High-risk twin pregnancy during COVID-19 pandemic

An ultrasound revealing twins was the first of many surprises experienced by Meagan and her family throughout her pregnancy — including prolonged hospitalization during the worst public-health crisis the world has seen in 100 years.

For an update on Meagan’s story, click here, to see how the family is doing.

At just 28-weeks pregnant and in the midst of the COVID-19 pandemic, Meagan Ann Gordon was admitted to the hospital with placenta previa. Alone and unable to see her husband and young daughter, she began an unexpected journey of resilience, optimism, and compassionate care in the midst of an uncertain time.

Meagan's UltrasoundThe beginning of a special journey

Just a few weeks into her pregnancy, Meagan Ann Gordon went for her first ultrasound appointment. Her husband, Kyle Gordon, was out of town and unable to join her. Having already gone through a full-term and healthy pregnancy together with their first child, Maeve, Meagan felt confident going to this appointment on her own. After all, what could be so different this time around?

What her appointment revealed was an unexpected and happy surprise — twin boys! This was the beginning of many unanticipated turns Meagan would experience throughout the duration of her pregnancy — including the emergence of a novel coronavirus that would alter life in previously unimaginable ways.

Pregnant with twins

Pregnancy comes with so much anticipation and excitement. When Meagan discovered she was having twins, she was elated. Aside from standard nausea and mild discomfort, her pregnancy was going smoothly — up until midway through her second trimester. Her doctor observed that her placenta, shared by both babies, was covering her cervix — Meagan had placenta previa. This can cause significant bleeding throughout pregnancy — a reality that Meagan was all too familiar with. She experienced several bleeds that required her to stay at the hospital overnight so that her doctors could monitor her health and that of her babies. But at just 28 weeks pregnant on April 22, 2020, she experienced a bleed so large they called an ambulance. She was once again admitted to the hospital, where her care team felt she needed to stay until delivery.

Megan Gordon's sidewalk message
On Mother’s Day, Kyle and daughter Maeve, visited Meagan outside of her hospital window, leaving her a sweet message to remind her how much they love her.

For five long weeks Meagan remained at the hospital, confined to her room, away from her husband and her three-year-old daughter, Maeve. Due to the emergence of COVID-19, like many hospitals across the globe, The Ottawa Hospital has been under visitor restrictions, preventing Meagan from receiving any visitors or being able to leave the unit to visit loved ones. Pleasures that she might normally experience had she been at home, like having a baby shower with her family and friends or decorating the nursery, she missed out on.

“Being away from my husband and my daughter was really hard,” said Meagan. “But I wasn’t alone. I was with my boys and I was doing what was best for them and their health. I was also being so well taken care of by the nursing staff. They knew how hard it was to be away from my family, especially on Mother’s Day and they went above and beyond to be kind and supportive.”

Throughout the duration of her stay, nurses treated Meagan more like a friend than just a patient, helping to bring a level of comfort in a time when she was so isolated from her own friends and family. “They stopped by my room even if they weren’t assigned to me on their shift just to say hello and to chat. They shared stories of their life outside of the hospital walls and met my family over FaceTime. They even treated us to donuts and coffees. But it’s less about what the nurses “did” and more about how they made me feel,” Meagan explained.

Emergence of COVID-19

The COVID-19 pandemic has reshaped how patients are cared for across the country and the world. More than 1,700 individuals have tested positive for COVID-19 in Ottawa, many of whom have received treatment at The Ottawa Hospital. As a result, even the most well-thought-out birthing plans are being adjusted.

Given Meagan’s unresolved placenta previa, she required a scheduled cesarean delivery at 34 weeks pregnant which would prevent her from going into labour naturally. Her boys were to arrive on June 3, 2020, but they had other plans. At 2 a.m. on May 25, 2020 Meagan’s water broke. Her husband rushed to the hospital just in time to see Meagan for a few moments before Teddy and Rowan were delivered by emergency cesarean. “It was a huge relief to see him before I went into surgery,” said Meagan.

Up until that moment, Kyle had only seen Meagan’s growing belly over FaceTime. When he walked in the room, and saw Meagan for the first time, he gave her a big hug before putting his hands on her belly. Feelings of pride and excitement washed over him. Kyle was in awe at how much her belly had grown since he last saw her in April. Meagan remembers their last hug before she went into the operating room. One of the twins kicked him in the chest. “It was a big moment for us because we often talked about how he might not get to feel the twins moving again, knowing I was there in the hospital until I delivered,” explained Meagan.

Meagan with Teddy and Rowan
Meagan Gordon with Teddy and Rowan.

