FYI NICU = Neonatal Intensive Care Unit
My son Adrian was born during an emergency C-section on February 10th at 5:03 AM (roughly 6 weeks early). It was a completely drama free pregnancy (no morning sickness, no weird appetite stuff, normal 20 week ultrasound, etc) until February 7th. That entire day my wife was complaining about an upset stomach and just feeling off so she went to the hospital. When I got there from work, the doctor immediately said she was having contractions and was going into labor (2 cm dilated). They gave her a drug to try and calm the contractions as they REALLY want babies to get to at least 34 weeks (which would be the next day, Saturday). 35 weeks would be even better as 35 week babies most likely do not need to go to the NICU if there are no other issues. They also gave her a steroid shot as that would help the baby's lungs develop faster if he did come early.
The drug seemed to work to calm her contractions. We stayed at the hospital that night. The next day she had an ultrasound and apparently the baby seemed to be growth restricted. At the 20th week ultrasound he was 60th percentile or so on size, he was now in the 5th percentile. They didn't really have an answer as to why (they said cord blood flow was normal) but scheduled a bunch of extra appointments from that day until the due date (March 21). They said maybe he would just be a small baby and there was still a good chance he would come around the due date.
Saturday after we got home from the hospital she felt normal. Sunday she felt a little manic but still no contractions or anything. Then when we were getting ready for bed that night, I heard her call from the bathroom. "Ummm, Greg, we need to go to the hospital." Her water broke. We rushed over and got admitted. She was starting to dilate more but wasn't having contractions so they gave her Pitocin (a drug to bring on contractions). I guess Adrian did not like this, as his heart rate started to slowly trend downwards. About 4:45 AM the doctors became very concerned. There were probably 15 or so nurses plus doctors in the delivery room. It was quickly decided she would have an emergency c-section due to Adrian's heart rate going down.
They wheeled her out in her bed, they all rushed out with her and I stood there terrified. We did have a birth doula (sort of a birth coach), so she helped calm me down. At this point I would not have been surprised at all if they came back to tell me our son did not make it (or even my wife). When the doctor came back to the room around 5:15 or so, she gave me the good news that mom and baby were OK!
We haven't been told much, but it sounds like she had an abrupted placenta. Essentially this is where the placenta detaches from the uterus early. Weird though that looking at the potential causes, my wife doesn't match any of them (smoking, preeclampsia, prior abruption, trauma during pregnancy, cocaine use, previous cesarean section).
Regardless, Adrian was doing really well (breathing on his own, awake) but his blood sugar was reading low. This is essentially what we've been dealing with for the past 8 days now. He initially had an IV line up through his belly button that was delivering a high dose of dextrose. They also gave him a feeding tube so he would get consistent feedings each time (he does do pretty well from the bottle, taking around 15-20 ml per feeding). Over the 8 days in the NICU, they were able to wean him off the dextrose. They would only drop the rate he was getting the sugar after 2 consecutive blood sugar readings of 60 or higher. Yesterday they finally got him off the dextrose and removed the belly button line. Every day they've been increasing his food intake (pretty much all from fortified breast milk my wife has been pumping).
Since then he's been trending back down for his blood sugar readings. He was mostly in the 40s last night. They have an IV now going into his arm and have a much lower concentration of dextrose going in. He's back up a bit in the 50s today.
There was talk earlier today about possibly putting him on a medication called Diazoxide to help regulate his sugar levels as they think he may have hyperinsulinism. My wife is at the NICU now and I guess they most recently told her his insulin levels look normal so now we're not sure if they still plan on using the Diazoxide.
So that's basically where we are at now. One theory we've picked up on from the doctors is that the emergency c-section combined with the early delivery may have caused a spike in stress in mom which can throw the baby's sugars out of whack. We're hoping he's just taking a bit longer than hoped for until his body can correctly regulate sugars.
This is very long but I just wanted to type out the situation as it is now. I'm at work and leaving at 3:30 to go to the NICU to meet mom and baby, so I needed a way to pass the time.
tldr...
Baby came 5 weeks early (most likely because of a placental abruption). He's now been in the NICU for 8 days because of unstable blood sugar levels. He was weaned off a dextrose IV line, sugars trended a bit low over night, so he's back on a lower dextrose concentration. Current tests seem to be inconclusive as to why this is happening. Feels like we just need to wait and see for now how his body responds.
Anyone else deal with the stress and uncertainty of having a preterm/NICU baby? Why did your baby have to go and how long did they stay? I'm off to the hospital shortly, sorry if I do not respond until later tonight!
