21 weeker going home!!!

  1. all i can say is, we'd better open more nicu's if this is where we're going.
    www.dailymail.co.uk/pages/live/articles/health/healthmain.html?in_article_id=437236&in_page_id=17 74 - feb 19, 2007
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  2. 33 Comments

  3. by   HillaryC
    I couldn't get the above link to work, but was able to find the article. Maybe this link will work better:

    http://www.dailymail.co.uk/pages/liv...n_page_id=1774
  4. by   SteveNNP
    I'm glad for this family, but skeptical and dubious at the same time..... My understanding was that rudimentary alveoli didn't develop until the end of the 22nd week of gestation. Up until that point, all you have is non-ventilatable (sp?) terminal bronchioles. Either someone miscalculated their dates, or the UK has some way of ventilating 21 weekers effectively that we in the US haven't heard of. While some 22-23 weekers survive and do well, despite a long hospital course and various complications, the majority do not, and end up succumbing to infection or pulmonary death. Until we find a way to manage these 21 weekers, we need to carefully consider why we are doing this. Just because one survived, does this obligate the rest of the neonatal medical community to regularly attempt to resuscitate 21 weekers?
  5. by   BittyBabyGrower
    Gotta agree with you Steve. And most likely this kiddo will have multiple long term problems. We follow up kids for 3 years and the few 22 weekers we have had that were "normal" at discharge aren't so great now.
  6. by   2curlygirls
    I've not ever had a baby less than 23+2. She lived for six MISERABLE weeks and finally said "screw this!" and died (at least according to me, that's what happened) Never off HFOV, never off Dopamine, no arterial access. I cannot even fathom 21+6 weeks. Such gelatiny.
  7. by   Jokerhill
    This I believe this was in vitro so they know the date down to the time of day.
  8. by   Spidey's mom
    Quote from Jokerhill
    This I believe this was in vitro so they know the date down to the time of day.
    That is my understanding too.

    steph
  9. by   dawngloves
    I wouldn't revise resuscitation guidlines for one baby.
    I see her release has been delayed.
  10. by   preemieRNkate
    I think I read in an article about this baby that she was 21+6 PCA, wouldn't that make her what we would actually call a 23+6 PMA? Would that make a difference in survival?
  11. by   RN BSN 2009
    That's way too early!
  12. by   prmenrs
  13. by   dawngloves
    Quote from preemieRNkate
    I think I read in an article about this baby that she was 21+6 PCA, wouldn't that make her what we would actually call a 23+6 PMA? Would that make a difference in survival?
    You know Kate, I think you're right! :uhoh21:
  14. by   bethin
    That's what I thought so I was surprised to see it in a British paper which made it sound like it happened in England.

    Doesn't matter where it happened, it is amazing.

    How do you put tape on such a tiny baby with such extremely delicate skin and not rip the skin off?

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