place and in Amanda’s case the fertilized egg was trying to develop in the fallopian tubes, instead of in the womb. If left for too long, such a diagnosis can endanger the mother’s life – indeed a classical ectopic pregnancy cannot develop into a live birth.
Amanda was in shock at the news and began to replay the dream she had experienced only a few days earlier when she was playing so happily with that little boy who seemed so similar to her own children. Could this have been the baby she had not realized she was expecting?
During the early hours of the morning of Thursday 5 th September – the day in fact that Ruby was due to start her first day at school - Amanda awoke from a restless sleep in the ward and rang the bell by her bed as she had begun to feel very ill indeed. All of a sudden she became aware of a doctor slapping her face telling her that she was not to go back to sleep and that she should stay awake. She remembered medical staff running around and the words, ‘She’s tachycardic….she’s haemorrhaging…..get her to theatre now!’ It was life or death.
In theatre Amanda needed a transfusion as she was losing so much blood, her veins were collapsing and she was finding it difficult to breathe. The medical team couldn’t get the blood in fast enough. Her pulse stopped. She remembered hearing a lot of swearing and a doctor shouting, ‘There’s no pulse. I can’t get an output. Can anyone find an output?’ She recalled the terror she felt at this point and wondered how many seconds of life she might have left.
Her thoughts went to her family and she prepared to say goodbye to them all – something which today she says she still finds very hard to think about. She then felt an agonising pain in her stomach and was gazing up at the operating light above her when she heard a whoosh and to her surprise found herself being taken up by the light. All of a sudden there she was in a tunnel of startling whiteness, so brilliant in fact that she found it impossible to distinguish the floor from the walls. She was sure she was now dead but surprisingly felt very relaxed about it all.
Her pain and terror had disappeared, she felt weightless but totally clear in her mind and with a calm acceptance she knew that she had to join her loved ones who were already on the other side.
As she contemplated this acceptance, in the far distance of the tunnel Amanda saw a child standing and as she walked easily towards this figure, she realised that the girl was dressed in red and grey. As the figure turned, she recognized her own daughter - Ruby!
Ruby was wearing her new school clothes – Amanda had actually never seen Ruby try her uniform on before as by the time everything had arrived she was already quite ill - and had her hair in bunches (she had always liked wearing her hair down and so had never let her hair be put up in this way).
‘Come on mummy, we’ll be late for school,’ Ruby exclaimed urgently and together they moved along the corridor. All of a sudden the giant wrought iron gates of the school appeared, as if from nowhere, blocking their path. Ruby cajoled Amanda further and told her that they needed to hurry as otherwise they would be late for class. She was insistent. Ruby opened the gates and for a long moment Amanda considered whether she should continue. She did and was rewarded with a triumphant smile from her daughter.
As Ruby shut the doors behind her Amanda felt her whole body jump – she has since explained that this was probably at the time when the defibrillator pads were being used on her heart to shock it back into action and when her pulse would have begun again.
She woke up in intensive care still very poorly and once more in pain from her stomach where there was now a closed incision. The hospital were still exceedingly worried about her prognosis – and told her so, leaving her in no