カテゴリー: English

  • 03 | Why Is It Difficult for Ito-chan to Drink Milk?

    Understanding Cleft Palate and Nasogastric Tube Feeding

    For most babies, drinking milk is a natural part of everyday life.

    But for Ito-chan, it has never been quite that simple.

    Ito-chan was born with a condition called a cleft palate.

    Because of this, she has difficulty drinking enough milk by mouth. She currently receives much of the nutrition she needs through a small tube that passes through her nose and into her stomach.

    In this article, we would like to explain what a cleft palate is, why it can make feeding difficult, and what our family has experienced while caring for Ito-chan.

    What Is a Cleft Palate?

    The palate is the roof of the mouth.

    It separates the oral cavity from the nasal cavity and plays an important role in feeding, swallowing, and speech.

    A cleft palate is a condition in which part of the roof of the mouth does not completely join together during development before birth, leaving an opening.

    The location and size of the opening vary from person to person.

    When a baby has a cleft palate, it can be difficult to create the suction needed to drink milk. Milk may also pass into the nasal cavity during feeding.

    However, not every baby with a cleft palate has the same feeding difficulties.

    Some babies can drink by mouth using specially designed bottles, while others need additional nutritional support.

    The right approach depends on each baby’s individual needs.

    Why Can Feeding Be So Difficult?

    Drinking milk involves much more than simply moving the mouth.

    Babies must coordinate three important actions:

    Sucking, swallowing, and breathing.

    These actions need to work together for feeding to be safe and effective.

    When a baby has a cleft palate, the opening in the roof of the mouth can make it difficult to create a proper seal and generate suction.

    Some babies may also have difficulties coordinating swallowing and breathing.

    This means that feeding challenges cannot always be solved simply through practice.

    It is important to work with healthcare professionals to find a safe and effective way for each baby to receive the nutrition they need.

    Ito-chan’s Feeding Journey

    Ito-chan has had difficulty drinking enough milk by mouth since birth.

    We tried feeding aids, including a special mouthpiece, but they did not significantly increase the amount of milk she could drink.

    To make sure she receives enough nutrition, she uses a nasogastric tube, often called an NG tube.

    This is a thin, flexible tube that passes through the nose and into the stomach.

    In our case, each milk feeding takes approximately 30 minutes.

    Every time it is time for milk, we prepare everything, check the tube as instructed by her medical team, and slowly administer her feeding.

    During her early months, she needed milk approximately every three hours.

    Sometimes, by the time we finished one feeding, it already felt as though we needed to start preparing for the next.

    There were days when parenting felt less like enjoying precious moments and more like completing one necessary task after another.

    We loved Ito-chan more than anything.

    But caring for a baby with additional medical needs could also be physically and emotionally exhausting.

    Does Tube Feeding Mean Everything Is Fine?

    A nasogastric tube is an important way to provide nutrition and fluids when a baby cannot take enough by mouth.

    However, tube feeding also requires careful monitoring and management.

    For a long time, Ito-chan experienced frequent milk regurgitation.

    Sometimes, shortly after a feeding, milk would come back up.

    We would change her clothes, clean everything, and then find ourselves doing it all over again.

    There were days when she needed several changes of clothes.

    Naturally, we worried about whether she was getting enough nutrition and whether she was comfortable.

    Thankfully, as she grew, the amount of milk she brought back up decreased significantly.

    Although the amount she could drink by mouth had not changed very much, this improvement made an enormous difference to our daily lives.

    It was one of those small changes that felt incredibly meaningful to us.

    An NG tube is a medical device that requires proper placement checks and careful management. Feeding and tube replacement should always follow instructions from qualified healthcare professionals.

    Will She Be Able to Drink by Mouth One Day?

    Feeding abilities in children with a cleft palate depend on several factors.

    These may include the structure of the palate, swallowing function, breathing, and overall development.

    Some children benefit from specialized feeding equipment, while others require additional nutritional support through a feeding tube.

    Surgery to repair the cleft palate may also be considered, depending on the child’s condition and medical needs.

    However, surgery does not necessarily mean that a child will immediately be able to drink normally afterward.

    Every child’s progress is different.

    Ito-chan continues to gain experience using her mouth in her own way.

    For us, the most important goal is not for her to reach the same milestones as other babies at exactly the same time.

    What matters most is that she receives enough nutrition safely and comfortably.

    And we hope that, one day, she will be able to experience the joy of eating and drinking in whatever way works best for her.

    A Message From Our Family

    Before Ito-chan was born, we never imagined how complicated something as ordinary as drinking milk could be.

    Feeding a baby seemed like such a natural part of parenting.

    But through Ito-chan, we have learned just how many different functions the body needs to coordinate to make it possible.

    Sometimes, people see the tube on her face and feel concerned.

    We understand that reaction.

    But for Ito-chan, this tube is an important part of helping her grow and stay healthy.

    Even when the amount of milk she can drink by mouth does not increase, there are still so many signs of progress.

    She brings up less milk.

    She smiles more often.

    Her body continues to grow.

    And every day, she shows us something new.

    Growth cannot be measured by just one number or one milestone.

    Ito-chan has her own pace.

    We want to keep celebrating each small step, learning alongside her, and supporting her as her world continues to grow.

    Medical note: This article combines general information about cleft palate and nasogastric tube feeding with our family’s personal experience. Not every child with spondyloepiphyseal dysplasia congenita (SEDC) has a cleft palate. Feeding methods, tube management, and treatment decisions should always be discussed with the child’s healthcare team.

  • 02 | Why Is the Neck So Important in SEDC?

    Understanding the Cervical Spine — and Our Experience with Ito-chan

    As we learned more about Ito-chan’s condition, there was one part of her body we were told to be especially careful with:

    her neck.

    Spondyloepiphyseal Dysplasia Congenita (SEDC) is a skeletal condition that affects the development of bones and cartilage.

    But at first, we had so many questions.

    Why is the neck so important?

    Is it safe to hold her normally?

    What about tummy time, rolling over, and other movements as she grows?

    And in Ito-chan’s case, an X-ray showed that her cervical spine has a structural difference of its own.

    In this article, we want to share both what is medically known about SEDC and the cervical spine, and what we have experienced as Ito-chan’s family.

    This article combines general medical information with our family’s personal experience. Cervical spine findings and necessary precautions can vary from person to person, even among children with SEDC. Please discuss your child’s individual situation with their medical team.


    What is the cervical spine?

    The cervical spine is the part of the spine located in the neck.

    Typically, it consists of seven vertebrae.

    These bones help support the head and allow the neck to bend, extend, and turn.

    But there is another important reason this area matters:

    The spinal cord passes through it.

    The spinal cord is one of the body’s major pathways for communication between the brain and the rest of the body.

    So when doctors look at the cervical spine, they are not only looking at the bones themselves.

    They are also thinking about protecting the spinal cord.


    Why does the neck need special attention in SEDC?

    SEDC is one of the conditions associated with abnormalities in type II collagen.

    In people with SEDC and other type II collagen disorders, instability of the cervical spine can occur, and in some cases this can place pressure on the spinal cord.

    This is why evaluating the cervical spine can be an important part of medical care for people with SEDC.

    It is not simply a matter of saying:

    “Children with SEDC have weak necks.”

    What really matters is understanding:

    What does this particular child’s cervical spine look like, and is it stable?


    In Ito-chan’s case

    Ito-chan has had X-rays taken to examine her neck.

    From those images, we were told by her doctor that one of the cervical vertebrae that would normally be expected was not identifiable, meaning that she appeared to have one fewer cervical vertebra than usual.

    Hearing this made the importance of protecting her neck feel much more real to us.

    Before that, we understood the general information:

    “Children with SEDC may need special attention to their neck.”

    But after seeing Ito-chan’s own X-rays, our thinking changed.

    It was no longer simply:

    “We need to be careful because she has SEDC.”

    It became:

    “This is how Ito-chan’s neck is formed, so let’s understand her body and protect it accordingly.”


    We supported her neck until around seven months old

    One thing we were especially conscious of was supporting Ito-chan’s neck.

    Of course, newborn babies generally need their heads and necks supported.

    But with Ito-chan, we continued to be especially careful even as she grew and became more active.

    Until she was around seven months old, we made sure to support her neck when holding her.

    We did not want to assume that everything was fine simply because she was becoming stronger or could move her head herself.

    We tried to avoid placing unnecessary stress on her neck while watching her development carefully.

    This does not mean that every baby with SEDC needs their neck supported until seven months of age.

    This was Ito-chan’s individual situation and our family’s experience.

    Children with the same diagnosis can have different cervical spine findings, different levels of stability, and different developmental progress.

    That is why we believe it is important not to decide based only on age.

    Instead, families should discuss their child’s individual cervical spine findings and appropriate precautions with their medical team.


    Looking healthy doesn’t tell us everything

    A baby may be smiling.

    Moving their arms and legs.

    Turning their head.

    Becoming more active every day.

    It can be easy to think:

    “Maybe everything is fine now.”

    But we cannot see the structure or stability of the cervical spine simply by looking from the outside.

    For type II collagen disorders, medical evaluation may include imaging to assess cervical instability and possible spinal cord compression.

    GeneReviews discusses flexion-extension cervical spine X-rays as part of the evaluation, with MRI considered when further assessment is necessary.

    The appropriate tests and timing depend on each individual.

    For us, this reinforced something important:

    Rather than assuming everything is fine because a child looks well, some things are worth checking properly.


    What should families be careful about in everyday life?

    This may be one of the biggest questions for parents.

    Can I hold my baby normally?

    Is tummy time okay?

    What about rolling over?

    Playing?

    Sports later in life?

    The more we read, the easier it can become to feel afraid of every movement.

    But having SEDC does not automatically mean that every child needs exactly the same restrictions.

    When cervical instability is present, certain movements that place significant stress on the neck, including extreme flexion or extension, may require caution. High-impact or contact activities may also need to be avoided depending on the individual situation.

    That is why we think it is better not to decide:

    “I read online that children with SEDC can’t do this.”

    Instead, ask the medical team a more specific question:

    “For my child’s neck, what should we be careful about in everyday life?”

    The answer may be different for every child.


    The neck can also matter during surgery and anesthesia

    The cervical spine is important not only in everyday life, but also during surgery and general anesthesia.

    During anesthesia, positioning and airway management can involve movement of the neck.

    For people with type II collagen disorders, evaluation of the cervical spine before general anesthesia may therefore be important.

