Premature Birth and My Experiences in the NICU
My first and only child was born at 28 weeks gestation. It was a very scary time for me because I did not know what to expect and wanted my daughter to be ok. I am trying to put together information so parents can have an idea of what to expect if they are in the same or similar situation
that I was in. Most of this information is based on a baby born between 26 and 29 weeks of gestation.
A brief over view of my daughter: she weighed 2 lbs 1 ½ ozs at birth and was 14 1/4" long. She was in the NICU for 2 months and 1 day. After the first month she was moved from the North unit to the South unit. The north unit is for the babies that need more care or just coming in. The south unit is for babies that are more stable and are getting ready to go home. Her main problems in the NICU were RDS, PDA, IVH, ROP and apnea. These are very unfamiliar words for someone that is not a doctor so I was pretty confused at first.
RDS stands for Respiratory Distress Syndrome. Most premature babies born before 30 weeks of gestation have problems with RDS. Many of them will be put on a ventilator at first, but continue to need oxygen through nasal prongs until they're closer to term. Around 50% of babies born 26 to 29 weeks gestation develops BPD (bronchopulmonary dysplasia), but it normally will resolve before the age of two.
A premature baby who had RDS at birth that still needs the ventilator several weeks later can develop BPD. This happens when the supplemental oxygen and mechanical ventilation has damage the babies lungs and has impaired their natural healing process. The most severe forms of BPD are very rare.
PDA is a fetal blood vessel close to the heart, which is supposed to close within the first few days of life. Sometimes it will remain open in preemies. When there's a PDA, too much blood flows through the lungs, making a premature baby's RDS worse and increasing the chance for chronic lung damage. Some PDA's don't seem to cause problems, so the doctor may wait to see if they will close on their own.
A brief over view of my daughter: she weighed 2 lbs 1 ½ ozs at birth and was 14 1/4" long. She was in the NICU for 2 months and 1 day. After the first month she was moved from the North unit to the South unit. The north unit is for the babies that need more care or just coming in. The south unit is for babies that are more stable and are getting ready to go home. Her main problems in the NICU were RDS, PDA, IVH, ROP and apnea. These are very unfamiliar words for someone that is not a doctor so I was pretty confused at first.
RDS stands for Respiratory Distress Syndrome. Most premature babies born before 30 weeks of gestation have problems with RDS. Many of them will be put on a ventilator at first, but continue to need oxygen through nasal prongs until they're closer to term. Around 50% of babies born 26 to 29 weeks gestation develops BPD (bronchopulmonary dysplasia), but it normally will resolve before the age of two.
A premature baby who had RDS at birth that still needs the ventilator several weeks later can develop BPD. This happens when the supplemental oxygen and mechanical ventilation has damage the babies lungs and has impaired their natural healing process. The most severe forms of BPD are very rare.
PDA is a fetal blood vessel close to the heart, which is supposed to close within the first few days of life. Sometimes it will remain open in preemies. When there's a PDA, too much blood flows through the lungs, making a premature baby's RDS worse and increasing the chance for chronic lung damage. Some PDA's don't seem to cause problems, so the doctor may wait to see if they will close on their own.
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