Gianna Rose Kovacs
As told by Gianna's parents, Amy and David Kovacs
It was a normal, uneventful, joyful pregnancy, albeit filled with a little anxiety since our first pregnancy ended in a “missed miscarriage” just three shorts months into our marriage. I was thrilled to be pregnant again after losing our first child at 9 weeks’ gestation and my anxiety led me to be very diligent in watching over my health to keep the baby as safe as possible. After doing thorough online research, I did everything I could to ensure my and the baby’s health: I changed my diet to a completely organic one, drank recommended amounts of water daily, exercised daily and got plenty of natural sunlight, and after copious amounts of online research and reading reviews, I decided to get prenatal care from the midwifery services at a well-known teaching hospital near our home in Northern Virginia. I was adamant about having a natural birth and chose the midwifery services for this reason. It was reassuring to know they were “experts in the birthing process” yet were still supervised by doctors and practiced in a hospital environment.
I went into labor a day before my due date. Everything progressed as normal. We followed the midwives’ suggestions to a ‘T” and checked into the hospital once the contractions got stronger. The day we checked into the hospital just so happened to be my due date. I was brought to a labor room and was immediately monitored and checked by a midwife. I was already at 8 cm and was told that the baby should arrive in a few hours. Although in an extreme amount of pain because I was already in active labor, I was so excited to meet our little girl. This was at 9am. I chose not to have an epidural because I wanted a natural birth with no interventions, a philosophy to which the midwives prescribe. At noon, when I was at 10 cm and completely effaced, I was told to push.
This is when it all went horribly wrong. At the time I was told to push, Gianna’s head was not yet engaged. The head needs to engage in the pelvic inlet, which allows the rest of the body to engage in delivery. Her head was in a transverse position and never rotated to a face down or face up position, which is essential for a natural delivery. This scenario of pushing a baby in a transverse position should not have lasted more than 90 minutes. An unengaged fetal head is a sign that vaginal delivery might be difficult and after 90 minutes without signs of progression, vaginal delivery will definitely not happen. And if there is no progression in the baby’s position, a C-section is protocol. This is basic knowledge learned in the second year of medical school. A baby cannot withstand hours of contractions because their oxygen is restricted during that time and they do not have enough reserve to withstand the pushing. But the pushing continued for six more hours. I was told it was normal for a first-time birth to take this long. I was told that everything was okay. I was told to just keep pushing. There are time limits of every stage of delivery and 6 hours of pushing with no progression is unheard of and completely negligent. As I was told by a member on our investigative team, “It was like you were in a jungle having a baby with no person of medical expertise around.” I finally asked for an epidural because I thought I was going to die, literally. The pain from pushing that long with no painkillers was indescribable. Even when I asked for an epidural, I was questioned by the midwives who seemed to think that it wasn’t necessary. Despite their resistance, I insisted. Once I had the epidural, they noticed the baby’s heart rate decreasing and called a doctor in to assess the situation. It was now around 6pm. The doctor found meconium and a C-section was discussed. I was eager to have the C-section so it would all be over and we would have our child in our arms.
Our baby was delivered via C-section at 6:57pm with no spontaneous cry. She was rushed to the NICU and immediately intubated. She continued without spontaneous respiration and was limp and apneic. A physical exam at 7:15pm revealed a comatose baby and EEG results showed no brain activity.
I had no idea what happened. All I knew at that point was that our baby didn’t cry when delivered and was taken out of the operating room. I hadn’t seen her yet. Once I was in the recovery room, I was told by the NICU doctor, in a vague way, that she wasn’t doing very well and wasn’t breathing on her own.
The next four days were a blur. We had friends and family constantly visiting her and us in the hospital. We had strangers reach out via social media telling us they were praying for Gianna. Her situation never improved and was slowly deteriorating. We were overwhelmed and felt lost and devastated. What had happened? We had no idea. No one was giving us any answers. We were strictly updated on Gianna’s current status but were never given reasons as to how she got to that point, comatose, with no brain activity. During those four days in the hospital, we didn’t have enough energy to focus on what happened although it was constantly in the back of our minds. We had to focus our energy on what decisions we should make about Gianna’s present situation, which were overwhelming enough. After days of devastating lab reports and tests, Gianna showed not one sign or hope of recovery. After much prayer and thought, we decided to let her pass naturally in our arms. It was the saddest and most traumatic moment of my life.
I entered the hospital with a living, kicking, thriving baby in my womb. Four days later, we left empty-handed and heartbroken.