    For a child like Ito-chan, who has a known structural difference in her cervical spine, we feel it is especially important to make sure medical professionals are aware of it.

    If we ever visit a different hospital or need emergency medical care, one of the things we want to communicate clearly is:

    “She has SEDC, and she also has a known difference in her cervical spine.”

    It is a small piece of information that may be very important.


    Hearing “be careful with her neck” can be frightening

    It was frightening for us, too.

    The neck protects such an important part of the nervous system.

    Then we were told that Ito-chan’s cervical spine was different from what is typically expected.

    Naturally, we wondered:

    “Is it safe for her to move like this?”

    “What if something happens?”

    Sometimes, learning more about a condition can actually create more anxiety.

    But over time, the way we think about it has changed.

    Knowledge is not there to make us afraid.
    It is there to help us protect her.

    Understand the condition.

    Have the necessary examinations.

    Know what to be careful about.

    And within those boundaries, allow Ito-chan to experience more and more of what she can do.

    Rather than stopping everything because she has a medical condition, we want to understand her body and help her experience the world in ways that are appropriate for her.


    What we are glad we learned

    When researching SEDC, families may come across frightening terms such as:

    “cervical instability”

    or

    “spinal cord compression.”

    Those risks are important to understand.

    But for us, the most valuable information was not simply knowing that neck problems can occur in SEDC.

    It was having Ito-chan’s own neck examined and asking:

    “What does her cervical spine actually look like?”

    Once we knew that, we could start thinking about the next question:

    “So what should we do for her?”

    The diagnosis may be the same.

    But every child’s body is different.

    That is why we want to keep these three things in mind:

    Learn about the condition.
    Understand our own child’s body.
    Then decide what that child needs.


    To families raising a child with SEDC

    If you are reading this because you are worried about your child’s neck, you may find yourself searching endlessly for:

    “What shouldn’t a child with SEDC do?”

    But another helpful step may be to ask your child’s doctor:

    “What does my child’s cervical spine look like right now?”

    “Are there any movements we should avoid in everyday life?”

    “What kind of follow-up imaging will my child need?”

    General information about SEDC is important.

    But understanding your own child’s body is just as important.

    That is something we have learned while raising Ito-chan.


    Next Article

    03 | Why Can a Bone Condition Affect the Eyes and Ears?
    — Understanding Type II Collagen and the Body


  • 01 | What Is Spondyloepiphyseal Dysplasia Congenita (SEDC)?

    What We Learned After Our Daughter’s Diagnosis

    Spondyloepiphyseal Dysplasia Congenita.

    Before Ito-chan was born, we had never heard of this condition.

    When we first learned the name, we had so many questions.

    What kind of condition is it?
    How will she grow?
    Will she be able to walk?
    What will her everyday life be like?

    We didn’t know what to expect.

    When we searched online, we found long lists of possible symptoms and complications.

    Sometimes, the more we learned, the more anxious we became.

    But after living and growing together with Ito-chan, there is something we have come to believe:

    Learning about a condition is not the same as deciding a child’s future.

    In this article, we want to explain SEDC as simply as possible, focusing on the things we ourselves wanted to understand when we first learned about Ito-chan’s condition.

    This article combines general medical information with our family’s experience. Symptoms and their severity can vary greatly from person to person. Please consult your medical team regarding individual diagnosis and treatment.


    What is SEDC?

    Spondyloepiphyseal Dysplasia Congenita, or SEDC, is a skeletal disorder that affects the development of bones and cartilage.

    The name itself gives us some clues:

    “Spondylo” refers to the spine.
    “Epiphyseal” refers to the ends of long bones.
    “Dysplasia” refers to differences in development or formation.

    Because of this, SEDC can affect the growth of the spine and long bones and may result in short stature and differences in body proportions. 


    What causes SEDC?

    Typical SEDC is associated with disease-causing changes in a gene called COL2A1.

    COL2A1 provides instructions for making type II collagen.

    When people hear the word “collagen,” they may immediately think about skin.

    But type II collagen plays an important role in cartilage and other tissues throughout the body.

    Changes in COL2A1 can therefore affect the development of bones, cartilage, and other tissues. 

    This was when we began to understand something important:

    SEDC is not only about bones.


    What are the possible features?

    SEDC can affect people in different ways.

    Possible features may include:

    • short stature and differences in body proportions
    • problems involving the spine or neck
    • hip and other joint problems
    • eye problems such as myopia
    • hearing problems
    • cleft palate
    • clubfoot
    • respiratory complications

    Not every person with SEDC will experience all of these. 

    That point is extremely important.

    A list of possible symptoms is not a prediction of one child’s future.

    Even among people with the same diagnosis, the features and their severity can vary.


    Why is the neck so important?

    One of the things we learned was the importance of the cervical spine—the bones in the neck.

    Some people with SEDC can have instability in this area, which may affect the spinal cord.

    Because of this, medical evaluation and appropriate imaging may be important depending on the individual child. 

    It is something that may not be obvious simply by looking at a child.

    That made us realize how important it is to understand the condition while continuing to follow the advice of specialists.

    We will talk more about the cervical spine in the next article.


    Why can a bone condition affect the eyes and ears?

    This surprised us at first, too.

    Type II collagen is not only important in cartilage. It is also found in other parts of the body, including structures within the eye.

    This helps explain why some people with COL2A1-related disorders may experience eye problems such as myopia, as well as hearing problems. 

    The words “skeletal disorder” alone do not tell the whole story.

    Depending on the individual child, care may involve several medical specialties rather than orthopedics alone.


    Is SEDC inherited?

    SEDC generally follows an autosomal dominant inheritance pattern.

    However, having a genetic condition does not necessarily mean that it was inherited from a parent.

    In some children, the genetic change occurs for the first time in that child, rather than being inherited from either parent. 

    Questions about inheritance and future pregnancies depend on each family’s specific genetic findings, so they are best discussed with a genetics specialist or genetic counselor.

    We will cover this topic in more detail in another article.


    What frightened us most

    Looking back, perhaps what frightened us most was not the name of the condition itself.

    It was not knowing what our daughter’s future would look like.

    Every search seemed to bring another possibility:

    “This could happen.”

    “This complication is possible.”

    Knowing what to watch for is important.

    But today, we also believe something else.

    We cannot know the future until we get there.

    That does not mean our worries have disappeared.

    We attend the necessary appointments.
    We learn what we need to watch for.
    We continue learning about her condition.

    But at the same time,

    we don’t want our fear of things that have not happened yet to stop us from seeing the Ito-chan who is right in front of us today.


    A diagnosis cannot tell us who a child will become

    Living with Ito-chan, we see new things every day.

    Something she couldn’t do yesterday becomes possible today.

    She laughs at unexpected things.

    New worries appear, and so do new joys.

    In many ways, perhaps that is simply what raising a child is.

    A medical description cannot tell us how a child will smile.

    It cannot tell us what she will love.

    And it cannot tell us what kind of life she will create.

    So this is how we want to move forward:

    Learn about the condition.
    Prepare for what needs attention.
    But never let a diagnosis decide a child’s future.

    We hope these articles can help families walking a similar path.

    And for those learning about SEDC for the first time, we hope they offer a small window into a world they may not have known before.


    Next Article

    02 | Why Is the Neck So Important in SEDC?
    — Understanding the Cervical Spine

  • Ito-chan’s Story — Chapter Two, Episode Five

    To Bring You Home

    🇯🇵Read in Japanese

    Before my daughter was born, I had always imagined that when a baby became hungry, she would cry, her parents would pick her up and feed her, and once her little stomach was full, she would eventually drift off to sleep.

    It was such an ordinary picture of life with a newborn that I had never even thought of it as something that might need to be learned, and it had never occurred to me that for some babies, drinking milk itself could be difficult, or that something so seemingly natural might require practice.

    Not long after Ito-chan was born, there was one time when she managed to drink about 10 milliliters of milk by mouth.

    Ten milliliters.

    It may sound like such a small amount, but to us at the time, those 10 milliliters felt enormous, and simply knowing that she had managed to drink made us so happy that we immediately began imagining what might come next.

    Maybe 10 milliliters would become 20.

    Maybe 20 would become 30.

    And perhaps, little by little, there would come a day when she could drink everything she needed from a bottle.

    Without realizing it, we had already begun imagining that future for her.

    But after that, Ito-chan was barely able to drink milk by mouth at all, and even when we brought the bottle to her lips, she would do little more than lick it.

    Sucking, swallowing, filling her stomach—things I had always assumed a baby would simply know how to do—were not simple at all for our daughter.

    Because Ito-chan had been born with a cleft palate, while she was still in the NICU, a special oral appliance was made for her in the hope that it might help her drink more easily.

    I remember hoping that perhaps this would be the thing that changed everything, but even after we tried it, there was no significant difference in the way she drank, and the amount she could take by mouth hardly increased.

    She drank 10 milliliters at the beginning.

    So why couldn’t she drink now?

    What had changed?

    What could we do to help her?

    No matter how many times we asked ourselves those questions, we did not have the answers.

    But just because she could not drink by mouth did not mean she could go without milk, because her little body still needed nutrition in order to live, grow, and become stronger.

    And so, Ito-chan received her milk through a feeding tube.

    We did not give it all at once; using a syringe, we slowly delivered the milk through the tube and into her stomach over about thirty minutes, watching her carefully as we went.

    It was nothing like the feeding I had imagined while I was pregnant, with a baby cradled in my arms and a bottle held gently to her mouth, but even though it looked completely different from what I had pictured, this was still our daughter’s meal.

    After Ito-chan was transferred to the university hospital, we began learning how to do all of this ourselves so that we would be able to care for her after she came home.

    We learned how to give milk through the feeding tube, how to use the syringe, and eventually, how to insert the feeding tube ourselves.

    That frightened me more than I can describe.

    When I watched the nurses slide the thin tube through her nose and down into her stomach, their hands seemed so steady and certain that the procedure almost looked simple.

    But the moment a nurse placed the tube in my own hand and said,

    “Okay, now you try,”

    everything changed.

    Am I really going to do this myself?

    Am I really supposed to put this tube through that tiny nose, into that tiny body, with my own hands?

    I understood why I had to learn.

    I knew that Ito-chan would still need to receive milk through the tube after leaving the hospital, and I understood that if we wanted to bring her home, my husband and I had to be able to care for her ourselves.

    Knowing that did not stop my hands from hesitating.

