, in advance of trying to help us make the right decision when the time comes based on what options we might have. One of us is facing a scenario where it might not be possible to conceive or even carry a baby (and not without medical support for sure) but that’s okay – because there is a back up womb, right? But what if this womb isn’t going to work either? We don’t know, because we’ve never tried, and aren’t going to have any unplanned discoveries.  So all we wanted to know from the GP was if womb number 1 isn’t going to work, will womb number 2? Given womb 2 is experiencing problematic periods and currently trialling various medications and tests... are we overreacting in checking or trying to be mature, and sensible?

Apparently, it’s just not that easy. First of all, you have to have tried and failed reproducing before you can get a test to tell you whether you are able to. Not that easy for lesbians is it? Not without spending a shed load of cash on your method of choice in the first place. So, this policy is somewhat implicitly discriminating, yes? Furthermore, the GP states (verbatim) “you would not be eligible (for NHS fertility treatment) as you are not a heterosexual couple”. What she apparently meant by this was the point made previously, you have to have tried and failed before you can even get a test.

So where does this leave us? I asked (womb 2), instead of getting up and leaving as she clearly would have preferred. Apparently we can have a blood test to check some hormone levels and she reluctantly mentioned the possibility of an ultrasound – letting me know that was the most that the surgery would offer, however she didn’t give me any hope or any indication that they would give me these tests. Despite my pushing I left the surgery without a future appointment, without any action plan, and with absolutely no indication that they were even going to consider helping us out.

But what if we do have fertility issues? Can we get NHS support? Or are we  not eligible because we are a female-female couple?

Where do we go to get information? What are our rights? We thought there was a law in place that protected us from discrimination in the delivery of goods and services. Stonewall have written about how we might assert our rights in response to the Equality Act 2010 but there is nothing specific about accessing fertility services here. The NHS’s own health page is a one page superficial description of a couple of the options available, but again no information on how to access the options.

Two years ago, a lesbian couple successfully sued the NHS for refusing to treat them as an infertile couple (Source: BBC News) – but they had to spend money on fertility treatment first – as the doctor told us. So where do we stand and where can we go from here? What about those lesbian couples who don’t have thousands stored in the bank to give to The London Women’s Clinic for private fertility treatment?

So that is the background to this blog. We positively encourage you to contact us with your experiences. We’ll post them, and we also want you to comment on these posts. Share your shock and anger, your dismay, even the fact that you’re not at all surprisedor share your experiences with us if they have been positive. We want to hear from you.

We will continue to look into this, talk to friends, charities, companies, and most importantly, we’ll keep trying to “conceive naturally” (ahem!) in the mean time, and go back to the doctors for advice following what we are fairly confident will be an unsuccessful attempt at an immaculate conception!

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