Mother who was advised to terminate her pregnancy because her daughter with spina bifida would 'never lead a normal life' reveals she's defied doctors' predictions and is now learning to walk 

  • A 19-month-old girl with Spina Bifida exceeds expectations by learning to walk 
  • Lacey Grace Bower received foetal surgery, in the womb to aid her condition 
  • Now, with the help of a gait trainer she's walking and can stand up on her own

A toddler born with spina bifida who underwent spinal surgery while still inside her mother's womb has defied the odds and is now learning to walk.

Lacey Grace Bower's parents, Michelle and Michael Bower, were urged to terminate her pregnancy when they received her diagnosis after her 20-week scan.

ADVERTISEMENT

But they ignored the advice and the youngster is already defying her prognosis at just 19-months-old - even learning to manoeuvre a custom tiny wheelchair.

Michelle, 37, from West Lafayette, Indiana, said: 'We met with the doctor right after the scan and heard the words 'neural tube defect', 'lemon-shaped head' and 'spina bifida' to describe our daughter for the first time.

Lacey Grace Bower, from West Lafayette, Indiana, was born with Spina Bifida. Despite doctors informing her parents she wouldn't be able to walk, the toddler has learning to use her legs. Pictured trying a gait trainer for the first time
Lacey started to move her ankles and big toe early on, but it took her a long time to be able to feed on her own meaning she stayed in the NICU for 18 days
Lacey's parents were devastated to discover their baby had Spina Bifida and a neural tube defect at at her 20-week ultrasound scan

'We were at a complete and total loss. The tears didn't stop flowing for a couple of days.'

After trying for about two years to start a family, Michelle found out she was pregnant with Lacey on December 5, 2019 just before she left for a birthday party.

'I took a test to determine whether or not I could have a few cocktails at the party,' she said.

'Michael lifted me up in a hug and spun me around. We were beyond thrilled!'

Michelle was given a Caesarean section on July 20, 2020 at 12:42pm, Lacey was born weighing 6lbs 9oz, and was immediately taken to the NICU
Lacey is partially paralysed from the waist down and this means she still needs help with going to the toilet

But almost four months later, at her 20-week ultrasound scan, the happy couple received some devastating news.

Dad Michael, 42, said: 'They noticed Lacey had a lemon-shaped head which means that her spine lesion was pulling on her brainstem and making her head mis-shaped.'

There was also a large bubble on a part of her spine.

The spinal canal of a baby with spina bifida does not close completely when developing, leaving the spinal cord exposed from an early stage in pregnancy.

The tot learned to sit, roll and pull herself along the ground ahead of schedule, and loves nothing more than climbing on things and cuddling her parents
Lacey started to move her ankles and big toe early on, but it took her a long time to be able to feed on her own meaning she stayed in the NICU for 18 days

This results in changes to the brain, as well as severe trauma-related injuries to the nerves on the lower half of the body.

Michelle said: 'We had just found out that we were having a girl the day before. We wanted a girl. We went from the highest of highs to the lowest of lows in under 24 hours.

ADVERTISEMENT

'It was a complete and utter nightmare, but we still had hope.

'We hoped it was the less severe form of the condition until we got more testing done.'

They were referred to a fetal medicine doctor who told them their daughter had a neural tube defect and a lemon-shaped head, indicating her condition was severe.

They were strongly advised to terminate the pregnancy.

Michelle said: 'I cried my eyes out at the mention of it. Through my tears I said, "That is not an option, I already love her".'

She was also offered postnatal and prenatal closure of the opening of her spine, the latter being far riskier and only offered at a select few hospitals.

Michelle found it hard to enjoy being pregnant with Lacey, because thoughts of the future left her 'riddled with fear'
Lacey was monitored three times a week for the first three months, but now at 19 months she is speaking at the level of a three-year-old and is learning to get around ina custom-made wheelchair

They also only had less than six weeks to arrange it before Michelle would be too far along with the pregnancy to qualify.

After refusing to lose their daughter, Lacey's parents opted for a risky three-and-a-half hour surgery to fix the hole in her spine while she was still in the womb.

'It sounded completely insane and unfathomable for our financial circumstances and obligations at home,' said Michelle. 'I thought it was crazy.'