    At first, I simply could not make myself push the tube forward, and every time I tried, Ito-chan cried.

    Watching her tiny face crumple as she cried while I continued guiding the tube through her nose was painful, because even though I knew I was doing it for her, it still felt as though I was the one hurting her.

    I kept saying the same thing silently in my head.

    I’m sorry.

    I’m sorry.

    I don’t want to hurt you.

    I’m doing this because you need it.

    No matter how many times I reminded myself of that, there was no way I could look at my crying daughter and feel nothing as I pushed that tube farther in.

    My husband practiced too.

    It was not enough for only one of us to know how to do it, because once we were home, the two of us would be raising her together, and that meant both of us needed to know how to insert the tube, use the syringe, and give her milk safely.

    With practice, the steps gradually became more familiar, and eventually I stopped freezing completely whenever I held the tube in my hand, but even now, I do not think “getting used to it” is the right way to describe what happened.

    It never became something I did not care about, and hearing her cry never stopped affecting me.

    It was simply that, little by little, the feeling that we have to be able to do this because she needs us to became stronger than the fear.

    There was something else about feeding Ito-chan that I struggled to understand.

    I could not tell when she was hungry.

    I had always thought that babies cried when they became hungry, and that their parents would hear that cry and naturally understand, Oh, she wants milk.

    But Ito-chan gave us very little reaction that we could clearly interpret that way, so when I looked at her, I often had no idea whether she was hungry, whether she was still full, whether she wanted milk, or whether she did not.

    So feeding her was not a matter of waiting until she asked for it.

    Instead, we followed a schedule—so many feedings a day, every certain number of hours—and when the time came, we prepared the milk, connected the syringe to her feeding tube, and slowly gave it to her over about thirty minutes.

    She did not cry because she was hungry and then receive her milk.

    We looked at the clock and said,

    “It’s almost time for your milk.”

    That became our version of feeding our baby.

    She could barely drink anything by mouth, but we still brought the bottle to her lips, and even when all she did was lick a little milk, I watched her tiny mouth and hoped that perhaps even that small experience might someday lead to drinking.

    Before Ito-chan was born, I had thought of feeding a baby as something simple: hold her in your arms, give her a bottle, let her finish, and help her burp afterward.

    But as I watched my daughter, I began to understand something I had never thought about before.

    Drinking is part of living.

    Even if Ito-chan could not drink by mouth, her body still needed nourishment, and because there was a feeding tube, we had another way to give her what she needed.

    The milk we slowly delivered over those thirty minutes entered her little body and became part of everything she would need in order to grow.

    Her tiny bones.

    Her muscles.

    Her skin.

    The body that might one day roll over, sit up, and perhaps stand.

    All of it was being built, little by little, from the milk traveling through that thin tube.

    Once I began thinking about it that way, those thirty-minute feedings started to look different to me.

    At first, all I could see was what she could not do.

    She can’t drink normally.

    Why can’t she drink?

    But eventually I began to see something else.

    If she could not drink by mouth, there was a feeding tube.

    And because there was a feeding tube, our daughter could still receive the nutrition she needed to grow.

    For now, maybe that was enough.

    We still did not know whether she would eventually be able to drink by mouth, or how much she might someday be able to drink, but I was beginning to understand that we did not have to spend today looking only at the things she could not yet do because of a future none of us could predict.

    Ito-chan stayed at the university hospital for about three weeks.

    During those three weeks, we learned, one by one, the things we would need to know before bringing her home: how to manage her feeding tube, how to use the syringe, how to give her milk, how to bathe her, and what changes in her body or condition we needed to watch for.

    Every time we learned one more thing, I felt the same thought quietly forming inside me.

    We’re one step closer to home.

    At the first hospital, the doctors and nurses had protected our daughter’s life.

    At the university hospital, they were teaching us what we needed to know so that, little by little, we could become the ones who cared for her.

    And then, about one month and twenty days after Ito-chan was born, the day we had been waiting for finally arrived.

    She was going home.

    While I was pregnant, I had simply assumed that I would give birth, spend a few days in the hospital, and then go home with my baby.

    But it took about one month and twenty days before the three of us could finally leave a hospital together.

    It had been a long time.

    It had felt so very long.

    Every day we went to the NICU, every drive my husband and I made together on his days off, every ninety-minute train ride I made alone carrying milk when he was working, every time tears came simply because I saw my daughter, every bath when I began to feel, Oh, I really am this little girl’s mom, every moment my hands froze because I was afraid to insert the feeding tube, every time I silently apologized while she cried, and every thirty-minute feeding we practiced with a syringe—all of it seemed to have been leading us toward this one day.

    On the day of her discharge, we walked out of the hospital with our daughter.

    Until then, almost everything Ito-chan knew of the world had existed inside hospitals: white ceilings, the sounds of machines, the voices of doctors and nurses, the NICU, and hospital rooms.

    That had been almost her entire world since the day she was born.

    And then, on that day, Ito-chan passed through the hospital doors.

    For the first time in her life, she felt the air outside.

    There was a sky above her.

    There was wind.

    Cars moved along the road, and people walked past us.

    It was an ordinary scene that my husband and I had seen countless times before, but for our daughter, every part of it belonged to a world she had never experienced.

    I looked at her little face and thought,

    This is outside, Ito-chan.

    You’re feeling the outside air for the very first time.

    And the moment I realized that, the entire month and twenty days behind us seemed to rush back into my mind at once, and something I could not put into words rose inside my chest.

    Finally, the three of us were going home.

    This time, I would not be the only one returning home.

    I would not have to leave my daughter in the hospital and spend another night in a house without her.

    Today, Ito-chan was coming with us.

    The empty place I had felt every time I returned home was finally going to be filled by the person who had always belonged there.

    Of course, leaving the hospital did not mean the fear disappeared.

    At home, there would not always be a nurse standing nearby, and there would not be a doctor just down the hall.

    When it was time for milk, we would give it through her feeding tube ourselves, and if that tube came out, we would have to put it back in.

    We would be the ones watching her breathing, her expressions, and the small changes in her body, wondering whether everything was okay.

    I was happy.

    And I was scared.

    Neither feeling erased the other; somehow, they existed together.

    Still, the three of us walked out of that hospital.

    Ito-chan.

    One month and twenty days after you were born, you felt the outside air for the first time.

    And on that same day, for the first time, the three of us went home together.

    Maybe our beginning came a little later than the “normal” one I had imagined while I was pregnant, and maybe the way we brought you home looked nothing like the picture I once had in my mind.

    You still had a feeding tube.

    You could barely drink milk by mouth.

    There were still so many things we needed to learn and so many things we would eventually have to face.

    But the moment the three of us passed through those hospital doors and you felt the outside air for the very first time, the life we had been waiting for finally began.

    Ito-chan.

    Welcome home.

    And welcome,

    to the world outside.

  • Ito-chan’s Story — Chapter Two, Episode Ten

    Walking Forward With You

    🇯🇵Read in Japanese

    Ito-chan’s surgery had ended safely, and she was able to leave the hospital the very next day, but that did not mean the treatment for her feet was over; if anything, it felt as though a new kind of everyday life was only just beginning for us.

    After the surgery, Ito-chan’s tiny feet were completely covered by hard casts.

    Because the rest of her body was still so small, the casts looked unusually large and heavy whenever we picked her up, and although we had no way of knowing how heavy they actually felt to her, we became much more careful whenever we held her, laid her down, or changed her clothes, constantly checking that the casts were not hitting anything or putting pressure on her legs in the wrong way.

    One of the most difficult parts of living with the casts was bath time.

    The casts could not get wet, so at home we covered them with plastic bags and carefully washed only the upper half of her body, making sure that no water reached her legs.

    Before Ito-chan was born, I had always imagined bathing a baby as something simple: lowering a tiny body into warm water, supporting her carefully, and washing her from head to toe.

    Even something as ordinary as that was no longer simple.

    She could only have her whole body washed about once every two weeks, when the casts were removed at the hospital and we could bathe her properly, almost like the baths we had given her when she was much smaller.

    Whenever the casts came off and I saw her bare feet again, I would think,

    “They’re so tiny.”

    I had seen those feet every day since she was born, yet after spending so much time hidden inside the casts, I almost felt as though I had forgotten how small they really were.

    And more than anything else, I could see that the feet that had once turned so strongly inward were now pointing forward.

    They were straight.

    Perhaps that should have seemed obvious after everything she had been through, but actually seeing the change with my own eyes felt completely different.

    I thought about the day we had handed her over for surgery, terrified of the general anesthesia, and about all the time I had spent wishing for nothing more than for her to come back to us safely.

    Now, the result of that frightening day was right there in front of me, in those two tiny feet.

    But the treatment did not end when the casts came off.

    Next came the braces.

    The first time I saw them, my immediate thought was,

    “They look like a snowboard.”

    There were two rigid shoes made specifically for clubfoot, and after putting one on each foot, a bar was clicked into place between the heels so that her feet remained connected and her hips stayed open.

    For something designed for such a small baby, it had an enormous presence.

    We were told that she would probably need to wear this brace until she was around two years old.

    “Until she’s two?”

    At the time, Ito-chan was only a few months old, so two years old felt impossibly far away.

    Would she really wear this every day?

    Would she sleep like this?

    Wouldn’t it make it difficult for her to move?

    How could she possibly roll over with both feet connected by a bar?

    The doctors told us that babies gradually learn how to move their legs even while wearing the brace, and that some of them eventually learn to roll over without taking it off.

    “With this thing on?”

    At first, I found that hard to imagine.

    Her feet were literally connected by a rigid bar, and from an adult’s perspective, it looked like something that should make movement almost impossible.

    But Ito-chan moved far more than we expected.

    She lifted both legs together, twisted her body, and moved the brace as though its weight bothered her far less than it bothered us just looking at it.

    “She can really move that much?”

    Once again, I realized that we had been the ones quietly deciding what she might not be able to do before she had even had the chance to try.

    The brace also brought another routine into our everyday lives.

    About three times a day, we removed it and massaged her feet using the method the doctor had taught us, gently moving them so that her Achilles tendons would not become too stiff.

    We had been shown exactly what to do at the hospital, but in the beginning, simply taking the brace off and putting it back on again took us a surprisingly long time.

    We had to guide those tiny feet into the rigid shoes, make sure they were positioned correctly, secure everything, and then click the bar back into place between the heels.

    Is this too tight?

    Is it too loose?

    Is her foot sitting correctly?

