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Wow—first American baby born from a uterus transplant from a deceased donor

Heather Marcoux
Jul 10, 2019
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Being an organ donor means you can give someone the gift of life after your death. And in the case of a Brazilian woman who donated her uterus, it meant giving another woman the gift of motherhood.

For the first time in America, a baby has been born after growing in a transplanted uterus of a deceased donor, thanks to the Cleveland Clinic. As CNN reports, a baby girl was born in June after her mother received a uterus transplant from a non-living donor.

The mom, who is in her mid-30s, was born without a uterus. The process took more than a year and after her baby was born via c-section she opted to have the transplanted uterus removed (which makes sense, as the transplant requires the mother to take anti-rejection drugs).

The treatment begins with a round of IVF, where eggs are harvested and fertilized. Then, the uterus transplant is performed, followed by doses of immunosuppressive drugs before an embryo can be implanted.

This case is a first in the U.S., but not the first in the world.

The first baby born after a uterus transplant from a deceased donor is now a toddler. That birth, which happened in Brazil, made worldwide headlines in December 2018 after the details of the gestation and birth (which happened the previous year) were published in the medical journal Lancet.

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The story is made headlines around the world because while babies have been born after uterus transplants from living donors before, this is the first time a transplant from a deceased donor has been successful.

This is huge, because as the doctors behind the transplant note, this opens "a path to healthy pregnancy for all women with uterine factor infertility, without need of living donors or live donor surgery."

The donor was a 45-year-old who died from a subarachnoid hemorrhage, a type of stroke. She had three children, all of whom were born vaginally. This made her a good candidate as a uterus donor.

Her uterus was transplanted into a 32-year-old woman who was born without a uterus. The Associated Press reports that the woman (a psychologist) was initially apprehensive about the transplant according to the transplant team's lead doctor, Dr. Dani Ejzenberg, but is now living proof that this can be done.

"This was the most important thing in her life," Ejzenberg said. "Now she comes in to show us the baby and she is so happy."

The 32-year-old did a round of IVF four months before the transplant, which resulted in several embryos. The were cryopreserved, and seven months after the transplant the woman became pregnant after the first single embryo transfer.

The pregnancy went well and at 36 weeks the woman welcomed a baby girl by c-section. The doctors removed the transplanted uterus at the same time so that the mother could stop taking anti-rejection drugs.

These success stories are certainly encouraging for researchers. While a few transplants from living donors have resulted in births, being able to accept organs from deceased donors would make more uteruses available.

While organ donation usual saves lives, in these cases, it helped create a new one and gave families a life they thought they might never have.

[A version of this post was originally published December 5, 2018. It has been updated.]

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This success story is certainly encouraging for researchers, and now the Brazilian team is planning two more uterus transplants from deceased donors as part of their study.

While a few transplants from living donors have resulted in births, being able to accept organs from deceased donors would make more uteruses available.

There is no doubt that the 32-year-old who is now parenting a healthy 1-year-old girl will never forget the fellow mother she never met. While organ donation usual saves lives, in this case, it helped create a new one and gave a family a life they thought they might never have.

 Heather Marcoux

Heather Marcoux is the News Editor for Motherly and mom to one little boy. A former television journalist, Heather lives in Canada with her husband, son and a foursome of adorable pets.

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The 10 pictures you must take on the first day of school

There are certain moments of parenthood that stay with us forever. The ones that feel a little extra special than the rest. The ones that we always remember, even as time moves forward.

The first day of school will always be one of the most powerful of these experiences.

I love thinking back to my own excitement going through it as a child—the smell of the changing seasons, how excited I was about the new trendy outfit I picked out. And now, I get the joy of watching my children go through the same right of passage.

Keep the memory of this time close with these 10 pictures that you must take on the first day of school so you can remember it forever, mama:

1. Getting on the school bus.

Is there anything more iconic than a school bus when it comes to the first day of school? If your little one is taking the bus, snap a photo of them posed in front of the school bus, walking onto it for the first time, or waving at you through the window as they head off to new adventure.

2. Their feet (and new shoes!)

Getting a new pair of shoes is the quintessential task to prepare for a new school year. These are the shoes that will support them as they learn, play and thrive. Capture the sentimental power of this milestone by taking photos of their shoes. You can get a closeup of your child's feet, or even show them standing next to their previous years of first-day-of-school shoes to show just how much they've grown. If you have multiple children, don't forget to get group shoe photos as well!

3. Posing with their backpack.

Backpacks are a matter of pride for kids so be sure to commemorate the one your child has chosen for the year. Want to get creative? Snap a picture of the backpack leaning against the front door, and then on your child's back as they head out the door.