The mother-of-one said: 'The rest of the pregnancy was riddled with fear and uncertainty. It was beyond difficult to just enjoy being pregnant.

'However, from the copious amount of research we did, we knew that the foetal surgery would be her greatest chance at walking one day and her only chance of reversing her Arnold Chiari II malformation.'

She underwent the foetal surgery on April 27, 2020 at St. Louis Children's Hospital, Missouri, with more than 35 medical professionals in the operating room.

ADVERTISEMENT

She said: 'It was quite literally the single most horrifying experience of my life.

Despite being advised to terminate the pregnancy,  Lacey's parents opted for a risky three-and-a-half hour surgery to fix the hole in her spine while she was still in the womb. Pictured following her birth

'It was my first time in the hospital and my first surgery. Knowing my unborn baby was having surgery with me made it utterly terrifying.'

The procedure was three-and-a-half hours long and both Lacey, who weighed 1.8 pounds that day, and Michelle had their own team of doctors looking after them.

They made a ten-inch-long incision across her abdomen, and despite having to spend five days in recovery and waiting a week before she could walk, the procedure was deemed a success.

To ensure Lacey's safety, Michelle had strict orders of bed rest for the next three months until she was due to give birth.

Lacey's scar from fetal surgery that saw doctors make a ten-inch-long incision across her abdomen

She said: 'I stressed counting baby movements and strictly monitored my aches and pains.

'We got a calendar and counted down each day.'

She was given a Cesarean section on July 20, 2020 at 12:42pm, Lacey was born weighing 6lbs 9oz, and was immediately taken to the NICU.

Special education teacher Michelle said: 'The first time I saw her was on a screen in the delivery room while they were giving her oxygen and getting her breathing started.

When she was born, Lacey's legs were hyper extended and stuck pointing upwards towards her face

'I saw that something was seriously wrong with her legs. Her knees were hyperextended to where her feet were up by her face.

'She was stiffened in a fixed position from her positioning in the womb.

'I was so sad for her and afraid.'

Lacey started to move her ankles and big toe early on, but it took her a long time to be able to feed on her own meaning she stayed in the NICU for 18 days.

ADVERTISEMENT

She was monitored three times a week for the first three months, but now at 19 months she is speaking at the level of a three-year-old and is learning to walk.

Michelle was advised that her daughter would never have a normal life, but said she's done more than doctors every could have imagined

Lacey is partially paralysed from the waist down and this means she still needs help with going to the toilet.

However the tot learned to sit, roll and pull herself along the ground ahead of schedule, and loves nothing more than climbing on things and cuddling her parents.

Michelle said: 'Prior to birth, we were told she would have a "poor quality of life".

'The doctor said there was a good chance she would never be able to eat, breathe unaided, talk, stand or walk.

'She does more than that doctor ever imagined.

'She is pulling to stand, and supported standing on her own now.

'She can climb up onto the couch and go to town on her rocking horse.

'The little things that others might somewhat take for granted are the things that dreams are made of for us - that is one of the many blessings that come with SB life

'Life with a disabled person is a life worth living.'

What is spina bifida?

Spina bifida is a fault in the development of the spine and spinal cord that leaves a gap in the spine. 

About 1,500 babies are born with spina bifida each year in the US, according to the CDC. In the UK, approximately 1 in 1,000 babies are born with the condition. 

Most cases are detected before birth, at the 20-week scan.

The most serious form of the disease is called myelomeningocele. In myelomeningocele, the spinal column remains open along the bones making up the spine.

The membranes and spinal cord push out to create a sac in the baby's back.

This sometimes leaves the nervous system vulnerable to infections that may be fatal.

In most cases surgery is carried out to close the gap in the spine after birth.

But damage to the nervous system will usually already have taken place, resulting in:

  • partial or total paralysis of the lower limbs
  • bowel and urinary incontinence
  • loss of skin sensation 

Most babies with myelomeningocele will also develop hydrocephalus, with excess cerebrospinal fluid (CSF) pooling inside the brain. 

This is caused by a malformation at the base of the skull in which the lower parts of the brain are pushed down towards the spinal cord. 

Babies with hydrocephalus are fitted with a shunt after birth to divert the fluid from the brain, so reducing the risk of increasing cranial pressure, into the abdominal cavity. 

ADVERTISEMENT