My son Adrian was born during an emergency C-section on February 10th at 5:03 AM (roughly 6 weeks early). It was a completely drama free pregnancy (no morning sickness, no weird appetite stuff, normal 20 week ultrasound, etc) until February 7th. That entire day my wife was complaining about an upset stomach and just feeling off so she went to the hospital. When I got there from work, the doctor immediately said she was having contractions and was going into labor (2 cm dilated). They gave her a drug to try and calm the contractions as they REALLY want babies to get to at least 34 weeks (which would be the next day, Saturday). 35 weeks would be even better as 35 week babies most likely do not need to go to the NICU if there are no other issues. They also gave her a steroid shot as that would help the baby's lungs develop faster if he did come early.
The drug seemed to work to calm her contractions. We stayed at the hospital that night. The next day she had an ultrasound and apparently the baby seemed to be growth restricted. At the 20th week ultrasound he was 60th percentile or so on size, he was now in the 5th percentile. They didn't really have an answer as to why (they said cord blood flow was normal) but scheduled a bunch of extra appointments from that day until the due date (March 21). They said maybe he would just be a small baby and there was still a good chance he would come around the due date.
Saturday after we got home from the hospital she felt normal. Sunday she felt a little manic but still no contractions or anything. Then when we were getting ready for bed that night, I heard her call from the bathroom. "Ummm, Greg, we need to go to the hospital." Her water broke. We rushed over and got admitted. She was starting to dilate more but wasn't having contractions so they gave her Pitocin (a drug to bring on contractions). I guess Adrian did not like this, as his heart rate started to slowly trend downwards. About 4:45 AM the doctors became very concerned. There were probably 15 or so nurses plus doctors in the delivery room. It was quickly decided she would have an emergency c-section due to Adrian's heart rate going down.
They wheeled her out in her bed, they all rushed out with her and I stood there terrified. We did have a birth doula (sort of a birth coach), so she helped calm me down. At this point I would not have been surprised at all if they came back to tell me our son did not make it (or even my wife). When the doctor came back to the room around 5:15 or so, she gave me the good news that mom and baby were OK!
We haven't been told much, but it sounds like she had an abrupted placenta. Essentially this is where the placenta detaches from the uterus early. Weird though that looking at the potential causes, my wife doesn't match any of them (smoking, preeclampsia, prior abruption, trauma during pregnancy, cocaine use, previous cesarean section).
Regardless, Adrian was doing really well (breathing on his own, awake) but his blood sugar was reading low. This is essentially what we've been dealing with for the past 8 days now. He initially had an IV line up through his belly button that was delivering a high dose of dextrose. They also gave him a feeding tube so he would get consistent feedings each time (he does do pretty well from the bottle, taking around 15-20 ml per feeding). Over the 8 days in the NICU, they were able to wean him off the dextrose. They would only drop the rate he was getting the sugar after 2 consecutive blood sugar readings of 60 or higher. Yesterday they finally got him off the dextrose and removed the belly button line. Every day they've been increasing his food intake (pretty much all from fortified breast milk my wife has been pumping).
Since then he's been trending back down for his blood sugar readings. He was mostly in the 40s last night. They have an IV now going into his arm and have a much lower concentration of dextrose going in. He's back up a bit in the 50s today.
There was talk earlier today about possibly putting him on a medication called Diazoxide to help regulate his sugar levels as they think he may have hyperinsulinism. My wife is at the NICU now and I guess they most recently told her his insulin levels look normal so now we're not sure if they still plan on using the Diazoxide.
So that's basically where we are at now. One theory we've picked up on from the doctors is that the emergency c-section combined with the early delivery may have caused a spike in stress in mom which can throw the baby's sugars out of whack. We're hoping he's just taking a bit longer than hoped for until his body can correctly regulate sugars.
This is very long but I just wanted to type out the situation as it is now. I'm at work and leaving at 3:30 to go to the NICU to meet mom and baby, so I needed a way to pass the time.
tldr...
Baby came 5 weeks early (most likely because of a placental abruption). He's now been in the NICU for 8 days because of unstable blood sugar levels. He was weaned off a dextrose IV line, sugars trended a bit low over night, so he's back on a lower dextrose concentration. Current tests seem to be inconclusive as to why this is happening. Feels like we just need to wait and see for now how his body responds.
Anyone else deal with the stress and uncertainty of having a preterm/NICU baby? Why did your baby have to go and how long did they stay? I'm off to the hospital shortly, sorry if I do not respond until later tonight!