    Things that the doctors seemed to do effortlessly at the hospital suddenly felt much more complicated when we had to do them ourselves at home.

    Still, three times a day, we removed the brace and touched those little feet.

    The massages were part of her treatment, but they also became moments when I could really look at her feet.

    The feet that had once turned strongly inward were now pointing forward, and I would hold them gently in my hands and move them exactly as the doctor had shown us.

    Stay soft.

    Please stay straight.

    Those were the kinds of things I found myself thinking as I massaged them every day.

    Around that time, I began to understand that treatment was not something that happened only inside an operating room.

    The doctors could perform the surgery, but the treatment did not end when we walked out of the hospital.

    At home, we put the brace on, took it off, massaged her feet, and put it back on again, repeating the same routine every day.

    All of that was part of the treatment too.

    There had also been a frightening moment while she was still wearing the casts.

    One day, we noticed that one of them seemed to be getting loose.

    At first, I wondered whether that was normal, but then it became obvious that it was much looser than before.

    And eventually, it came off.

    “Wait… it came off?”

    For a moment, I did not know what to do.

    After everything she had gone through to correct the position of her feet, was it really okay for the cast that was supposed to hold that correction to simply come off?

    What if her foot turned inward again?

    What if all the progress was lost?

    What if she needed another surgery?

    As usual, one small event was enough for my mind to race toward several frightening futures at once.

    But there was no time to sit there imagining them, so we took her straight back to the hospital.

    By then, we had traveled to hospitals more times than I could count, but driving there for a scheduled appointment and rushing there because we thought something had gone wrong felt completely different, even when the road itself was exactly the same.

    I kept looking at her foot, wondering whether everything was okay and wishing we could somehow arrive faster.

    Since pregnancy, there had been so many moments in our lives that ended with the same thought:

    “If something happens, go to the hospital.”

    Those moments were always frightening, but over time I also began to understand how reassuring it was to have somewhere we could go, somewhere with doctors who already knew Ito-chan and understood what her body had been through.

    There was another reality of treatment that we had never fully understood until we were actually living it.

    Money.

    In our case, there were systems that allowed some of the costs to be reimbursed after applying for them, but that did not mean every expense simply disappeared.

    There were still costs we had to pay ourselves first, and at times, a single treatment-related payment could exceed 300,000 yen.

    Ito-chan’s brace alone cost more than 130,000 yen.

    It was one piece of medical equipment for one tiny baby, and yet it cost that much.

    Then there were the hospital stays, the surgery, and the repeated trips back and forth for appointments.

    Of course, we never thought,

    “This is too expensive, so we won’t do the treatment.”

    If our daughter needed something, we wanted to do whatever we could for her.

    That part was simple.

    But there is a difference between saying,

    “We’ll pay because she needs it,”

    and saying,

    “It isn’t a burden.”

    While worrying about her body, keeping track of her next appointment, managing her milk through the feeding tube, watching her spit up, checking her breathing, and knowing that more detailed hearing tests were still ahead of us, we also had to think about how much each treatment would cost, what paperwork needed to be submitted, and how much might eventually be reimbursed.

    Raising a child with a medical condition was not only about worrying, encouraging her, and loving her.

    It also meant finding time to travel to hospitals, paying for transportation, paying for treatments and medical equipment, completing applications, and handling all the practical things that still had to be done while our hearts were busy worrying about our daughter.

    No one else could simply make all of those things disappear.

    It was hard.

    And yet, every time we came home, Ito-chan’s day began again as though none of those adult concerns had anything to do with her.

    When it was time for milk, we fed her.

    When she spit up, we cleaned it.

    We checked her feeding tube, watched her breathing when it looked rough, and when it was time to remove the brace, we massaged her feet before putting those rigid little shoes back on and clicking the bar into place again.

    Then, one day in the middle of that ordinary routine, Ito-chan began twisting her body.

    At first, I did not understand what she was trying to do.

    She turned slightly to one side, moved her legs, twisted again, and seemed to gather her whole little body into the movement.

    I watched her.

    And then,

    she rolled over.

    For a second, I just stared.

    She had rolled over.

    She was around four months old, and her neck was not even fully stable yet.

    “Ito-chan rolled over!”

    I could hardly believe it.

    The doctors had told us that some babies learned to roll over even while wearing the brace, but that had always been something that other babies could do, something I had heard as information rather than something I could actually imagine happening in front of me.

    And yet there she was.

    Her feet were connected.

    She was wearing the brace.

    Her body still needed so much treatment.

    And somehow, she had figured out how to move anyway.

    I was overwhelmed.

    Throughout pregnancy, I had spent so much time wondering what this child would be able to do and what she might never be able to do.

    Would she walk?

    Would she stand?

    Would she be able to move her body freely?

    While I was worrying about things that might happen years in the future, Ito-chan was quietly using the body she had right now to discover what she could do today.

    It was only a roll.

    For another family, perhaps it would have been nothing more than another milestone.

    But to me, it was not just a roll.

    I remember thinking,

    “She’s going to find her own way to move.”

    I had spent months imagining a future filled with things she might not be able to do, and right in front of me, without saying a word, Ito-chan simply turned her own body over.

    I was so happy.

    Back in Chapter One, I had lived almost entirely in the future.

    What would she look like when she was born?

    Would she be able to breathe on her own?

    What condition did she have?

    Would she walk?

    Would she hear?

    Would she be able to live an ordinary life?

    I had asked myself questions that had no answers over and over again, believing that once she was born, we would finally know.

    But even after she was born, there were still so many things we did not know.

    We did not know everything after the doctors explained her condition in the NICU.

    We still did not know everything after we brought her home.

    And even after her first surgery, there were still so many unanswered questions.

    Her hearing would need more detailed testing.

    There was still her cleft palate.

    We did not know how long she would need the feeding tube.

    Treatment for her feet would continue.

    But by then, I was beginning to think that maybe we did not need to know everything yet.

    Not knowing the future is not the same as having no future.

    If we did not know something yet, perhaps we could simply face it when the time came.

    If she needed a test, we would have the test.

    If she needed treatment, we would talk with her doctors.

    If something unexpected happened, we would figure out what we could do then.

    And while we were busy worrying about the future, Ito-chan would keep growing.

    She had learned to follow people with her eyes.

    She had found her voice.

    She had started reaching for things.

    Her expressions had become richer.

    And before her neck was even fully stable,

    she rolled over.

    The version of Ito-chan standing in my imagination on the day we first heard about her condition had never done any of those things.

    Back then, I had been too busy imagining everything she might not be able to do.

    But the real Ito-chan seemed completely uninterested in the limits of my imagination.

    She simply kept adding one new thing after another to the list of what she could do today.

    Maybe we were the ones slowly trying to catch up with her.

    Ito-chan, only a few months have passed since you were born, and yet so much has happened that sometimes it feels as though we have already lived years together.

    The NICU.

    Holding you for the first time.

    Learning about your condition.

    Visiting you every day.

    Feeding you through a tube.

    Bringing you home for the first time.

    The constant spit-up.

    The breathing that frightened us.

    The worries about your hearing.

    The smiles that slowly became more frequent.

    Your first surgery.

    The heavy casts.

    And then,

    life with your new brace.

    Through every one of those moments, I was afraid of the future again and again.

    But every time I was looking ahead at some frightening future I had created in my mind, you were simply living the day in front of you.

    Maybe that is why, little by little, I have learned to do the same.

    We still do not know what lies ahead.

    We do not know when you will walk.

    We do not know what the hearing tests will eventually tell us.

    We do not know when the feeding tube will come out.

    And we do not know what other treatments may be waiting for you.

    But there is one thing I do know.

    Whatever the future looks like, we will keep moving through it with you.

    You do not have to be fast.

    You do not have to be the same as anyone else.

    There can be days when we stop and rest.

    Just as you are growing at your own pace, your dad and I can keep learning how to be your parents at ours.

    Ito-chan, your tiny feet have already made it through their first big surgery.

    And now, even with a brace connecting them, you are already moving those feet with all your strength and finding your own way toward whatever comes next.

    I do not know what kind of places those feet will take you someday.

    We do not need to know yet.

    We can discover them together.

    At your pace.

    At ours.

    One step at a time.

    We’ll keep walking forward with you.

    — End of Chapter Two —

  • Ito-chan’s Story — Chapter Two, Episode Nine

    A Big Surgery for Little Feet

    🇯🇵Read in Japanese

    From the day Ito-chan was born, one of the things that had always worried us was her tiny feet, both of which turned strongly inward.

    “Clubfoot.”

    We had known from the beginning that her feet would need treatment, and over the weeks we had listened as the doctors explained what might need to happen next, but for a long time, the word “surgery” still felt like something waiting somewhere far in the future.

    Then, after Ito-chan had passed three months old, that future arrived.

    She would undergo surgery to release her Achilles tendons, correct the position of her feet, and then hold them in place with casts so that the correction could gradually continue.

    I understood why the surgery was necessary, and I knew it was part of helping Ito-chan use her feet in the future, but the part that frightened me most was not actually the surgery itself.

    It was the words,

    “general anesthesia.”

    As part of the explanation before surgery, we were told about the anesthesia and the risks that came with it, including the fact that, however small the possibility might be, there was always a chance that something could go wrong.

    Of course, I understood why they had to tell us that, and I knew that no doctor could promise that any procedure was completely without risk.

    But hearing the words “there is always a possibility” when the person being discussed is your own daughter feels entirely different.

    She had only been in this world for a few months, and her body was still so small that I could easily gather all of her into my arms, yet we were about to let someone put her completely under anesthesia and operate on her somewhere we could not see.

    Every time I tried to tell myself that this was necessary and that she would be okay, another thought appeared behind it.

    What if something happened because of the anesthesia?

    What if something happened during surgery?

    What if she did not wake up?

    I did not want to think about any of those things, but once the thoughts entered my mind, I could not make them disappear.

    There had already been so many moments when I had wondered whether Ito-chan would be okay—the possibility of her condition during pregnancy, being taken straight to the NICU after birth, watching her struggle with her breathing, and later being told that her hearing seemed weaker than it should be.

    But the fear I felt on the day of her surgery was different.

    I had to hand my daughter over and allow her to disappear through a door, knowing that from that moment on, there was absolutely nothing I could do for her.

    All I could do was trust the people taking care of her.

    As I watched her being taken toward the operating room, I thought,

    “Be strong.”

    But that was not really what I wanted to say.

    You don’t have to be strong.

    Just come back to me safely.

