tiniest micropreemie

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Well just when you thought you've seen it all!!! I've seen some small babies, but this has to be the smallest. She is a twin, but her sister is still happily in utero. She is now 33 hrs old and still alive an kicking! She was born at 23 wks, ruptured since 22 wks., at was 360 g. The neos were unable to intubate at delivery so they left her with her parents. We received a call 3 hrs. later and she was still ALIVE!! Our neo decided to put her on a nasal cannula. She is still on a nasal cannula...1 liter and 70%. And of course she has lines, has received a transfusion, insulin drip, and the usual NICU hoopla!! I'm just amazed. The other twin is apparently over 1 lb. and hopefully she can keep her in utero a bit longer. I will be even more amazed if she's still there when I go back to work on Friday. I'll keep you posted.

I asked our Neo what the smallest surviving baby was and he said 25 wks around 400 something grams. The smallest before this baby I think that I saw was 420g, but that baby didn't make it. I did take care of a 26 wk. IUGR that was 480g and she did great. She self-extubated 1 wk after birth and was on a nasal cannula. Age does make a difference!!

No NICU experience here. What does it mean when you talk about "Blowing his/her gut"? Sounds horrible!

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Specializes in NICU, adult med-tele.
I used to ask the baby, "Do you want to be blind or stupid? Make up your mind!!". (After I'd adjusted the O2 for ~ the 95th time...

:lol2:

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Specializes in Neonatal ICU (Cardiothoracic).
No NICU experience here. What does it mean when you talk about "Blowing his/her gut"? Sounds horrible!

Means intestinal perforation. Necrotizing enterocolitis.

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Specializes in NICU, adult med-tele.
Sounds horrible!

It is.

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Specializes in Level 3 NICU 17 yrs, Neo transport 13 yr.

We had a 23 + 3 weeker that weighed 350 grams about 2 years ago that is doing well at home. :yeah: She was in our unit for about 18 weeks and had a few complications along the way, but stage 3 ROP was her worse outcome. The unit receives update about her quite frequently. Of course her outcome is not the norm.

We have a 23 + 2 weeker that weighed 411 grams. She is now 30 weeks and weighs 950 grams, but is having a tough go of it. She had PDA ligation at 3 weeks of life and has been fighting severe PIE for the past week. Big roller coaster ride with this little one.:(

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Well, here I go again! What is PIE? I tried looking it up, even used all caps, and kept getting results for pie recipes. Thanks!

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Specializes in Community, OB, Nursery.

PIE - pulmonary interstitial emphysema.

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