A Story of Loss, Science, and a New Dawn

(Names changed) Arindam and Mousumi welcomed their first child after a long wait. Within three days, the baby developed repeated vomiting, poor feeding, lethargy — and passed away. 

There was no clear answer. 

Only grief. 

Instead of remaining in uncertainty, they chose to seek clarity. 

Genetic evaluation suggested the baby likely had Citrullinaemia, a type of Urea Cycle Disorder.In this condition, the body cannot properly eliminate ammonia — a toxic waste product. Ammonia builds up rapidly, leading to brain injury, vomiting, seizures, and sometimes sudden neonatal death. 

Both parents were healthy — but carriers. 

When two carriers conceive, there is a 25% chance the child may be affected. 

For their next pregnancy, options were discussed:

  1. • Natural conception with early genetic testing (CVS)
  2. • IVF with preimplantation genetic testing
  3. • Donor gametes 

They conceived naturally and underwent CVS at 13 weeks. 

The result: the baby was unaffected. 

A healthy child was born at term. 

The cry they once feared losing forever finally filled the room again.

Key message:

  • Unexplained newborn illness or death warrants genetic evaluation. 
  • Rare disorders are not a curse 
  • Informed decisions can change outcomes.

Sometimes, loss is not the end. 

With awareness and science, a new dawn is possible.