    Let me see your face again.

    Once the doors closed behind her, there was nothing left for me to do except wait, and I had never realized until that day how frightening it could be to simply sit somewhere and wait.

    No matter how many times I checked the clock, it barely seemed to move, and no matter what I tried to think about, my mind returned to the same unanswered questions.

    Is the anesthesia going okay?

    Is the surgery going well?

    She’s going to come back, right?

    I could not take her place, could not see what was happening, and could not even speak to her.

    I could only wait.

    Eventually, we were told that the surgery had been completed safely.

    The moment I heard those words, it felt as though all the strength that had been holding my body together suddenly disappeared.

    Thank goodness.

    It was over.

    She was safe.

    She was coming back.

    For the first time since the surgery began, I felt as though I could finally breathe again.

    And then, almost immediately afterward, someone said,

    “Mom, could you come with us for a moment?”

    Only me.

    The instant I heard those words, my heart nearly stopped.

    I had just been told that the surgery was over and that everything was okay, so why was I being called away by myself?

    Something happened.

    That was the first thought that entered my mind.

    Had there been a problem during surgery?

    Had she not woken properly from the anesthesia?

    Was it her breathing?

    Her heart?

    Had they discovered something else?

    In the short distance between where I had been waiting and where the doctor was, my mind managed to imagine almost every terrible possibility I had been trying not to think about all day.

    Then the doctor explained what had happened.

    “They had a great deal of difficulty administering the anesthesia.”

    The surgery itself had been completed safely, but getting Ito-chan under anesthesia had been much more difficult than expected.

    The doctor went on to explain that if Ito-chan needed surgery or general anesthesia again in the future, it would probably be better for her to have it done at this hospital, where the team now knew what had happened and how difficult the process had been.

    The first thing I felt was relief.

    Not because nothing had happened—something important clearly had happened, and the difficulty with anesthesia was something we would need to remember for the future—but because the terrible possibilities I had imagined during those few moments were not what the doctor was about to tell me.

    Ito-chan was alive.

    The surgery was over.

    She was coming back to me.

    For that moment, that was enough.

    Only later did the doctor’s words begin to settle into a different place inside me.

    “They had a great deal of difficulty administering the anesthesia.”

    Ito-chan might need more surgeries in the future.

    There was already surgery for her cleft palate somewhere ahead of us, and there could be other procedures we did not yet know about.

    That meant we might have to face general anesthesia again.

    I had thought that once this surgery was finished, one of our worries would disappear, but I was beginning to understand that with Ito-chan, finishing one treatment did not always mean the end of worrying; sometimes it simply revealed the next thing we would need to think about.

    Still, in that moment, I did not want to think about the next surgery.

    I just wanted to see my daughter.

    When I finally saw Ito-chan after the operation, my chest tightened.

    Her tiny body was connected to so many different machines and monitors, lines seemed to extend from everywhere, and hard casts now covered the little feet that had just been operated on.

    She looked so small surrounded by all of it, and the sight was painful to look at.

    Only a few months earlier, she had still been inside my belly, and now she had already been put under general anesthesia, taken into an operating room without us, and gone through surgery in a place where we could do nothing to help her.

    She could not possibly understand why any of it was happening.

    She had been taken somewhere unfamiliar, put to sleep, and when she woke, her body was connected to machines and her legs were wrapped in casts.

    “You did so well.”

    That was all I could say.

    And as I looked at her, I tried not to look at the machines, the wires, or the casts first.

    I looked at her face.

    She was here.

    She had come back.

    She was right in front of me.

    Seeing her with my own eyes finally made me believe what the words “the surgery went well” had not quite been enough to make me feel.

    My daughter was back.

    And despite how frightened we had been, her recovery went smoothly enough that she was able to leave the hospital the very next day.

    It felt almost unbelievable.

    The day before, I had been thinking about the worst possibilities of general anesthesia, then spending the surgery wishing only for her safe return, and afterward nearly convincing myself that something terrible had happened when I was suddenly called away alone.

    And now, one day later, I could hold that same little girl in my arms and take her home again.

    Only when we were leaving the hospital did I finally begin to think,

    “It’s over.”

    Of course, the treatment itself was not truly over.

    Life with the casts was only beginning, the correction of her feet would continue, braces would eventually become part of our lives, and there would still be many more hospital visits ahead.

    There might also be other surgeries waiting somewhere in her future.

    But I was beginning to understand that we did not have to survive every future day all at once.

    That day, we had made it through one thing.

    For now, that was enough.

    Ito-chan, whenever I looked at your tiny feet, I had always imagined the future.

    Would you be able to walk?

    What would it look like when you stood for the first time?

    Would you ever run?

    I had spent so much time looking years ahead.

    But on the day of your surgery, none of those questions mattered to me.

    I did not care whether you would walk tomorrow, or run someday far in the future.

    I wanted only one thing.

    Come back safely.

    Let me see your face again.

    And you did.

    With your tiny body, you made it through your first big surgery and came back to us.

    There were now large casts around your little feet, and we still did not know what treatments would come next or how those feet would grow.

    But we did not need to know all of that yet.

    We did not need to solve your entire future in a single day.

    For now, we could simply be grateful that you had made it through today.

    And together, we could go home again.

  • Ito-chan’s Story — Chapter Two, Episode Eight

    So Many People by Your Side

    🇯🇵Read in Japanese

    After Ito-chan came home, she began to change little by little, in ways so small that if we compared one day to the next, we probably would not have noticed them at all.

    Her weight and height did not suddenly increase, but each time they were measured at the hospital, the numbers had gone up just a little, and because we were with her every day, we began to notice changes that could never be captured by numbers alone.

    The eyes that had once simply stared at us began to follow our movements, and when we brought our faces close to hers and slowly moved from side to side, those little eyes would move along with us.

    “She’s watching us.”

    Something that simple made us so happy that we would do it again and again, almost as if we needed to make sure that what we had just seen was real.

    Her expressions began to change too.

    In the beginning, it felt as though she was usually sleeping, crying, or quietly staring at us, but little by little, the corners of her mouth began to soften, she started making expressions that looked almost like smiles, and we began discovering new versions of Ito-chan that we had never seen before.

    Then she started making sounds.

    “Aah.”

    “Ooh.”

    We had no idea whether she was actually trying to tell us anything, but every time that tiny voice came from her tiny body, my husband and I would look at each other and say,

    “She just talked.”

    Of course, she was not really talking yet, but simply hearing our daughter discover her own voice was enough to make us happy.

    Her hands began moving more purposefully as well, and eventually she started reaching toward things in front of her and wrapping her tiny fingers around them.

    For another baby, perhaps none of these things would have seemed unusual.

    But throughout my pregnancy, I had spent so much time thinking about all the things Ito-chan might not be able to do.

    Would she be able to walk?

    Would she be able to hear?

    Would she be able to see properly?

    How would she grow?

    I had imagined futures that had not even happened yet, filling them with things she might never be able to do, so once we began living together, every small thing she actually could do felt much bigger to me than it probably looked from the outside.

    She followed us with her eyes.

    She made sounds.

    She grabbed something with her hand.

    She showed us an expression we had never seen before.

    Each change was small, but every time we noticed one, I found myself thinking,

    “There’s another one.”

    We still did not know how her body would grow in the years ahead, but I was beginning to understand that she did not need to grow at the same pace as anyone else in order to be moving forward.

    Ito-chan was growing at her own pace.

    That did not mean the worries disappeared.

    She still spit up constantly, almost every time we gave her milk, and her breathing could still look rough enough that I sometimes found myself staring at her chest while she slept, watching it rise and fall just to reassure myself that she was okay.

    And around this time, there was something else we had begun worrying about.

    Her hearing.

    At the hospital, we were told that Ito-chan seemed to have some hearing loss, particularly in her right ear, and that she would need more detailed testing as she grew.

    We had already been told during pregnancy that her condition could affect her hearing, but hearing that possibility become something that might actually be happening to our daughter was different.

    At home, there were times when her response to our voices seemed weaker than we expected, so I would call her name, make a sound, or speak from different directions just to see what she would do.

    If she turned toward me, I felt relieved.

    “She can hear me.”

    If she did not respond, the worry returned almost immediately.

    Maybe she really can’t hear very well.

    How much could she hear through her right ear?

    Was her left ear okay?

    Would this affect her when she eventually began learning words?

    As soon as one question appeared, my mind would race ahead into a future we had not reached yet.

    Before she was born, we had heard the same words over and over again:

    “We won’t know until she’s born.”

    Somewhere along the way, I think I had begun to believe that once she was born, all the answers would finally arrive at once.

    But that was not how it worked.

    Some things could only be understood as her body grew, some would require repeated testing, and others simply needed time before anyone could know for sure.

    “We still don’t know.”

    Those words still frightened me, but as we lived with Ito-chan day after day, we were slowly learning how to live with uncertainty too.

    Treatment for her feet was continuing as well.

    Both feet had turned strongly inward from birth, and as the weeks passed, we began hearing more about what the next stage of treatment might involve.

    There was a feeding tube in her nose.

    Her feet needed treatment.

    Her breathing worried me.

    Her hearing would need more testing.

    Without realizing it, I had developed a habit of seeing all of those things whenever I looked at my daughter.

    Of course I thought she was beautiful.

    But somewhere inside me, there was always another question.

    “How will other people see her?”

    Around that time, Ito-chan gradually began meeting more of our relatives, and more people outside our immediate household had the chance to hold her for the first time.

    Before those meetings, I would wonder what they would think when they saw the tube in her nose, whether they would ask about her feet, and how much I would need to explain about her condition.

    But when they actually met her, the atmosphere was nothing like the one I had imagined.

    “She’s so cute.”

    They simply picked her up, looked into her face, smiled when her expression changed, and talked about whether her eyes looked like her dad’s or whether another part of her face looked like mine.

    Instead of staring at the feeding tube, they looked into her eyes.

    Instead of focusing on her feet, they watched her expressions.

    The feeding tube that I noticed every single day, the feet that would require continued treatment, and the condition that occupied so much space in my mind were never the whole of Ito-chan to the people around her.

    Maybe they had never even been looking at those things first.

    There was a baby in front of them.

    She was tiny when they held her.

    She was cute when they looked at her.

    And when she made a sound or changed her expression, everyone smiled.

    They were simply looking at Ito-chan as she was.

    After seeing that happen again and again, a thought began to form in my mind.

    Maybe I was the one who cared about these things the most.