4. Standing next to a tree or your front door.

Find a place where you can consistently take a photo year after year—a tree, your front door, the school signage—and showcase how much your child is growing by documenting the change each September.

5. Holding a 'first day of school' sign.

Add words to your photo by having your child pose with or next to a sign. Whether it's a creative DIY masterpiece or a simple printout you find online that details their favorites from that year, the beautiful sentiment will be remembered for a lifetime.

6. With their graduating class shirt.

When your child starts school, get a custom-designed shirt with the year your child will graduate high school, or design one yourself with fabric paint (in an 18-year-old size). Have them wear the shirt each year so you can watch them grow into it—and themselves!

Pro tip: Choose a simple color scheme and design that would be easy to recreate if necessary—if your child ends up skipping or repeating a year of school and their graduation date shifts, you can have a new shirt made that can be easily swapped for the original.

7. Post with sidewalk chalk.

Sidewalk chalk never goes out of style and has such a nostalgic quality to it. Let your child draw or write something that represents the start of school, like the date or their teacher, and then have them pose next to (or on top of) their work.

8. In their classroom.

From first letters learned to complicated math concepts mastered, your child's classroom is where the real magic of school happens. Take a few pictures of the space where they'll be spending their time. They will love remembering what everything looked like on the first day, from the decorations on the wall to your child's cubby, locker or desk.

9. With their teacher.

If classrooms are where the magic happens, teachers are the magicians. We wish we remembered every single teach we had, but the truth is that over time, memories fade. Be sure to snap a photo of your child posing with their teacher on the first day of school.

10. With you!

We spend so much time thinking about our children's experience on the first day of school, we forget about the people who have done so much to get them there—us! This is a really big day for you too, mama, so get in that photo! You and your child will treasure it forever.

This article is sponsored by Rack Room Shoes. Thank you for supporting the brands that support Motherly and mamas.

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Supporting breastfeeding could save the world economy almost $1 billion a *day,* says new study

[Editor's Note: We support parents in making the best infant feeding choices for their family, whether that be formula feeding, breastfeeding, pumping, donor milk or any combination of feeding methods.]

Feeding babies takes a lot of effort, no matter what a baby is eating. Parents need support whether their baby is drinking breastmilk, formula or both, but we know mothers often don't feel supported in either choice. Mothers who choose or have to use formula often feel stigmatized, while mothers who breastfeed often get shunned for public breastfeeding or find themselves needing to pump in a workplace that offers no lactation room.

Individual mothers pay when society doesn't support parents in breastfeeding their babies. Formula can be expensive, but when workplaces discriminate against nursing moms, it's an expense some women have no choice but to take on. But that's not the cost we're discussing here.

A new website created by breastfeeding researchers Phan Hong Linh, Roger Mathisen and Dylan Walters suggests that, on a global scale, failing to support breastfeeding is costing an estimated $341 billion a year.

The Cost of Not Breastfeeding tool was developed by Alive & Thrive, an initiative to save lives and prevent illness worldwide through "through optimal maternal nutrition, breastfeeding, and complementary feeding practices." To be clear, the site isn't targeted at individual parents who are unable or choose not to breastfeed their babies. Rather, it's a tool that illustrates the global economic losses that might be attributed to the low percentage of breastfed babies.

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The researchers behind the tool hope policymakers will look at it and decide to commit more resources to support parents.

Using the tool, you can use a dropdown menu to see how these costs break down for 34 different countries. In the U.S., where only 24% of children are exclusively breastfed, the tool estimates that it costs more than $28,000,000 in healthcare just to treat diarrhea and respiratory infections in children that could be prevented if more mothers were supported in breastfeeding.

Though many of the developing countries in the tool have higher percentages of breastfeeding than the United States, the costs of not breastfeeding the remaining children are higher. This is presumably because the risk of the associated diseases is already higher in those countries (due to factors like poverty, water quality, etc.).

Alive & Thrive gathered data on mortality (of children and mothers); cases of diarrhea, pneumonia, and obesity in children that could be attributed to not breastfeeding; cases of breast cancer, ovarian cancer, and type II diabetes in mothers; the cost of medical care for those conditions; the cost of formula; and then the future cost to the economy of the loss of children's lives and having unhealthy children and mothers.

Many of these numbers are estimates based on estimates, but it's hard to argue against the bigger-picture argument of the tool's developer, health economist Dylan Walters.

