|As a veteran photojournalist
in Nashville, Tennessee, I was hired by USA
Today newspaper to photograph a spina bifida corrective surgical procedure.
It was to be performed on a twenty-one week old fetus in utero at Vanderbilt
University Medical Center. At that time, in 1999, twenty-one weeks in
utero was the earliest that the surgical team would consider for surgery.
The worst possible outcome would be that the surgery would cause premature
delivery, and no child born earlier than twenty-three weeks had survived.
The tension could be felt in the operating room as the surgery began. A typical C-section incision was made to access the uterus, which was then lifted out and laid at the junction of the mother's thighs. The entire procedure would take place within the uterus, and no part of the child was to breach the surgical opening. During the procedure, the position of the fetus was adjusted by gently manipulating the outside of the uterus. The entire surgical procedure on the child was completed in 1 hour and thirteen minutes. When it was over, the surgical team breathed a sigh of relief, as did I.
As a doctor asked me what speed of film I was using, out of the corner of my eye I saw the uterus shake, but no one's hands were near it. It was shaking from within. Suddenly, an entire arm thrust out of the opening, then pulled back until just a little hand was showing. The doctor reached over and lifted the hand, which reacted and squeezed the doctor's finger. As if testing for strength, the doctor shook the tiny fist. Samuel held firm. I took the picture! Wow! It happened so fast that the nurse standing next to me asked, "What happened?" "The child reached out," I said. "Oh. They do that all the time," she responded.
The surgical opening to the uterus was closed and the uterus was then put back into the mother and the C-section opening was closed.
It was ten days before I knew if the picture was even in focus. To ensure no digital manipulation of images before they see them, USA Today requires that film be submitted unprocessed. When the photo editor finally phoned me he said, "It's the most incredible picture I've ever seen."
- Michael Clancy
Note: For legal purposes, it must be stated that this Story Behind the Picture is photojournalist Michael Clancy's opinion of the events as they took place during the surgery for Samuel.
Home | Story of the Photo | Mission Statement | Order a Print | E-mail Michael Clancy
Copyright © 2001 Michael Clancy