"Never trust a 35 weeker"

Specialties NICU

Published

What in the world does she mean????

I get asked that a lot.

35 week gestation premies (either newly born, or finally after 4-5 weeks of nicu stay) frequently act like they know what they're doing. They stay warm in an open crib, they've learned how to eat, they've even learned to breathe on a regular basis. They're gaining wt., and they're cuter than just about anything on the planet. Mom and dad are bonded, providing care, breastfeeding. (Well, maybe not dad.)

Don't trust them! and try not to let anyone send them home!

In a heartbeat, they can remember that they're only 35 wks, and, by rights, they don't have to know how to do any of the above. They can get cold, have residuals and have apnea of prematurity, get septic, even die.

As long as you remember they're not trustworthy, you won't completely relax around them.

Gompers, dawngloves, krvrn, and all the other experienced nicu nurses--what do you think?

Specializes in NICU.

What's also scary are the kids delivered at 35 bc of PEC who go home really fast. We just had one who came to us for a day of CPAP and some feeding help, then went home DOL 5 with mom. Two days later he's in the ER because he "won't eat". He was eating like a beast with us, so... As soon as baby is settled with us mom takes her own self back to the ER for a "pounding" headache with visual changes and feeling like her pressure is high. So we sent a tenuous kid home with a mom who's still clearly really sick herself. No wonder she couldn't get him to eat, she felt like crap! Kid was wicked dehydrated and needed lights. Stupid, stupid us.

Specializes in NICU.

And it continues...

35 4/7 twin girls, born right at 2000 when I walk in the door. I get twin B - who is a champ. Sugars a fine, temps are great, eating 15-20cc q3h PO, planning on sending her up to newborn after rounds in the morning. Twin A was the one with the slight temp issues and needed D10 for some sugar issues.

I come back the next night and see that twin B was no longer in my assignment, I figured she had indeed gone up to newborn. I asked the resident who was standing right there when she went upstairs. He then told me that she had spontaneously perfed and was in the OR that very minute.

I think my jaw actually hit the floor! Seriously!!!

At 09 she was still fine. Girth was still 29, and ate her 20ml no problem. At 12, her belly was huge - girth up to 34... X-ray showed a huge amount of free air. Never had any temp issues or A/Bs or any of that other stuff.

She had perfed in her sigmoid colon - only took out a few cm of bowel, and no ostomy or any of that non-sense.

Since when do 35 4/7 wk babies spontaneously perf at 14 hours of life???

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