    The feeding tube.

    The shape of her feet.

    The ways she was different.

    The question of how other people might see her.

    No one had said anything cruel to make me afraid, and no one had told me that these were the things I should be worried about.

    Maybe I had been worrying about other people’s reactions long before they ever had the chance to react.

    Realizing that made something inside me feel a little lighter.

    Of course, as Ito-chan grows, she will meet many more people, and I know that not everyone in the world will necessarily see her in the same way.

    There may be questions about her condition, and there may be people who notice that her body looks different.

    Thinking about that future still frightened me.

    But I was beginning to understand that I did not need to fill the time I had with my daughter now with fear about the eyes of people we had not even met yet.

    Because right now, Ito-chan already had so many people around her.

    She had her dad.

    She had family.

    She had relatives.

    At the hospital, she had doctors and nurses.

    There were people who wanted to hold her, people who smiled at her, people who celebrated the smallest changes with us, and people who simply looked at her and said,

    “She’s so cute.”

    There were far more people on Ito-chan’s side than I had realized, and knowing that gave me a kind of strength I had not felt before.

    And through all of this, Ito-chan herself continued growing as though she knew nothing about the worries filling my mind.

    She followed people with her eyes, discovered her voice, reached for things, showed us more and more expressions, and slowly gained weight and height at her own pace.

    For so long, I had thought,

    “I have to protect this child.”

    That feeling has never gone away, and I do not think it ever will.

    But maybe my husband and I do not have to carry everything by ourselves.

    Ito-chan already has so many people around her, and those people are able to see the little girl beyond the feeding tube, beyond the treatment her feet require, beyond all the things that I sometimes cannot stop myself from worrying about.

    Realizing that changed something in me.

    Ito-chan, you are still too young to know how many people are already standing beside you.

    There are people who smile simply because you smile, people who celebrate when you make a sound, and people who become genuinely happy when your tiny hand manages to hold onto something for the first time.

    There are people who celebrate your growth almost as if it were their own.

    There are still tests and treatments waiting ahead of you, and there are still things we do not know about your hearing.

    And soon, another much bigger treatment was waiting for those tiny feet.

    I was still afraid, and I knew there would be many more moments when I would feel afraid again.

    But neither of us was alone anymore.

    Not me.

    And not you.

    Ito-chan, there are so many people by your side.

    And right there in the middle of all that love, surrounded by people watching over you, you are still growing little by little, every day, entirely at your own pace.

  • Ito-chan’s Story — Chapter Two, Episode Seven

    Ito-chan Is Ito-chan

    🌏Read in Japanese

    Once we were home, life became busy in a completely different way from when Ito-chan had been in the hospital, but whenever my husband was home, he helped with her baths and milk, and little by little, the two of us began settling into this new life of raising our daughter together.

    Nighttime, however, was a slightly different story.

    Even when Ito-chan cried in the middle of the night, my husband somehow managed to sleep straight through it.

    Sometimes I genuinely wondered how he could possibly stay asleep with a baby crying right beside him, and looking back now, it makes me laugh, but thankfully, Ito-chan hardly ever cried through the night, which made those early months much easier than they might otherwise have been.

    In many ways, my husband did not change very much after she was born.

    Even during pregnancy, while I worried about things that had not happened yet and imagined every possible version of the future, he had always been the kind of person who dealt with whatever was happening right in front of him.

    There had been times during pregnancy when I looked at him and wondered,

    How can you be so calm?

    Sometimes his calmness made me feel as though I was the only one who was afraid, and there were moments when the difference between us felt lonely.

    But even after our daughter was born and the things we had once only imagined began becoming real, he remained much the same.

    If her breathing worried us, he thought about what needed to be done then.

    If she threw up her milk, he checked how she was doing.

    If we needed to go to the hospital, we went.

    Instead of trying to solve problems that had not happened yet, he seemed to wait until something was actually in front of us and then deal with that one thing.

    That was how he faced life with our daughter.

    I could not do that so easily.

    Even after we brought her home, even after we finally began spending every day together, the question

    What is going to happen to Ito-chan?

    never completely disappeared.

    Whenever her breathing looked difficult, I became frightened, and because she spit up so often, there were many times when I wondered whether she was really okay.

    Coming home from the hospital did not suddenly make me feel safe.

    If anything, having her beside me all the time made me notice everything—every breath, every change in her expression, every time she threw up.

    And throughout those days, there was another thought that returned to me more times than I would like to admit.

    Why me?

    Why us?

    Why her?

    They were questions I had asked myself many times during pregnancy, and even after my daughter was born, I could not simply let them go.

    It was not because I did not love her.

    If anything, perhaps I thought about those things precisely because I loved her so much.

    What treatments would she need?

    How would she grow?

    Would she walk?

    Would her eyes and ears be okay?

    What would happen with her breathing?

    The more I learned about her condition, the more possible futures appeared in my mind, and I frightened myself by trying to live through all of them before they had even happened.

    There was something else I could not bring myself to do.

    I had not told my friends about my daughter’s birth.

    Normally, perhaps you send a photograph and say,

    “She’s here.”

    You tell everyone her name, and messages of congratulations begin to arrive.

    But I could not do it.

    I think I simply did not know how to explain what had happened.

    I was happy that my daughter had been born.

    I was deeply grateful that she had made it into this world.

    But I did not know what words were supposed to come after that.

    How much should I explain about her condition?

    What would people think?

    What would they say?

    And if someone simply said, “Congratulations,” how would I feel?

    While I kept thinking about all of those things, time passed, and I still said nothing.

    Looking back now, I think that silence was simply the best I could do at the time.

    I was not trying to hide my daughter.

    I was still trying to understand everything myself.

    At some point, my husband and I talked about how we wanted to move forward.

    “Let’s grow together, all three of us.”

    Not just our daughter.

    Us too.

    We could learn what we did not yet understand.

    If something became difficult, we could face it when it came.

    Of course, saying those words did not suddenly make me positive about everything, and there were still mornings when I woke up afraid of the future all over again.

    But little by little, something inside me began to change.

    Instead of thinking,

    We have to somehow fix everything for her,

    I began to think,

    Maybe we can just keep moving forward with her.

    My husband’s parents also helped me see things differently.

    From the very beginning, they never looked at Ito-chan with despair.

    They did not treat her as a poor little baby whose life had been ruined by a diagnosis, nor did they look at our family as though something terrible had happened to us.

    They simply kept saying,

    “Ito-chan is Ito-chan.”

    Ito-chan was Ito-chan.

    Nothing more.

    Nothing less.

    She could have a diagnosis.

    She could have a feeding tube.

    Her feet could need treatment.

    There could be surgeries somewhere in her future.

    But before any of those things, she was Ito-chan.

    Every time I heard those words, I realized how much time I had spent looking at my daughter’s future instead of looking at my daughter.

    Because she was right there in front of me.

    She was still too young to clearly show us what she wanted, but little by little, her face became more expressive.

    The baby who had always stared so intently at people began to make little expressions that looked like smiles.

    At the time, I did not even know whether she was really smiling at us.

    But whenever I saw that face, there were moments when I could think,

    Maybe you are already enough exactly as you are.

    Her condition had not disappeared.

    Neither had my fear.

    We had not suddenly been given answers about her future.

    And yet, for that brief moment, I could look at her and think,

    You can just be you.

    Those moments slowly became more frequent.

    A new expression made me happy.

    A face we had never seen before was enough for my husband and me to get excited.

    Day by day, she seemed to show us a little more of herself, and watching those expressions appear became one of the things I loved most.

    Of course, there were still plenty of things that frightened me.

    Her breathing worried me, especially when it looked as though she was struggling, and because she spit up so often, I repeatedly found myself wondering,

    Can a baby really throw up this much and still be okay?

    Happiness and fear did not take turns.

    They existed at the same time.

    I could feel happy because she had smiled, while still watching her breathing closely.

    I could celebrate a new expression and then worry again the moment she threw up her milk.

    There were days when I thought,

    She’s going to be okay,

    and other days when I found myself wondering all over again what her future would look like.

    Maybe accepting that your child has a medical condition does not mean reaching a point where all of the fear suddenly disappears.

    At least, that was not what acceptance looked like for me.

    There were days when I could look forward.

    There were also days when I still thought, Why me?

    There were moments when I looked at my daughter and felt that she was perfect exactly as she was, and there were nights when imagining her future frightened me.

    Both versions of me were real.

    And still, life kept moving.

    Every three hours, it was time for milk.

    We bathed her, cleaned her up when she threw up, watched her sleeping face, went to the hospital, and came home again.

    My husband continued dealing with whatever was directly in front of us, I continued worrying a little too far into the future, and somewhere between the two of us, our daughter kept growing more expressive, as though she had no idea how much her parents were thinking about everything.

    Perhaps all three of us were growing at different speeds.

    Just as Ito-chan was slowly learning and growing in her little body, my husband and I were slowly learning how to be her parents.

    If I could go back now and say just one thing to the person I was during those early months, I think I would tell her,

    You’re going to be okay.

    Not because nothing difficult is going to happen.

    Not because there will come a day when there is nothing left to worry about.

    Not because the hospital visits will disappear or every treatment will suddenly be over.

    I would tell her,

    You’re going to be okay, because she is growing. She is trying, and she is growing.

    Back then, I kept searching for answers somewhere in a future that had not happened yet.

    But perhaps what I really needed to see was not the future version of Ito-chan.

    It was the little girl right in front of me, doing everything she could to live that particular day.

    One new thing.

    One new expression.

    A face that looked slightly different from yesterday, staring back at us again today.

    That was enough.

    I did not need to accept everything all at once.

    My fear did not need to disappear.

    It was okay that there were days when I wondered, Why me?

    Even while carrying those feelings, I was still holding my daughter.

    My husband was still beside us.

    And Ito-chan was still growing.

    Ito-chan is Ito-chan.

    Nothing more.

    Nothing less.

    I think it was through those ordinary days that I slowly began to understand what those words really meant.

    Ito-chan,

    back then, I spent so much time worrying about your future.

    But while I was looking so far ahead,

    you were right there in front of me,

    living today,

    and growing just a little more than you had yesterday.

    So if I could speak to myself back then, I would say it once more.

    You’re going to be okay.

    Because this little girl,

    at her own pace,

    is growing every single day.

  • Ito-chan’s Story — Chapter Two, Episode Six

    Every Day With You

    🇯🇵Read in Japanese

    The moment I stepped through the hospital doors with my daughter in my arms and felt the outside air around us, it finally began to feel real that our life as a family of three was about to begin.

