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01-14-2013 at 9:44 PM
mrsjami
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Bucks County PA
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mrsjami is not online. Last active: 05-13-2013, 9:49 PMSilver

NICU reality Check

My OB keeps telling me if I get to 34 weeks he will be happy, anything beyond that is gravy. So I asked at 34 weeks don't they need NICU time and he said usually, but they do fine.  I feel like he's diminishing the NICU and wanted to know how they really  do and do they have issues later on ( respiratory, etc). Can anyone share? 



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10/19/11 mc @ 17wks- Trisomy 18
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01-14-2013 at 9:58 PM
Missa_g
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34 weekers typically do very well and have just a few weeks stay as "feeders and growers". All babies, especially preemies, are different. Most 34 weekers would have no lasting impairments. Just take it one day at a time.

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Married 9/22/07, began TTC 8/10
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01-14-2013 at 10:04 PM
flutepharm...
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Joined on 06-28-2007
Cincinnati, OH
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flutepharm87 is not online. Last active: 05-23-2013, 10:23 PMSilver

My little guys were born at exactly 34 weeks and are currently doing just fine. Ian was in NICU for 8 days, Jack for 23 (he had a little trouble breathing and caught a respiratory infection, hence the longer stay). That's not to say that it wasn't hard for me to deal with having 2 preemies stay in the NICU, but we weren't in there nearly as long as many of the preemie moms I know of that have had babies born much earlier.

I was on hospital bedrest for 7 weeks for pre-eclampsia, though. According to my MFM team, they'd do everything possible to keep the boys in up until 34 weeks. After 34 weeks, my health would become the priority. Had I not had any health problems, the goal was to get me to 38 weeks. Even with the pre-e, the ultimate goal was 37 weeks, I just didn't make it that far.


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01-14-2013 at 10:07 PM
MrsLouie10
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I think a NICU stay is tough no matter how you look at it. But, at 34 weeks, babies usually just need a little bit of help breathing at first, making sure they can maintain their temp, and to learn how to suck, swallow and breathe. Mine were healthy other than being born at 34w for preeclampsia. They were on CPAP for 48 hours, one under the light for jaundice, and needed to learn to eat. They were there for 3 weeks. You should have lots of support at the hospital and resources like this board if you do have your babies early. Hoping you can make it longer though!

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01-14-2013 at 10:34 PM
chickaboo1...
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My guys were born at 34w 3d- from pre-e.  My guys stayed in the NICU for 17 days- just to learn to suck/swallow/breath.  They had NO breathing issues- I also did not  get the steroid shots (I was on bedrest at 31 weeks).  My guys always met their milestones on time- and have had no lasting issues from being born early.

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01-14-2013 at 11:12 PM
Brummy14
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34 weekers do amazing in most cases. I cannot tell you how many 32 or later weekers we've seen come and have super short stays during our seemingly marathon stay!

All NICU stays are tough, but in the grand scheme of things, 34w is great for a multiple pregnancy.

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November 2, 2012 - Claire (2lbs 8.9oz) and Paige (2lbs 10oz) arrive at 29w3d due to PTL and pPROM at 28w5d
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01-14-2013 at 11:54 PM
Mrs. Alice
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Mrs. Alice is online. Last active: 05-24-2013, 4:42 AMSilver

To get a better idea, lurk a little on the preemie board.  I think something like this was asked recently.  My twins were born at 28 weeks but had threatened to come starting at 24 weeks so we were thrilled to get as far as we did.  My MFM was going to take them at 34 weeks if we had made it that far. 

Statisically at 34 weeks, babies have the same survival rates and long term outcomes as a full termer which is why Dr.'s say they will be "fine" and feel more comfortable delivering after that point.  However I don't think that diminishes that fact that any NICU stay is difficult but it's likely going to be different compared to one born weeks earlier and they most likely won't face any ongoing preemie issues for an extended period of time.  We still deal with some preemie related issues and delays at 18 months.


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01-15-2013 at 6:19 AM
E&RMommy
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E&RMommy is not online. Last active: 05-23-2013, 11:20 PMSilver

After 34 weeks most OBs breathe a sigh of relief for multiples.  It's like hitting mile 25 of a marathon.  Yes NICU is still tough but usually by 34 weeks there is rarely anything catatrosphic for the babies.

Mine were delivered at 36 weeks from pre-eclampsia.  DD did great and went home.  DS transferred to NICU at 36 hours old for respiratory distress and holes in his lungs.  He was in NICU for over a week.  At one month back in NICU for a  perirectal abscess.  At six months back in hospital and PICU for over a week for really bad RSV.  His sister got RSV but a very mild case and only needed an ER trip. 

Even now at 2.5 years old he gets sicker.  He wheezes.  He has had a cough for two weeks and wheezes like his momma.

The pediatricians all say it's a chicken and egg thing - not sure if it was due to late preterm or due to crappy lungs (like me).

In the long run though and in the grand shceme of things, truly 34 weekers and beyond have fewer problems. It's hard to see the big picture when you can't compare it to twins who deliver at 25 weeks or 28 weeks. 

Hang in there.


Three losses in 2009; Boy/Girl twins born in 2010  
01-15-2013 at 8:14 AM
Jen0204
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Mine were born at 36 weeks (due to really high BP with me) and I have a close friend who had twins 6 weeks later at 34 weeks (her water just broke).  Mine spent 9 days in the NICU and if I remember correctly hers spent almost a month in there but it was just a feeding/growing issue.

