It's NAIT awareness day! ❤️💛 NAIT stands for Neonatal Alloimnune Thrombocytopenia. It's a rare genetic blood disorder that negatively affects the platelets of the fetus during pregnancy.
I've been blessed with 5 beautiful, healthy girls, who overcame the odds and beat NAIT. Most people (including myself) have never even heard of it & I hope through my pregnancies and blog I was able to educate and provide some awareness. I'll be posting facts about our journey, NAIT, and our little miracle girls! #naitbabies #naitmomma #miracles #ibreedfighters
naitmomma.blogspot.com
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NAIT fact 1:
A quick explanation of NAIT 💛❤️
Everyone is born with a platelet type. A mother and father with differing HPA types (human platelet antigen--like a blood type, but more specific) get pregnant (in our case, I have HPA-1b/b (rare) and Aaron is HPA-1a/a (common) and then the baby inherits one antigen type from each parent (our kids are all HPA-1a/b). 👨👩👧
The mother's immune system then recognizes the antigen inherited from dad as a foreign body and begins to attack the baby’s platelets by creating antibodies, resulting in dangerously low platelet counts. This can lead to intracranial hemorrhage, stroke, bruising, petechiae and even death. 💔
So even as compatible as Aaron and I are, our platelets are and have always been incompatible — resulting in NAIT. ❤️❤️🩹
#naitbabies #naitmomma #ibreedfighters
http://www.bloodjournal.org/content/113/16/3838?sso-checked=true
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❤️💛NAIT fact 2:
Treatment for NAIT moms is weekly or twice weekly IVIG throughout pregnancy. IVIG stands for intravenous immunoglobulin. Side effects for the mother are harsh can be debilitating, and can last for 24-72 hours after treatment.
Medical professionals are not really sure why IVIG works, but the thought is that it may suppress the mother’s antibody production and/or reduce the transfer of those antibodies through the placenta.
One bag of IVIG is made from thousands of plasma donors. Many NAIT babies (like Isabelle) will need platelets at birth along with IVIG. Some NAIT babies (like Mackenzie, Hazel, Zoey & Jasmine) even need platelet infusions in utero. Matched platelets work the best for NAIT babies, but are hard to find.
If you want to help, please consider donating plasma and/or platelets whenever you can!! Both have extremely short shelf lives and are always needed!!
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❤️💛NAIT fact 3:
My weekly IVIG treatments cost about $20,000 per treatment and $30,000 when doubled at the end of the pregnancies. My pregnancies with Mackenzie, Hazel, Zoey & Jazz cost over half a million dollars each, and that was not counting their bi-weekly brain scans OR their fetal blood sampling OR their births OR their stays in the NICU.
Luckily our insurance covered most expenses but we still owed lots of $$$ to have these life saving treatments. Not all fellow NAIT moms in the USA are so fortunate. Many insurance companies will fight to say that treatment is considered experimental, or unnecessary and these already stressed out moms have to fight to get coverage and approval.
Without treatment, NAIT will likely be worse with each subsequent pregnancy. The body tends to 'forget' about NAIT in between pregnancies (the antibodies die off) but when the mother gets pregnant again, those antibodies kick in much faster (kind of like muscle memory). That means these antibodies will attack the antigens of the baby sooner and more rapidly resulting in lower platelets and high risk of bleeding and death.
I’m always in awe of our little superheroes and how incredibly strong and resilient they had to be before they were even born!
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❤️💛NAIT fact 4:
One of the scariest parts about NAIT is that you don’t know you have it until your baby is born—covered in bruises, or has a brain bleed, or passes away. In fact, most women experience a very "normal pregnancy" and don't find out about NAIT until after delivery, as we did with Izzie.
Izzie had petechia and bruising at birth which we were originally told was birth trauma from how quickly she came into the world. However, when they took her for her first immunization, she bruised excessively. That prompted a blood test, and it showed that she had extremely low platelets.
Almost scarier was the fact that we got so lucky. Originally the options presented to us for what could be going on with Izzie were: cancer, an infection or unknown. Here is where the luck (or divine intervention) comes in… the hospital where she was born had an amazing neonatologist who had read *ONE* article about NAIT in her 20+ years practicing and wanted to explore that as an alternative diagnosis. She consulted a hematologist who recommended she give Izzie platelets and IVIG to keep her platelet count up. This combo saved our girl’s life.
When we decided to have more children, we found *ONE* OB/GYN in our area that had experience with NAIT. Every time we went to appointments, or to the hospital for treatments or procedures—we saw it as an opportunity for more medical professionals to have an experience with NAIT. While sometimes we felt like walking experiments, it was comforting knowing we may make it easier on the next family to experience NAIT.
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❤️💛NAIT fact 5:
A normal platelet count in a newborn is 150,000-400,000. Anything below 50,000 is considered extremely risky and could result in a bleed.
❤️💛Izzie had a count of 10,000 platelets. Mackenzie had a count of 5,000 platelets even with treatment.
❤️💛We doubled treatment for my other 2 pregnancies and their platelets still fell below the normal range. Hazel was born with 75,000 platelets, and Zoey and Jasmine had around 100,000 platelets.
Regardless of platelet counts, my treated pregnancies were considered successful because they did not have any brain bleeds or hemorrhages. However, my births were not without complications that had connections to NAIT.
I had a placenta abruption with Mackenzie that was seemingly because my placenta started shredding due to our fetal blood sampling. I lost an extreme amount of blood and Mackenzie swallowed a lot of my blood. Because of my platelet typing and the amount of antibodies that were in my system, they decided not to give me a blood transfusion and to keep an eye on my blood counts. This is also how I found out that I should not ever receive whole blood transfusions.
Jasmine experienced a hypoxic event at birth that shut down her brain, kidneys and liver. Her brain showed signs of bleeding, and we were told that the bleeding may have been worse than expected due to her platelet count and my remaining antibodies. She went into DIC and her platelets were depleted once again. Jazz fought hard in so many ways and we are so proud of her continual progress at every milestone along the way!
As a NAIT momma, it was devastating to feel I did everything I could to protect them, but the still had low platelets, and we still had complications during their births. They are healthy & thriving now— something I thank God, their doctors & modern medicine for every day.
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❤️💛Final NAIT facts:
No country in the world currently offers prenatal testing for NAIT. Testing is a simple blood test & rarer diseases/disorders are screened for in early pregnancy. 💉🤰
Because of its rarity, there is very little research done on NAIT. Naitbabies (naitbabies.org) is the only organization in the world for NAIT awareness and is based in England. NAIT moms are the biggest advocates in this organization. We advocate for prenatal testing and better treatment options. We advocate for training and awareness for medical professionals and we advocate for our strong, amazing little fighters, our NAIT babies.
In exciting news…. Over the past few years, Rallybio in Connecticut has been developing a prophylactic treatment against NAIT. Their treatment can only be made from blood plasma donated by women who have previously had a pregnancy affected by NAIT. I donated as did many other NAIT moms, and their project has announced positive preliminary results with their monoclonal antibody treatment for the prevention NAIT. If all continues to go well, it would mean that expecting NAIT moms could get one weekly shot (maybe less) to prevent antibody production versus 8 hour weekly IVIG infusions.
Thanks for reading and learning with us!! ❤️❤️❤️ We've been very lucky to have such a wonderful support system. We feel so grateful to have been blessed with 5 beautiful, healthy girls who kicked NAIT's butt!! I'm amazed by them everyday... They are my heroes. And through it all, as hard as it has been, I’m very proud to be a NAIT Momma.
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#naitmomma #naitbabies #naitfamily





