"We need to be sensitive to the constraints and hardships faced by mothers and families in a world that lacks basic support systems for their physical, psycho-social, and economic well-being," Walters said in a post on Alive & Thrive's website. "Even more, mothers and families are up against a constant barrage of corporate marketing of alternatives and misinformation spread that undermines what should be boringly second nature and not stigmatized by society."

The organization recommends a minimum of 18 weeks of paid family leave and more support of nursing mothers on work sites. It also states that governments should enforce laws limiting the advertisement of infant formula.

Such laws may make sense in countries where access to clean water makes formula feeding difficult, but in wealthy nations like the United States, where formula feeding is a safe and legitimate choice, some worry limiting information about formula stigmatizes and patronizes mothers who are capable of choosing what is best for their babies.

The World Health Organization recommends that babies exclusively breastfeed for their first six months, and then receive a combination of breast milk and other nutrition until they are 2 years old. UNICEF estimates that globally as of 2016, 43% of children are exclusively breastfed during the first 6 months of life, and 46% continue until age 2. A recent survey found 1 in 4 Americans do not believe moms should be allowed to breastfeed or pump in the clear view of the public, and while 90% of Americans say they believe women should be allowed to pump at work, about 1 in 3 do not believe employers should be required to provide a lactation room.

The discrepancy here between what is recommended and what is actually supported is shocking. Mothers are being told to breastfeed, but then are also being told to cover up, or that they can't pump at work. When there are so many obstacles to breastfeeding it shouldn't be shocking that breastfeeding rates in America are lower than the WHO would like.

This lack of support and mixed messages are making the work of motherhood—something that is already deeply emotionally and mentally draining—even harder. The conversation about infant feeding should not be about supporting one type of infant feeding over another, it needs to be about supporting women in motherhood and in their choices. The cost of not doing so is staggering.

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This mom's plea for coffee in the hospital goes viral after her internet friends come to the rescue

Every parent out there knows that caring for a sick child isn't just heartbreaking, it's absolutely exhausting. Jaiden Cowley knows this all too well: The single mama's daughter, Amira, was born with a heart defect and has been waiting more than a year for a heart transplant.

Last week, when Amira ended up in the emergency room late at night for her ongoing heart issues, Jaiden reached out for a helping hand. She desperately needed a coffee to get her through the night, but she also couldn't leave her sweet baby to get one for herself.

So the single mother who moved to Toronto to be closer to its Hospital for Sick Children reached out to her virtual Mom Squad, a Facebook group that allows moms to connect. But she didn't expect the outpouring of generosity she received.

As first reported by TODAY, Jaiden posted the following message to the group, writing: "Is anyone at sickkids right now? I have a huge favor to ask. I'm in the er and I can't leave my daughter alone, but I really need a coffee."

She hoped another mom would coincidentally be in the hospital—she didn't expect a perfect stranger to go out of her way, but that's exactly what happened. A woman named Elizabeth drove to the hospital and presented Jaiden with a coffee half an hour later.

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"To some it was just a simple cup of coffee, to me her bringing it to me meant I could stay awake and alert for my daughter. I was able to properly advocate for her," Jaiden tells Motherly.

Elizabeth wasn't the only amazing mama who came forward to help: Another reportedly sent Jaiden money so she could treat herself to coffee, and several others offered to help in any way possible.

"It meant so much to me," Jaiden tells TODAY. "Going through this as a single mom has been a lot. It's exhausting. But now I don't feel so alone."

She later told Motherly: "No act of kindness goes unnoticed. No matter how small you think it may be to that person it means the world."

We couldn't love this story more! It's such an important reminder that mamas can do amazing things when they help each other out in times of need. We all need a little support sometimes, and if this story is any indication, there are still incredibly kind people out there who are willing to offer it.

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Tia Mowry co-slept with her kids for years—because it was the right choice for her family

[Editor's note: This article describes one parent's experience with bed-sharing. To learn more about the American Academy of Pediatrics safe sleep recommendations please visit the AAP.]

Raise your hand if you've ever found yourself asleep with your child next to you in bed. (🙋🏽♀️)While the American Academy of Pediatrics recommends room-sharing, they discourage bed-sharing, particularly in the first four months of a baby's life, due to safety concerns.

But the reality is that many parents fall asleep with their babies next to them in bed. Whether it's because your baby won't sleep without those cuddles, because you've drifted off while nursing, because you didn't have the heart to put a sick baby in their crib, or because your doctor has given you the okay to snooze alongside your babe, bed-sharing is very much a thing.

And Tia Mowry is getting real about her experience with it.

When asked about her most "non-traditional" parenting move, Tia shared that she's a big-time bed-sharer. "My 1-year-old [daughter, Cairo] is still in my bed," the actress said during an interview with PEOPLE. "Ever since she was born she was always in our bed." But this isn't her first experience with co-sleeping: Tia also shared that she slept with her son until he was 4 years old.

