O.E.I.S. complex is a very rare and serious condition with multiple birth defects. The omphalocele is first. This is a small bubble like protrusion out of the umbilicus. Our babies omphalocele is not too large and consists of small intestines, liver and part of the bowel. The omphalocele will be operated on not long after birth. Exstrophy of the bladder is next. This means the bladder is on the outside of the body and split into two halves. Carter will have this operated on between 6-12 months of age. Imperforated anus is next, this means Carter's bowels do not go all the way to his anus and he will require an ostomy. This is where they pull part of the bowel through the abdominal wall and make a drainage bag for stool. Carter may be able to have this reversed as he gets older. This depends on the length of the colon, being able to pass solid stool and having sensation in the lower region of his body. The spinal defect is next. It is the most serious part of OEIS complex. Carter has whats known as a myelomeningocele. This is the most severe form of spina bifida. It will require immediate surgery after birth and must be fixed before any other birth defects. A myelomeningocele can cause parapalegia, mental retardation and may lead to shunt placement in the brain. We pray everyday these things will not happen but know they are a possibility. Carter is doing really good right now. He has already started his practice breathing and is very active.