Processing a Prenatal Pediatric Orthopedic Diagnosis: Nikki Holekamp’s Clubfoot Journey
Learning about a possible health condition for your baby during pregnancy is a moment that changes everything. Suddenly, your vision of what’s ahead may start to shift, along with your feelings of excitement, fear, or confusion. In this post, you’ll step into the story of Nikki Holekamp, a mom who received her son’s clubfoot diagnosis while still pregnant. Through her words, you’ll see the emotional ups and downs, the waiting, and what it’s like to seek the right help. Nikki’s advice cuts through false reassurances and gets to the heart of what parents in similar situations need: honest support, reliable information, and the courage to listen to your own voice.
Hearing the Diagnosis: A Sudden, Life-Changing Moment
The 30-Week Ultrasound Call
Nikki found out about her child’s possible diagnosis at the 30-week mark of her pregnancy after a routine ultrasound flagged growth restrictions. Up to that point, everything appeared fine, the 18-week scan showed nothing unexpected. Suddenly, after one call from her midwife, everything changed.
I remember exactly where I was standing. Who I was with. When something traumatic happens, it carves itself into your memory: my midwife on the phone, saying the ultrasound tech thinks they see club feet.
At that moment, Nikki didn’t even know what clubfoot was. She imagined the worst, worrying her child might be born without feet altogether. Her midwife didn’t offer much information, just a vague statistic about how these things are sometimes wrong and instructions to visit a specialist. Nikki had to wait another agonizing week to get more answers.
All I had was my fear and Google. I felt blindsided, like the ground had been pulled out from under me.
First Emotional Response
Nikki’s reaction? Pure overwhelm. She broke down in front of her dad. Her husband was away at work. The news left her feeling completely lost without any real explanation or guidance.
Here’s what Nikki described feeling in those early days:
- Shock: Finding out something unexpected and unknown about her baby’s health.
- Overwhelm: The weight of worry and the unknown.
- Fear: All the possibilities and what-ifs crowding her mind.
- Anxiety: Not knowing what comes next, not for days, not for weeks.
It was like time froze for me. I was stuck in a state of limbo, counting down the days until I could know more, but never really being able to move forward.
Surviving Uncertainty: The Pregnancy That Follows
The Wait for Confirmation and the Roller Coaster of Monitoring
About a week after that first phone call, Nikki met with a specialist who confirmed that her unborn son had clubfoot. But that wasn’t the end of surprises. She endured weekly ultrasounds, each one churning up new concerns: some hinted at shorter femurs, others pulled back. The information changed so often, it became hard to trust any of it.
The endless tests didn’t bring comfort as they just made the unknown feel more oppressive. Nikki faced weekly emotional swings and the looming concern something more complex might be going on. In time, she reached a breaking point.
Nikki made a bold decision:
She told her doctors she’d had enough, refusing any more ultrasounds and stress tests. She wanted an early induction to bring some certainty, but even that wasn’t straightforward. Doctors hesitated, encouraging her to wait. Nikki insisted, drawing a line and finally having her voice heard.
“We need to meet this baby and see what’s really going on. I’m not waiting anymore.”
Learning to Speak Up and Push Back
This stand was a turning point. Nikki had to learn a skill that doesn’t come naturally to most new parents: standing firm in the face of expert opinions. She says it’s a lesson shared by many parents in her position:
- When no new info is changing anything, set boundaries.
- Speak up when you feel overwhelmed by endless “possible” diagnoses.
- Trust your sense of what’s enough for your peace of mind.
“You get to a point where the information isn’t helping. You’re living in a haze of maybes, and you have to find your own limits and stick to them. No one can do that for you.”
Support Systems and Resource Gaps During Pregnancy
Unique Access: A Chance Conversation with an Orthopedic Surgeon
Nikki’s job brought her into contact with a pediatric orthopedic surgeon, an unusual bit of luck for most parents in her situation. She managed to speak with the doctor before her son was born. He gave her a pamphlet about clubfoot treatments and explained standard approaches like casting and bracing.
Even with this resource, Nikki still felt unprepared. The pamphlet was old, and much of what she learned was general, not specific to her son’s complex case.
Most parents don’t meet the doctor ahead of time. If you can, make it happen. Setting up a consultation before birth isn’t always offered, and it often isn’t free, it takes real initiative. Yet, Nikki strongly believes that meeting the potential doctor in advance helps build trust and lets you judge if the match is right for your family.
Lack of Routine Support for Families
Most families don’t get early access or one-on-one time with orthopedic specialists before birth. Scheduling such visits means working around insurance, finding specialists, and sometimes paying extra fees. It’s easy to get lost in the shuffle unless you push for it.
How to Schedule a Prenatal Orthopedic Consultation:
- Ask your OB or care provider for referrals early.
