At the perinatologist's office, the Herrins learned that their twins were joined frontally at the abdomen and pelvis. They had two legs (each twin controlled one) and shared a liver and a large intestine. To deliver the girls, Erin would need a large vertical cesarean section, which could result in huge blood loss. The doctor told the couple that, because of the enormous complications, Erin would be risking her life to go ahead with the birth.
The Herrins' Mormon religion permits abortion in certain cases-when the fetus has defects that would prevent it from surviving beyond birth, for instance, or when the mother's health is in danger. But Erin said that was not what she wanted. So the perinatologist referred the couple to Rebecka Meyers, MD, chief of pediatric surgery at Primary Children's Medical Center in Salt Lake City. At their first meeting, Dr. Meyers told the Herrins their twins had strong vital signs and good odds of making it to term.
"Jake and I looked at each other and knew we had to go forward," Erin recalls. "There wasn't any doubt."
In her 26th week of pregnancy, Erin began hemorrhaging, and shortly afterward her water broke. Her doctors were able to prevent a miscarriage but kept her in the hospital on strict bed rest. Lying on her back day after day, she hardly dared to think beyond the babies' birth.
On February 26, 2002, Kendra and Maliyah were born by C-section, eight weeks premature. Together, they weighed six pounds four ounces. "They were beautiful," says Jake. "They just happened to be stuck together."
Too small to survive on their own, the twins were whisked off to the hospital's intensive care unit. Prematurity was far from their only problem. When they were three days old, tests showed that only one of the girls' three kidneys—the one on Kendra's side—was functional.



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