    Of course, I was still afraid.

    At the hospital, there had always been doctors and nurses nearby, and whenever there was something we did not understand, there was someone we could ask, but from now on, we would be the ones closest to our daughter—the ones giving her milk, changing her feeding tube, and noticing the smallest changes in her condition.

    And yet, there was something that made me far happier than all of that made me afraid.

    Tonight, we get to sleep together.

    Until then, no matter how many hours we spent beside her at the hospital, there always came a time when we had to leave our daughter behind and go home without her.

    At night, she stayed at the hospital while I slept somewhere without her, and when morning came, I would make the journey back to see her again.

    But now, it was different.

    Tonight, she would still be there.

    And when I opened my eyes in the morning, she would still be there.

    Something that might sound completely ordinary to someone else felt almost unbelievable to me.

    On our first night together at home, I was happy, but nervous too.

    The nurses had told us,

    “She sleeps well at night.”

    Still, I wondered whether she would really sleep at home, in a completely different environment, and part of me imagined that perhaps she would cry all night and none of us would sleep at all.

    But while I worried, Ito-chan simply slept.

    Quietly.

    Peacefully.

    There was nothing extraordinary happening, and yet I felt as though I could have watched her forever.

    At the hospital, there had always been machines beeping and people moving nearby, but listening to my daughter breathe quietly in our home felt completely different, and as I watched her little sleeping face, I kept thinking,

    She’s really here.

    Thankfully, Ito-chan was hardly ever a baby who cried through the night.

    So it was not her crying that woke us.

    It was the alarm on our phone.

    At first, she needed milk every three hours, and because she rarely cried to tell us she was hungry, we set alarms through the night and woke whenever they sounded, rubbing the sleep from our eyes as we prepared her milk and slowly gave it through her feeding tube.

    Whether it was the middle of the night or early in the morning, three hours would pass and it would be time to feed her again.

    Ito-chan would sometimes be sleeping peacefully beside us while we were the ones waking to an alarm and saying,

    “It’s time for your milk.”

    Looking back, it seems like a slightly strange scene, but that was simply what our new everyday life looked like.

    The feeding tube that had frightened me so much in the hospital gradually stopped feeling like something that belonged only to a medical setting and became part of our life at home.

    When we bathed her, we supported her little body while being careful not to pull or dislodge the tube, and something that had once made me so nervous slowly became part of the ordinary rhythm of caring for our daughter.

    When I first learned to bathe her at the hospital, bath time had been one of those special moments when I could finally feel, I really am this little girl’s mom.

    Now that she was home, it became part of our everyday life.

    One thing I had not expected to be quite so difficult, however, was how often Ito-chan spit up.

    She threw up a lot.

    There were so many times when we would finish giving her milk, think everything was fine, and then suddenly have to wipe her down, change her clothes, clean everything up, and watch her carefully all over again.

    She spit up so often that once we started going out together, there was one thing we almost never left home without.

    A box of tissues.

    Not a little packet.

    An entire box.

    It makes me laugh now, but at the time we genuinely left the house thinking,

    She’s probably going to throw up today too.

    There were days when thinking about her condition, her feeding tube, and the treatments still waiting somewhere in her future made everything feel heavy, but mixed into those difficult days were more and more moments that would eventually become stories we could laugh about.

    Coming home changed more than just the life of the three of us.

    My family and relatives were finally able to hold her too.

    While she had been in the hospital, the number of people who could really spend time with her had been limited, but once she came home, I began seeing my daughter in so many different arms, with people looking down at her little face, talking to her, smiling at her, and telling her how cute she was.

    Whenever I watched someone else holding her, I found myself thinking,

    Look how many people you have around you.

    After we finished staying with my family, we also spent about three months living with my husband’s parents.

    That meant my husband and I did not have to carry everything alone, because there were always people around our daughter—people watching over her, holding her, talking to her, and watching over us as we learned how to be parents.

    During pregnancy, every new piece of information about her condition had made me wonder,

    Are we really going to be able to raise this child?

    But once our life together actually began, I realized that the two of us were never raising her completely on our own.

    Surrounded by so many hands, so many watchful eyes, and so many voices saying, “She’s so cute,” our daughter slowly began to grow.

    From the time she was born, Ito-chan had always been a baby who stared deeply at people.

    If we looked at her, she would look straight back at us, almost as though she were studying our faces and trying to understand who we were.

    She could not speak, of course, and we had no way of knowing what she was thinking, but whenever those eyes stayed fixed on us, I would think,

    She really is watching us.

    And little by little, she began to smile more.

    At first, they were small smiles, but before long she started laughing out loud, and eventually she would laugh and laugh until the whole room seemed to change with her.

    During pregnancy, I had stared at those ultrasound images of her enormous-looking eyes and wondered what she would look like when she was born.

    Now that same little girl was right in front of me, staring into our faces with those eyes and laughing out loud.

    When the doctors first explained her condition to us, nearly every thought I had about the future began with fear.

    Would she be able to breathe?

    Could she see?

    Could she hear?

    Would she ever be able to drink milk?

    Would she be able to walk?

    Would she need surgery?

    The future seemed filled with questions about things she might not be able to do.

    But once we were home and living with her every day, I began to notice something that existed completely outside those fears.

    Our daughter was simply living her life.

    She slept and woke up, watched people, was held in someone’s arms, and slowly began to smile and laugh.

    If I wanted to count all the things she could not yet do, there were probably plenty.

    But there were just as many things she was already doing, right there in front of us.

    Of course, coming home did not mean our life with hospitals was over.

    Treatment for her clubfeet began, and while she was wearing casts, we traveled about ninety minutes each way to the hospital once a week.

    Whenever I looked at those casts wrapped around her tiny legs, I was reminded that our daughter really did need treatment, and thinking too far into the future could still frighten me.

    Once her feet became more stable, those appointments became every three or four months, while her eyes and ears were checked about every three months, and her cleft palate continued to be monitored at similar intervals as we looked ahead toward surgery after her first birthday.

    Little by little, our calendar filled with hospital appointments.

    But hospitals were not our entire life.

    Between those appointments were ordinary days at home.

    We gave her milk, bathed her, slept beside her, held her, laughed with her, cleaned her up when she threw up all over herself, reached for that box of tissues yet again, changed her clothes, and carried on with the day.

    And somewhere inside all of those ordinary moments, the feeling that

    we are raising a daughter with a medical condition

    slowly became less powerful than something much simpler.

    We are living with Ito-chan.

    Perhaps the moments when I felt most strongly that we had truly become a family were the times when the three of us could go somewhere together.

    While Ito-chan was in the hospital, my husband and I had always been the ones going somewhere to see her.

    She was waiting at the destination.

    But now, things were different.

    We could wonder where we should go that day, pack everything she needed, check her feeding tube and milk, remember our inevitable box of tissues, and then leave together.

    We were no longer going somewhere to see our daughter.

    We were going somewhere with our daughter.

    That difference meant more to me than I could explain.

    Being together every day.

    Opening my eyes in the morning and finding her there.

    Sleeping under the same roof at night.

    Taking her with us whenever we went somewhere.

    To someone else, these things might sound so ordinary that they hardly seem worth putting into words.

    But it had taken us one month and twenty days before that kind of “ordinary” life could even begin.

    And because of that, simply being together felt like proof that we had finally become a family.

    From the time I was pregnant, I had imagined my daughter’s future over and over again, and even after she was born, every new test result made me wonder what might be waiting for us next.

    But after coming home and living beside her every day, I slowly began to understand something.

    Maybe becoming a family does not mean knowing everything about the future.

    We do not stay together because we already know what our child will or will not be able to do.

    There can still be questions.

    There can still be fear.

    And even with all of that, we wake every three hours to give her milk, wipe her clean when she throws up, bathe her, sleep beside her, travel to the hospital, and laugh when she laughs.

    Maybe becoming a family is simply sharing enough of those ordinary days, over and over again, until one day you realize that they have become your life.

    Ito-chan.

    You were living each day in that tiny body of yours.

    And beside you, we were learning how to live each of those new days too.

    Instead of looking only at what you could not do, we began to notice what you could do today.

    Instead of staring endlessly into a future we could not yet know, we began to look at the little girl who was right in front of us.

    And somewhere along the way,

    the life that had begun for you inside a hospital

    slowly became

    the everyday life of our family.

  • Ito-chan’s Story — Chapter Two, Episode Four

    What Does “Normal” Even Mean?

    🇯🇵Read in Japanese

    About three days after giving birth to my daughter, I was discharged from the hospital.

    I had always imagined that leaving the hospital after giving birth would mean walking out with my baby in my arms, going home together, and beginning our new life as a family from that day forward.

    At least, that was what I had imagined during my pregnancy.

    You give birth to your baby, you hold her, you bring her home, and when night comes, she sleeps somewhere beside you; when she cries, you wake up and feed her.

    I knew it would be exhausting.

    But I still believed that kind of life would simply begin the moment my baby was born.

    But on the day I left the hospital, my daughter stayed behind in the NICU.

    I was discharged.

    She was still a patient.

    Only three days earlier, we had been together every second of every day, sharing the same body, and yet the moment she was born, our lives had somehow separated into two different places.

    I went home.

    She stayed at the hospital.

    I knew I had given birth to a baby, but when I returned home, there was no baby there.

    At night, there was no crying.

    There was no tiny body sleeping beside me.

    She was no longer inside my belly, either.

    She wasn’t inside me.

    And she wasn’t beside me.

    My heart could not quite understand what had happened.

    I cried every night.

    I missed her.

    And the more I wanted to see her, the more I found myself wondering,

    “Why isn’t she here?”

    I knew that I had given birth.

    My body knew it too.

    My stomach no longer looked or felt the way it had during pregnancy, and everything about my body told me that childbirth had happened.

    And yet my arms were empty.

    Sometimes the whole thing felt so unreal that I wondered whether I had truly given birth at all.

    I had become a mother.

    But I did not yet feel like one.

    Somewhere inside me, I had imagined that becoming a mother would happen instantly, that the moment my baby was born something inside me would change and I would simply know,

    “I’m her mom now.”

    But that was not how it happened for me.

    Technically, I became her mother the moment she was born.

    Emotionally, I think I was still trying to catch up.

    After I was discharged, we went to the NICU every single day.

    To see her.

    And to bring her milk.

