A few days later, Kelley, five months pregnant, had a routine ultrasound to make sure the baby was developing properly. The ultrasound technician struggled to see the baby's tiny heart and asked her to come back the next week when the baby would be more developed.

At that next ultrasound, the technician said it was still hard to see the heart and asked Kelley to go to Hartford Hospital, where they could do a higher-level ultrasound.

Apparently, there was more to it than that.

As Kelley was driving home, her cell phone rang. It was the baby's mother.

"She kept saying, 'There's something wrong with the baby. There's something wrong with the baby. What are we going to do?' " Kelley remembers. "She was frantic. She was panicking."

Then the midwife called. She told Kelley the ultrasound showed the baby had a cleft lip and palate, a cyst in her brain and serious heart defects. They couldn't see a stomach or a spleen.

The next ultrasound was three days away, and Kelley grew increasingly anxious with each passing day. By the time she walked into Hartford Hospital on February 16, 2012, she was 21 weeks pregnant and "absolutely terrified" of what the ultrasound would show and what the parents' reaction would be.

An emotional standoff

With the parents standing behind her, the ultrasound technician at the hospital put the wand on Kelley's stomach. The test confirmed her worst fears: It showed the baby did have a cleft lip and palate, a cyst in the brain, and a complex heart abnormality.

The doctors explained the baby would need several heart surgeries after she was born. She would likely survive the pregnancy, but had only about a 25% chance of having a "normal life," Kelley remembers the doctors saying.

In a letter to Kelley's midwife, Dr. Elisa Gianferrari, a maternal fetal medicine specialist at Hartford Hospital, and Leslie Ciarleglio, a genetic counselor, described what happened next.

"Given the ultrasound findings, (the parents) feel that the interventions required to manage (the baby's medical problems) are overwhelming for an infant, and that it is a more humane option to consider pregnancy termination," they wrote.

Kelley disagreed.

"Ms. Kelley feels that all efforts should be made to 'give the baby a chance' and seems adamantly opposed to termination," they wrote.

The letter describes how the parents tried to convince Kelley to change her mind. Their three children were born prematurely, and two of them had to spend months in the hospital and still had medical problems. They wanted something better for this child.

"The (parents) feel strongly that they pursued surrogacy in order to minimize the risk of pain and suffering for their baby," Gianferrari and Ciarleglio wrote. They "explained their feelings in detail to Ms. Kelley in hopes of coming to an agreement."

The two sides were at a standoff. The doctor and the genetic counselor offered an amniocentesis in the hope that by analyzing the baby's genes, they could learn more about her condition. Kelley was amenable, they noted, but the parents "feel that the information gained from this testing would not influence their decision to consider pregnancy termination."

The atmosphere in the room became very tense, Kelley remembers. The parents were brought into the geneticist's office to give everyone some privacy.

After a while, Kelley was reunited with the parents.

"They were both visibly upset. The mother was crying," she remembers. "They said they didn't want to bring a baby into the world only for that child to suffer. ... They said I should try to be God-like and have mercy on the child and let her go."