My experience with the NICU honestly wasn't bad.  The hardest part for me was when they took DD1 to the NICU.  DD2 went right away because she was only 4lbs 9oz and it was protocol for her to go and at least get checked out since she was under 5 pounds.  DD1 went to our room with us and spent the night with us and on night 2 was taken to the NICU for a blood oxygen level issue.  Between PP hormones, DD2 being in the NICU (and since she was in the NICU our hospital's policy was that only 4 predetermined family members would be allowed access so our siblings and other family and friends couldn't meet her), and not getting sleep I just lost it when they took DD1 away.  But after that it really wasn't awful.  While I was in the hospital myself it wasn't bad to just walk down to the NICU every few hours.  The nurses there made me check my blood pressure (which was a concern) and looked out for me as well as the girls.  As a FTM it was kind of nice to have medical professionals to ask questions to 24/7 for the first 9 days of their lives.  When I was released we stayed at my parent's house because our place was an hour from where I gave birth but we would go to the NICU for their 9am feeding, hang out all day and just leave to get meals, then go home after their 9pm feeding. H also liked learning how to do everything with a nurse watching and giving him pointers.  He left the hospital very confident that he knew how to do everything.

We slept there one night, but with the constant noises from their machines we got barely any rest.  H was able to get a lot of rest at my parent's house, which definitely helped once we were home.  We were also able to get them into a good schedule and routine while in the NICU, so when we went home with the babies we felt much more confident that we knew what we were doing then we would have if we had gone home at 4 days old.  Mine were always just there for observation and help with feeding and growing so there were never any serious concerns, and because of that I was able to try to look at the positive side of things and tried to take advantage of the help we had available.  The NICU was also brand new and really nice, and the girls were in a room together with a separate "bedroom" area at the back of their room with a sliding glass door and a futon and desk so we could go nap while they slept. 

Oh, and the best part - they sent us home with a TON of stuff!  All of the diapers that were left in the room, their diaper cream, tons of pumping parts and creams, thermometers, plastic basins, gauze pads, anything that wasn't nailed down they packed up for us.

Obviously the ideal would have been no NICU time and everyone's experience is different.  We were very fortunate and there were never serious problems so we weren't too stressed, but we saw babies attached to all kinds of machines and I can only imagine what that must have been like for those parents.  But normally from 34 weeks on babies do MUCH better.  My OB told me afterwards that she didn't expect me to make it to 30 weeks, was shocked when I hit 34 weeks, and then was thrilled that I made it to 36 weeks (I was on bed rest from 26 weeks on for a shortened cervix).  Just because they keep saying "34 weeks" doesn't mean that's when you'll deliver.  That's just when everyone breathes a little easier.  Hopefully you'll go even longer.  Every day helps those babies.  Good luck!

ETA - Other then still be petite (only 18lbs 5oz (27%) and 17lbs 10oz (17%) as of yesterday) my girls have had no other issues in the past year.


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01-15-2013 at 9:46 AM
henglish85
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I got to 35 weeks 1 day with my girls and keep in mind I did have steroid shots for their lungs, but when they were born, they did wonderfully even though they needed 2 weeks of NICU time as feeders and growers. I will say though it was so hard to be away from them during that time, so I wish I could have made it just a few more weeks. All they needed in the NICU though was a little help regulating their blood sugar by IV (which came out within 24 hours), assistance eating with a feeding tube, and Lilly spent 6 hours in a warmer because she couldn't get her temperature in check right away. It was almost annoying they were there though, because I felt like they didn't need that much help.  Hopefully you make it plenty far to not need the NICU at all and not have to worry about it. GL!


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01-15-2013 at 3:43 PM
copilot
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Pittsburgh
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My twins were born at 34w1d. Twin A was 4lb11oz. He had a few (maybe less than 5) episodes where his heart rate or respiratory rate would slow down too low. He couldn't leave the hospital until 7 days after his last episode and was there for 13 days. Mostly it was precautionary though because his heart rate/respiratory rate would recover almost immediately and he was never in any danger. Twin B had IUGR and was 3lb8oz. Completely healthy but it took him awhile to be able to eat enough without totally exhausting himself. He had a feeding tube for a bit. Was considered a "feeder/grower" and was in the NICU for 18 days. They were basically 6 weeks behind most developmental milestones for the first 9 months or so, so their development was on track based on their actual due date. They just turned 2 and have no issues, no delays, and no respiratory problems. They are both really small (twin A is about the size of a 12 month old) but that is more likely genetic than anything else since DH and I are small people. My goal was to make it to that 34 week mark and I was more than happy to stop being pregnant at that point!

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01-15-2013 at 7:48 PM
mrsjami
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Bucks County PA
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mrsjami is not online. Last active: 05-13-2013, 9:49 PMSilver
Thanks for sharing! I feel a little more relaxed and will hope they stay put as long as possible.


 Baby Birthday Ticker Ticker
6/20/11 mc @ 5wks
10/19/11 mc @ 17wks- Trisomy 18
IUI #1 4/26/12 BFN
Moving on to IVF in July
37 with DOR...fabulous
ER 7/14/12 6R 5F, ET 7/17 3 embies, beta #1 7/26: 147, beta #2 7/28: 326, beta#3 7/30: 422...ugh, beta#4 7/31: 607...hopeful, beta #5 8/2: 1280, beta #6 8/7: 7184 and u/s shows 1 possibly 2 sacs! 8/14 2 beautiful heartbeats! 9/24 we are TEAM BLUE!!!!!
 
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