Due to COVID-19 protocols set in place to protect patients and hospital staff, Kyle wasn’t allowed in the operation room throughout her delivery. But he was by her side over FaceTime, supporting her every step of the way. “It was definitely a very unique experience. I was happy to be able to see Meagan and talk with her and experience the births from her perspective while it was actually going on. I just kept telling her how strong she was… And being able to hear the boys cry for the first time over FaceTime,” said Kyle, “it was as good as we could possibly hope for given the current circumstances.”

Meagan’s team of nurses and doctors even went so far as to take photos and video footage of Teddy and Rowan’s first breath. The boys were then admitted to the NICU. While Meagan recovered, Kyle was able to meet the boys and get a report on their health. Shortly after, he was back by Meagan’s side where they reminisced about the delivery and marvelled in the fact that life had changed so quickly. A few hours later, Meagan was out of the recovery room and well enough to visit her boys in the NICU for the very first time. “It was the beginning of the next stage of our adventure – the NICU journey!” exclaimed Meagan.

The Neonatal Intensive Care Unit (NICU)

For the first three days, Teddy and Rowan remained in the NICU at the General Campus. While recovering from the cesarean in hospital, Meagan was finally able to have Kyle stay with her. This allowed both of them to visit their sons in the NICU frequently. With each visit they learned how to care for their premature babies, who were born at just 5lbs 2oz, including learning how to bathe them and change their diapers. “The staff was great about welcoming us into the NICU, giving us full updates and really involving us as part of the care team for the boys, which was different than caring for our full-term daughter,” says Meagan. “I found it was a very supportive environment.”

Though the twins were healthy and growing, measuring the size of a head of lettuce right before her cesarean at 33 weeks, Meagan knew her mandated cesarean would take place before the twins reached full term. This meant that her boys would stay in the NICU once born until they had grown enough to safely go home.

 

Home at last

After spending just over two weeks in the NICU, Teddy and Rowan were healthy and strong enough to go home where they could finally meet their older sister for the first time. “We’re settling really well into our new norm as a family of five,” said Meagan.

“We’re just so grateful for the incredible care we received as a family. Everyone we encountered was so compassionate and kind. It made a hard situation one that I will look back on fondly.”  – Meagan Ann Gordon

Ever grateful for the care she received at The Ottawa Hospital, Meagan is quick to express how thankful she is for her doctor, Dr. Karen Fung-Kee-Fung, Maternal Fetal Medicine Specialist at The Ottawa Hospital, Dr. Samaan Werlang, who delivered her boys, and each nurse that took part in her care and that of her boys.

Almost one year later

Teddy and Rowan Gordon
Teddy and Rowan.

Twins Rowan and Teddy are almost 10 months old and it’s certainly not the maternity leave Meagan had expected — but neither was her pregnancy.

The days can be long and feel repetitive during the winter of a global pandemic but there’s been lots to celebrate. While the boys are identical, they have very different personalities according to their mom. “Rowan is very giggly and chatty, while Teddy is very sweet and cuddly.” Meagan adds, “Rowan’s first word was ‘dada’ so I’m working hard to make sure Teddy’s first word is ‘mama’. Big sister Maeve is incredibly loving and such a good helper.”

While Meagan was a patient in our hospital during those early days of COVID-19, she’s now helping our researchers learn more about the impact of the virus as a Patient Partner. Her perspectives on pregnancy, labour, delivery, and postpartum care during the pandemic can help researchers ensure their studies are relevant to this patient population, and more likely to improve care.

As Vice-Chair of the Board of Directors of Ottawa Victim Services (OVS), Meagan, was a good fit for this research, led by the OMNI Research Group, as it explores sexual and gender-based violence, with a focus on pregnant and postpartum populations. More recently, it has evolved to examine how restrictions related to COVID-19 affect how survivors access care.

Meagan says the timing was right to get involved, “Honestly, the stars just kind of aligned. They were looking for someone during my time as an inpatient. I bring the patient lens, but also have experience from my involvement with OVS. I also have a background in research so that also made me a good fit.” The Ottawa Hospital is leading the way in partnering with patients like Meagan on research projects.

While Meagan takes time to work on the research, together, the family plans to spend the final months of winter enjoying the outdoor rink built by Kyle, who is teaching Maeve to skate. They are grateful to be healthy and spending time together in the safety of home.

Listen to Pulse Podcast, where Meagan Gordon reveals what it’s like to be pregnant with twins during the COVID-19 pandemic.

Donate today so that we can continue to provide patients like Meagan exceptional care during times of great need.

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