- Be open about any diagnosis, concerns, or questions.
- Call specialists directly, book an informational appointment if needed.
- Prepare questions beforehand about treatment steps and outcomes.
Even with information, Nikki realized that a flyer and a chat wouldn’t prepare her fully. Every family’s situation and every diagnosis is different. Still, the ability to meet your child’s potential care team ahead of time can offer peace of mind and a feeling of control.
“You won’t always feel strong, but you will be enough for your child. Keep trusting yourself, even when it’s hard.”
Processing the Emotions and Finding Real Support
Steering Clear of False Positivity
People mean well, but when Nikki shared her news, many responded with “It’ll all be okay,” or “It’s probably nothing.” Instead of comfort, these words left her feeling more alone.
The support she needed didn’t come from empty reassurance. She found real comfort only with people who could be honest and say, “That’s tough. We’re here for you.” Over time, Nikki’s social circle shifted to include those who listened without judgment or pressure.
Qualities to Look For in Supportive Friends and Family:
- Honesty: Willing to say when something is hard, not just gloss over.
- Presence: Able to listen without trying to “fix” your feelings.
- Consistency: Stick around whether you want to talk or just sit in silence.
- Authenticity: Engaged and real with your pain and experience.
- Flexibility: Respect your need for space, time, or distraction.
Making Space for Grief and Healing on Your Own
Nikki started spending more time alone, walking the beach or finding quiet moments away from the pressure to appear happy. She’d cry when she needed to, letting herself feel sadness and grief for the pregnancy and child she once imagined.
“I had to let myself feel those emotions, even if that meant being alone. It’s okay to grieve what you thought your experience would be.”
This time for herself, though out of character, became key to her healing. Nikki says it’s normal if support looks different than before. Sometimes, your best help comes from solitude and reflection.
Letting yourself feel the full range of emotions isn’t weakness, it’s essential.
In pregnancy, people expect you to be excited and positive, but life is more layered. If your experience is different, that’s okay.
Adapting Your Support and Needs
Nikki learned her needs changed as she processed and grew. The people who supported her best weren’t always the ones she expected. Giving herself permission to feel what she needed, cry, and seek out honest support (or time alone) made a difference in coping with her child’s diagnosis.
Key emotional processing advice:
- It’s normal for support needs to shift.
- You don’t have to force old strategies to fit a new, harder situation.
- Pay attention to what feels helpful in the moment, even if it’s a new experience.
Nikki’s Advice for Parents Receiving a Prenatal Diagnosis
Trust Your Intuition and Be Your Child’s Advocate
Nikki’s most important lesson took time to fully embrace, trusting her own gut. It’s one thing to tell parents, “No one knows your child better than you.” Living that truth, especially around medical professionals who seem to hold all the answers, is much harder.
She faced a turning point at her son’s first orthopedic appointment (just days after birth). Nikki had expected tests and a detailed plan. Instead, her baby’s legs were quickly cast and she was sent home. Something didn’t feel right, but the shock kept her silent.
Main advice for any parent in this situation:
- Find your voice, even when it feels hard.
- If something feels off, speak up even if everyone else seems confident.
- Ask questions, do research, and seek a second opinion if you need one.
- Remember: You are your child’s best advocate, always.
“No one else is going to advocate for your child like you can. Trust your instinct. Take initiative. Don’t be afraid to speak up, even if it’s uncomfortable.”
Expect Challenges in the System
Don’t assume the medical process will answer all your questions or always guide you in the right way. Sometimes, you’ll have to insist on being heard. That’s not just okay: it’s necessary. Being confident in your parenting doesn’t mean never feeling lost or overwhelmed. It means moving forward, building knowledge and confidence as you go.
Final Encouragement
You may feel alone or uncertain, but, as Nikki’s story shows, you’ll find strength you didn’t know you had. Being a parent to a child with a medical diagnosis during pregnancy is a winding, emotional, difficult path. That makes your advocacy, your love, and your courage all the more powerful.
You can learn more from parents like Nikki and find other stories and resources by visiting the OP Specialty Bracing Parent Experience Series. These real conversations shine light on the actual day-to-day journey of families dealing with pediatric orthopedic conditions, reminding us all that every parent’s voice matters.
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Disclaimer:
OPSB products and products distributed by OrthoPediatrics Corp. should be used under the guidance of qualified healthcare professional. Individual results may vary. Please consult your pediatrician or orthopedic specialist for professional advice, including intended use, warnings, precautions, side effects and contraindications. This video is for informational purposes only and does not constitute medical advice. Always follow your doctor’s recommendations and instructions. Nicki Holekamp did not receive compensation from OrthoPediatrics Corp. for her participation in this interview. OrthoPediatrics Corp. and Ora Médical, Inc. are unrelated companies affiliated through the distribution of a product not discussed in this interview.
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