Everly Now Thriving Years After Lifesaving Surgery Before Her Birth
The youngest of five siblings, 2-year-old Everly Cooper rules the roost at home. A daddy’s girl, Everly tags along behind her older sister and three brothers, trying to mimic everything they do.
“Everly bosses us all around,” said her mother Roxanne, laughing. “She wants to do whatever the older kids are doing and thinks she can do anything they can do.
Though Everly is a thriving toddler now, doctors discovered a rare, life-threatening condition during the early weeks of her mother’s pregnancy. The Fetal Care Center team at Cincinnati Children’s performed lifesaving surgery on Everly before she was even born.
Routine Ultrasound Reveals Rare Condition – TRAP Sequence
Roxanne and David Cooper of Townsend, Tennessee, weren’t planning to have a fifth child. But they were overjoyed to find out about the surprise pregnancy in November 2019.
A routine ultrasound at 15 weeks gestation revealed another surprise: Roxanne was pregnant with twins. But her maternal-fetal medicine (MFM) doctor in Knoxville discovered an alarming complication. The expectant mother’s monochorionic twins—meaning they are identical and share a single placenta—were diagnosed with twin-reversed arterial perfusion, also known as TRAP sequence.
This condition occurs in about 2.6% of monochorionic twin gestations (or 1 in 10,000 pregnancies). It means that one twin cannot survive because it lacks a heart and defined anatomical features such as a head, torso or limbs. While in utero, this twin (called the acardius) receives its blood supply from the twin with a working heart, known as the “pump” twin (Everly, in this case).