A Mini Baby Boom
Laurel Couple's High-Risk Pregnancy Gamble Pays Off -- and Then Some
By Darragh Johnson
Washington Post Staff Writer
Friday, August 13, 2004; Page B01
At first there were twins, a girl and a boy.
Then one of the embryos divided.
Then it divided again
The Poole babies, from
left, Mackenzie Margaret, Gabrielle Grace, Danielle Renee and Robert
Edward III made their debut July 27 at Shady Grove Adventist Hospital.
"He was quite the gentleman," mom Katie said of Robert, who
was born after his three sisters.
And when Laurel residents Katie and Bob Poole returned to their
doctor's office in Rockville near the end of January, they were told: Now
you're going to have four -- identical triplets and a boy.
"I'm not coming back again next week. There'll be more!" Katie
Poole recalls joking to her doctors.
But there was a serious downside to the 33-year-old woman trying to carry
quadruplets to term -- a downside that was potentially
"disastrous," warned Michael Gallagher, whose practice
specializes in high-risk pregnancies. The risks were there with twins,
would have been higher with triplets and were especially high with
Not only could Katie Poole lose her entire pregnancy, she also could
suffer severe complications, the Pooles were told by Gallagher and his
partners at Greater Washington Maternal-Fetal Medicine and Genetics. Two
of the babies' umbilical cords could wrap around each other's necks,
suffocating one or both. Premature births were likely and might mean
multiple babies suffering from a variety of disabilities, including
"We sweat," Gallagher said in an interview this week, speaking
only after the Pooles gave him permission. "We told her at the
beginning, 'Nobody's going to promise you four healthy babies.' "
As the doctors advised the couple of the risks of keeping all four -- and
of the possibility of reducing the pregnancy to smaller numbers by
aborting some embryos -- the elation that Katie Poole had registered in
her journal three weeks earlier seemed suddenly very far away:
"1-2-04 This day ranks right up there with the day your Dad proposed
and the day we got married. I am so happy!!!" she wrote when she
discovered that the in-vitro fertilization had worked, and she was
pregnant. "It's a miracle. THANK GOD!!!!"
On the day she learned they were having twins, she wrote, in blue ink
in the green composition book: "1/13/04 Wow -- there are two of you.
I am so excited."
Exactly one week later, the journal entries turned more somber, more
"1/20/04 We came back from a 9:30 appointment and got an even
bigger surprise. . . .
"We were shocked once again," Bob Poole wrote, continuing the
journal under Katie's words. "To say shocked for me would be an
Their doctors agreed it was unusual, but not astonishing. Because in vitro
involves so much "handling" of the egg before it is re-implanted
in the mother, some doctors theorize that the embryo's "zona
pellucida," or covering, has been thinned enough that splitting into
identicals may be more likely.
Katie finished that day's journal entry in the upbeat style that her
friends, family and co-workers say typifies her optimism: "So in a
few months and a lot of prayers later, we will know a lot more, and
everything will be great."
"How could you ever choose?" Bob Poole asked his mother-in-law,
Martha Burch. There was no way. The Pooles would keep all the babies.
Week to week, the trim, 5-foot-8, 128-pound Katie Poole saw her weight
creep up, and up, and up, to 150 pounds, 165 pounds, 180 pounds.
As word spread that the Pooles were expecting quadruplets, their community
of friends poured out to help. Bob Poole works as an account executive for
Floors Inc., and Katie is director of public relations at Laurel and
Pimlico racetracks. During Preakness week at Pimlico, the jockeys got
together on "Hot Jocks Night" and raised $6,000 for the Pooles
at Mount Washington Tavern outside Baltimore.
"The trainer of Smarty Jones was guest-bartending to help raise
money," Katie Poole said.
A car dealership in Laurel cut the Pooles a great deal on a
champagne-colored Town & Country minivan. Friends started putting
together a list of dinners they could make and drop off, once the babies
Bob Poole pulled up the carpet in the guest room that was turned into the
babies' room, installing hardwood floors and painting the walls green
below the chair rail and sky blue above it. He installed shelves for the
slew of stuffed animals that kept arriving as presents, and Katie Poole
lined up clothes on tiny hangers in the closet.
Her weight kept rising, and the weeks passed. The doctors had
anticipated an early delivery and thought the Pooles would be lucky if
Katie carried the babies through her 28th week. But the mama-to-be was
still carrying at week 32, then week 33, then week 34. Into her 35th
week, when she weighed 194 pounds and was carrying four babies who, if
stacked end to end, would be 5 feet 10 inches, the doctors decided:
It's time for the C-section.
Time to see what 8 1/2 months of gestation had created -- and which
was right: the doctors' pragmatic concern or the couple's hopeful
At 9 a.m. July 27, the Pooles arrived at Shady Grove Adventist
Hospital in Rockville, and at 11:05 a.m., Mackenzie Margaret Poole was
born: 3 pounds and 15 ounces. At 11:06 came Gabrielle Grace at 3
pounds, 5 ounces; 11:07 brought Danielle Renee, at 3 pounds, 11
ounces; and at 11:08, the lone boy, Robert Edward Poole III, arrived:
4 pounds, 13 ounces.
"He let all his sisters out first! He was quite the gentleman:
'After you, ma'am. After you, ma'am. After you, ma'am,' " Katie
Poole said, sitting on the floor of the couple's Laurel living room
this week, feeding a yellow-blanketed Danielle her bottle. Mackenzie,
wrapped like a burrito in pink, slept nearby while Bob Poole fed
little Bobby, whose blue cap was embroidered with a train.
"I'm dying to find out the color of their hair, the color of
their eyes," said Martha Burch, Katie's mother, as she leaned
into Bobby's face, making goo-goo eyes at him.
Katie said she knows that the relative ease and quiet of this week --
the second of the babies' lives -- is something to appreciate. They
still sleep most of the time and haven't started wailing for bottles
and diaper changes (Bob Poole calculated that they should go through
900 diapers a month) and attention.
They will grow up fast enough, requiring four highchairs for feeding
and two twin-seater strollers to leave the house. A friend looked into
a four-seater stroller for them, Bob Poole said, "but it cost
$500 and was on back-order."
Katie's mother stared at the babies and suddenly announced,
"Kate! Kate! They all have your nose." She paused.
"It's a strong nose."
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