    Whenever my husband had a day off, we drove to the hospital together.

    On the days he had to work, I traveled alone by train, about ninety minutes each way.

    Nearly three hours of traveling there and back.

    My body was still recovering from childbirth, and carrying milk with me while making that journey almost every day was exhausting.

    Looking back now, I think that was one of the hardest periods of all.

    My body had not fully recovered.

    At night, I often cried because I missed my daughter.

    But when morning came, the same thought always returned.

    “I’m going to see her today.”

    If my husband was off work, we drove together.

    If he was working, I took the train alone.

    The way I got there changed.

    But there was never a day when I did not want to go.

    Whenever he could, my husband also came after work, traveling to the hospital just to spend whatever time he could with our daughter before going home again.

    Without realizing it, our entire daily life had begun to revolve around the NICU.

    Even when I was at home, I was thinking about the next time I would be able to see her.

    Some days, I would walk into the NICU, look at my daughter’s face, and tears would simply begin to fall.

    Nothing bad had happened.

    The doctor had not just given us frightening news.

    Sometimes she was simply lying there.

    And still, I cried.

    She was beautiful.

    I had missed her.

    She was alive today.

    She was trying so hard.

    I wanted to take her home.

    I wanted to know why I couldn’t simply bring my own baby home with me.

    There were so many emotions mixed together that I often had no idea what the tears actually meant.

    Sometimes I would be smiling at her while tears ran down my face.

    And sometimes I wondered,

    “What would we be doing right now if everything had been normal?”

    If she had been born and come home with us.

    Would I be holding her at home?

    Would we be exhausted from waking up all night?

    Would I be feeding her, changing her diaper, giving her a bath?

    The life with a newborn that I had imagined during pregnancy had not begun.

    Instead, every day we traveled to the hospital and visited our daughter in the NICU, surrounded by medical equipment.

    That was our postpartum life.

    Feeding was different from what I had imagined too.

    At first, I was able to produce some breast milk, but before long my supply became difficult to maintain, and we transitioned to formula fairly early.

    Because our daughter had a cleft palate, even drinking by mouth required practice.

    Something as simple as “feeding my baby” looked very different from the picture I had carried in my mind before she was born.

    Maybe the old version of me would have looked at each of those differences and thought,

    “This isn’t normal.”

    Normally, a baby goes home with her parents.

    Normally, parenting begins at home.

    Normally, a baby drinks milk by mouth.

    Normally—

    But the more time I spent going back and forth to the NICU, the less certain I became about that word.

    What does “normal” even mean?

    My daughter was not the only baby in the NICU.

    There were many babies there, each hospitalized for different reasons, each surrounded by different equipment, each with families coming to sit beside them.

    Being there made me wonder whether there had ever really been one correct way for life with a newborn to begin.

    Some babies go home almost immediately.

    Some spend weeks or months in the hospital.

    Some can drink milk on their own from the beginning, while others have to practice.

    Some need help to breathe.

    And each of those beginnings belongs to a real child and a real family.

    My daughter spent about a month in the NICU.

    Day after day, we continued going to see her, and slowly, time passed.

    Eventually, the doctors told us something we had desperately hoped to hear.

    It looked as though she might be able to manage breathing on her own.

    That meant more to me than I could explain.

    Breathing had frightened us since before she was born.

    We had been told that she might need respiratory support, and yet this tiny girl had spent the first month of her life working so hard, breath after breath, until we finally heard the words we had been waiting for.

    She might be able to breathe on her own.

    One month.

    Maybe that doesn’t sound very long.

    But to us, it felt enormous.

    After about a month, our daughter was transferred from the hospital where she had been born to a university hospital closer to our home.

    She still wasn’t coming home.

    But she was coming closer.

    And somehow, even that felt like progress.

    At the university hospital, the next stage began.

    This time, we were not only learning about our daughter’s condition.

    We were learning how to care for her ourselves.

    The nurses began teaching us, one step at a time, some of the things they had been doing for her in the hospital, because once she eventually came home, there would not always be a nurse standing beside us if something happened.

    We would be the ones there.

    So we learned how to handle her feeding tube, how to give her milk, what changes in her condition we needed to watch for, and how to bathe her safely.

    We were also told that she could be prone to middle ear infections, so when bathing or showering her, we needed to be especially careful not to let water get into her ears.

    Even something as ordinary as giving our baby a bath was something we had to learn slowly and carefully.

    And yet, bath time became one of my favorite moments.

    For me, bathing her was not simply about keeping her clean.

    It became one of the moments when I could truly feel,

    “I’m this little girl’s mom.”

    Every night, I had returned to a home without my daughter.

    There had been moments when I felt so disconnected from motherhood that I wondered whether I had really given birth at all.

    But when I supported her tiny body with my own hands, gently poured warm water over her, washed her face and body, and watched every little expression she made, something inside me changed.

    Of course, I was nervous.

    I had to be careful not to get water into her ears.

    I worried about whether I was holding her correctly, whether she was comfortable, whether I was doing everything the way I had been taught.

    “Does that feel nice?”

    I would talk to her while I washed her, watching her face and touching her tiny arms and legs.

    In the NICU, it was sometimes difficult not to notice the machines and tubes before anything else.

    But during bath time, I could forget about them for a little while.

    She was not a patient surrounded by medical equipment.

    She was simply my daughter, resting in my hands.

    Feeling the warmth of her tiny body against my palms, I could finally think,

    “Oh… I really am her mom.”

    I had not suddenly felt like a mother the moment she was born.

    For me, that feeling came little by little.

    Holding her.

    Bringing her milk.

    Traveling to see her.

    And bathing her with my own hands.

    Bath time was something we needed to learn before she could eventually come home, but for me, it became something more than practice.

    It became one of the small moments I looked forward to most.

    A moment when I could feel that I was becoming her mother.

    At the same time, even as we learned how to care for her at home, there were still many things about the future that frightened me.

    One of them was her feet.

    Both of her feet had turned strongly inward since birth.

    We were told that because her clubfoot was significant, she would need continued treatment as she grew, and that surgery might eventually become necessary.

    She could not even hold her head up yet.

    Rolling over, sitting, standing, walking—all of those things still belonged to a future far away.

    And yet I was already being asked to imagine a future in which the word “surgery” might stand somewhere between my daughter and the day she learned to walk.

    That frightened me.

    Would these tiny feet someday support her?

    Would she be able to stand?

    Would she be able to walk?

    Looking at her feet, I sometimes found myself worrying about a future that had not even happened yet.

    But something inside me had changed since pregnancy.

    Back then, I had been afraid of a future I could not see.

    Now, I had my daughter in front of me.

    If she needed surgery someday, we would think about it then.

    If she needed treatment, we would face it with her when that day came.

    Right now, she did not need us to solve the question of whether she would someday walk.

    She needed us to learn how to care for her today.

    Before she was born, I had assumed that parenting was something you somehow learned naturally once your baby came home.

    But we had a few extra things to learn.

    At first, I was terrified.

    Can we really do all of this ourselves at home?

    What if something happens?

    What if the milk doesn’t go in properly?

    What if there is a problem with the tube?

    What if her breathing changes?

    If I allowed myself to keep asking “what if,” there was no end to the fear.

    But every time a nurse showed us how to do something, and every time we practiced it ourselves, another thought slowly began to appear beside the fear.

    Maybe we can do this.

    Everything was new.

    Of course we were not going to be good at it immediately.

    If we didn’t understand something, we could ask.

    If we couldn’t do something yet, we could practice again.

    Our daughter was learning how to drink.

    Maybe we were learning how to become her parents.

    I had not suddenly transformed into a mother who knew how to do everything the moment she was born.

    Instead, I traveled to the hospital every day.

    I held her.

    I cried.

    I listened to the doctors.

    I learned from the nurses.

    I bathed her and felt the warmth of her body in my own hands.

    And little by little, I learned more about the tiny person who was my daughter.

    Maybe that was how I became her mother.

    Every night, I had cried in a home where my baby was missing.

    There were moments when the whole experience felt so unreal that I wondered whether I had truly given birth.

    But when I look back now, I realize that all of it was part of me becoming her mother.

    The days when my husband and I drove to the hospital together.

    The days when he had to work and I carried milk with me on the ninety-minute train ride alone.

    The moments when simply seeing her face in the NICU made me cry.

    And the bath times when I held her tiny body and thought,

    “I really am this little girl’s mom.”

    All of it was part of the same journey.

    And slowly, another thought began to grow inside me.

    Instead of asking,

    “Why did this happen to her?”

    I began to think,

    “Maybe she came to us because she could live with us.”

    There would be her condition.

    Her breathing.

    Her feeding.

    Her feet.

    The treatments and surgeries she might need in the future.

    None of it would necessarily be easy, and there might be things waiting for us that we could not yet imagine.

    But somewhere inside me, I began to believe:

    Maybe she was born to us because, with us, she could live.

    There was no special reason for me to believe that.

    It wasn’t because I thought we were strong enough to handle everything.

    If anything, I was still frightened of almost everything.

    But I began to feel that there might be some meaning in the fact that this little girl had come into our lives.

    So we would learn.

    If we couldn’t do something, we would practice.

    If we didn’t understand something, we would ask someone to teach us.

    If we became afraid, we would face one thing at a time.

    Just as our daughter was slowly learning what she needed in order to live,

    we could slowly learn how to live beside her.

    What is a “normal family,” anyway?

    I still don’t really know.

    Is it a family that takes their baby home immediately after birth?

    A mother who breastfeeds?

    Parents who never have to use medical equipment?

    A childhood without constant hospital visits?

    I don’t think that is what makes a family a family.

    Maybe we didn’t need to become anyone else’s version of one.

    We could become a family in our own way.

    Our daughter had her own pace.

    And we had our own beginning.

    That was enough.

    After one month in the NICU, as I watched our daughter move to a university hospital closer to home, I slowly began to understand that.

    Ito-chan,

    after you were born, I thought about the word “normal” again and again.

    But eventually, whether our life was normal or not began to matter less and less.

    You were breathing today.

    We could see you.

    Something you couldn’t do yesterday might become something you could do tomorrow.

    And we would have another day together.

    That was enough.

    We still had a little way to go before we could finally bring you home.

    But we were getting closer.

    Not because you needed to become our daughter—

    you already were.

    But because we were still learning

    how to become your mom and dad.

    Looking back now,

    I think we needed that month.

    Not to learn how to have a “normal” family,

    but to begin becoming

    our family.