24 weeker - how bad is it? - page 4

by goats'r'us

11,391 Visits | 35 Comments

a friend of mine has just had her baby at 24 weeks 4 days. as a theatre nurse, all I know of preemies is their tendency to develop NEC, so can someone please give me the lowdown - obviously this is not good, but how bad is it?... Read More


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    Quote from goats'r'us
    again, thanks for the information, and the mixture of cold realism and promising anecdotes. together they give me a nicely rounded picture of how things are.

    baby is now onto day 4 on the outside, and so far things are going as well as can be expected.

    can someone please tell me, is there a point where the risk of things going wrong decreases, or is it a case of 'i'll believe she's ok when she leaves NICU/turns 5/starts university'?
    While I understand your need to reach a "comfortable" stage where risks of bad outcomes goes down, there honestly isn't a pat answer for this type of question. As another poster stated, in report these babes are referred to as "a former 24 weeker" because problems in which you'd think you'd be out of the woods by now may pop up later than expected.

    Some problems are there from the outset, others may develop later on, and some even later. My daughter was born early, and she has some language delays. Fortunately, I have a degree in speech-language pathology and I'm able to work with her in this area. However, I ask her pedi when we may be out of the woods with EVERYTHING, and she says that some problems don't become apparent until school age.

    It's a long journey with all the expected ups and downs. I suggest to your friend to find out various resources available to her. In the US, there are programs available for the 0-3 population. A child-life specialist may visit the house, twice or more to check the baby's progress and can make referrals on what she sees. This program is the tip of the iceberg as there are also resources available through the school district. However, as I said, I'm familiar with programs in the US and I readily admit that I don't know what's available in Australia.

    My heart is with your friend, and I she can find and utilize all the options that are available to her. Best of luck to your friend and babe!
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    Esme> Please understand the spirit of my question with absolutely no negativity intended.
    What life choices are you referring to? I read the article a few times and I'm wondering which life choices you are referring to.
  3. 6
    update, since i've just returned to look at this thread..

    she's now closing in on 2kg, weaning off CPAP really well and in an open cot!

    mum and dad get to see her whole face!!
  4. 2
    Quote from goats'r'us
    I can now add that she tips the scales at a mighty 680g (1 1/2 pounds to you imperials), and I've decided this is pretty good for a girl of her development. well, it's better than 400g...
    The most important thing I've seen so far is that she is a SHE. Preemie girls do much better, on average, than do preemie boys.

    24 weekers have significant risks for various physical and cognitive problems though some end up within normal limits across the board. The odds of WNL are fairly low but with all such issues, the severity run a broad spectrum.

    The reason for the preterm birth can affect the prognosis.

    Parenting a preemie is a roller coaster of emotions and energy and it continues long after discharge.

    I'd like to recommend a book that was given us when our microkid joined the world unexpectedly:

    Preemies: The Essential Guide for Parents of Premature Babies

    It was written by a writer who had preemie twins and her sister who's a neonatologist.

    It's a great book.
    BabyRN2Be and obprof like this.
  5. 2
    Quote from babyrn2be
    as another poster stated, in report these babes are referred to as "a former 24 weeker" because problems in which you'd think you'd be out of the woods by now may pop up later than expected.

    yep. my daughter was off the vent, on the vent, off the vent, on the vent... turn the corner then go around the block and get another transfusion... two steps forward, one step back... and sometimes two or three steps back... and we ended up with major issues at age 2-1/2 and age 4, requiring hospitalization and urgent surgery.

    you just don't know... these kids are at higher risk for everything.

    some problems are there from the outset, others may develop later on, and some even later. my daughter was born early, and she has some language delays. fortunately, i have a degree in speech-language pathology and i'm able to work with her in this area. however, i ask her pedi when we may be out of the woods with everything, and she says that some problems don't become apparent until school age.

    well put. my 27 weeker is now 10 and doing fabulously but i still see some residual deficits and some cognitive processing issues. nothing severe but they're there... though most would never realize it.
    well-written post
    BabyRN2Be and obprof like this.
  6. 0
    I am a "24 weeker" born at 1lb 8 oz. I now weigh alot more than that, about to celebrate my 22 birthday in 8 days. I am currently in my sophomore year of nursing school, I have no issues that I know of. Positive thinking can help to turn things around and boost morale. Everyone needs a morale boost to face the hardest things in life. I hope that everything turns out okay. Please give yourself and your friend and the baby my best! I hope that everything works out.


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