"Never trust a 35 weeker"

Posted
by prmenrs prmenrs, RN Member Expert Nurse

Specializes in NICU, Infection Control. Has 42 years experience.

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elizabells, BSN, RN

Specializes in NICU. 2,094 Posts

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.

Sweeper933

Specializes in NICU. 409 Posts

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???