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Tia is hardly alone when it comes to sleeping with her kids. A 2016 study found that only about 44% of survey responders never slept with their babies in bed with them—and that those who slept with their babies were more likely to keep breastfeeding for the recommended six months. Fellow celeb Kourtney Kardashian is a co-sleeper, and many mamas find that while they didn't plan to co-sleep, it is what works for them. That's why there are even special co-sleeping beds big enough for parents and kids.

But as popular as co-sleeping is, it can still be seen as controversial. Even Tia's own mom isn't on board with the Sister Sister star's decision to bed-share with her kids. "[My mom is] like, 'You need to do the cry-out method. Put your baby in the crib. And I'm like, 'No!' I don't want my baby to have any sign of stress whatsoever," Tia explains.

Whichever side of the line you fall on, one thing is clear: Sometimes parents need to do things they never expected to do in the name of more sleep. When it comes to parenting, there's only one absolute: You have to do what keeps your family safe, healthy and happy. And while we'd urge all mamas to familiarize themselves with child safety guidelines, ultimately we all have to make the choices that are best for our families.

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Not all breastfeeding babies with tongue-ties automatically need to get surgery, says new study

Many new parents receive the confusing news that their newborn baby has a tongue-tie. It means the skin attaching their tongues to the bottom of their mouths is longer than normal. And while this condition can cause complications from infancy on, a new study shows that not all newborns need to get surgery to correct it.

The condition is known as ankyloglossia, which occurs in 4-10% of people, usually looks like nothing but an extra strip of skin under the tongue. But because that skin (called the lingual frenulum) acts like a taut rubber band restricting movement, babies with a tongue-tie often have difficulty forming a good latch to nurse. This can mean they don't get enough milk, so they have to nurse for longer. Meanwhile, they're causing their mother a whole lot of pain because their latch is shallower and mostly clamping down on the tip of the nipple.

I speak from experience here: When my son had a tongue-tie, it felt like I was feeding an angry piranha. He was definitely not getting enough to eat, and my milk supply was steadily decreasing.

But this new study published in JAMA Otolaryngology Head & Neck Surgery suggests that not all babies diagnosed with ankyloglossia need to undergo a frenotomy—a simple procedure in which a doctor snips the skin with a pair of surgical scissors.

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Infants don't usually need anesthesia, because this tissue doesn't have many nerve endings or blood vessels. Their mother is asked to breastfeed them immediately after the snip, to get the tongue moving properly and reduce the chance of the skin growing back. According to the Mayo Clinic, complications from frenotomies include bleeding, infection and damage to the tongue or salivary glands, but they are rare.

What's not rare is the number of patients getting frenotomies: Referrals for the procedure in the U.S. went up tenfold, from 1,200 in 1997 to 12,400 in 2012.

"We have seen the number of tongue-tie and upper lip tether release surgeries increase dramatically nationwide without any real strong evidence that shows they are effective for breastfeeding," study co-author Christopher J. Hartnick, MD MS, of the Massachusetts Eye and Ear Infirmary, said in a press release.

The researchers looked at 115 infants (between 19-56 days old) who were referred for a frenotomy. Instead of sending them straight into surgery, the babies and their parents met with a pediatric speech-language pathologist for a feeding evaluation. These specialists observed the babies breastfeeding and gave parents feedback and tips to overcome any challenges they were experiencing. After this, 72 (62.6%) patients did not have the frenotomy after all, while 10 (8.7%) had a labial frenotomy (releasing extra tissue from the lips) and 32 (27.8%) had both a labial and lingual frenotomy.

"We don't have a crystal ball that can tell us which infants might benefit most from the surgeries, but this preliminary study provides concrete evidence that this pathway of a multidisciplinary feeding evaluation is helping prevent babies from getting this procedure," Hartnick said.

For now, parents' best bet is to consult more than one specialist to identify the best plan of action. In addition to lactation consultants, children with tongue-ties might need to see speech pathologists later. In some cases, the frenulum loosens over time. In others, they might wind up needing the procedure after all.

Anecdotally, I'll add that I visited with lactation consultants and my son's pediatrician more than once before deciding he should have a frenotomy. It was no fun for me (who wants a strange man sticking scissors in their baby's mouth?), but my kid was fine. It didn't solve all our problems, but feeding was much less painful immediately afterward.

The bottom line here seems to be that not everyone needs to rush into a procedure just because it's easy. Our kiddos deserve more than a one-size-fits-all approach to their health.

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