When we began thinking about how to support women after childbirth, it didn’t take long for the Neonatal Intensive Care Unit (NICU) to come to mind. Some babies – whether born prematurely or with health issues – are placed in the NICU after they’re born until they’re ready to live life at home with their family. This can be incredibly challenging for parents. They have to see their new baby struggle and say goodbye after visiting hours are over. On top of that, they have to juggle other facets of their lives – housework, marriage, their older children, career, and their own emotions!
The NICU situation was on our hearts, but we’ve never actually experienced it firsthand. So, we needed help gaining insight on what it’s like. We called a friend of ours, Katie, and asked if we could interview her about her time in the NICU with her daughter, Brynn. We wanted an interview to help us perfect our service for NICU families. But, we also wanted to share with you, for the sake of awareness and understanding of what NICU experiences can be like.
Here’s the story of Katie and Brynn:
Ok, let’s start with some background; you said she was born at twenty-five weeks?
Yep.
And you went into labor?
I went into labor.
You weren’t induced or anything?
Nope, I stayed home from work that day. I wasn’t feeling well.
You were having contractions and everything?
No contractions at the time. My mom came over to check on me because she’s my mom (laughs). And she said “I don’t know – the cramping makes me worried. I think you should go [to the hospital].” So, I went in and they had me on the monitor. When they looked on the ultrasound, my bag of waters was seeping into the cervix and we couldn’t figure out why. It had been maybe two hours. By then, I was having really strong contractions.
Were you terrified?
Yeah, it was insane. I called [my husband] Matt at work. I was like, “Well, they’re saying I’ll probably have to be on bed rest for a couple of weeks in the hospital.” Then, I called him back an hour later to tell him “Well, I’m in labor. So, you need to come!”
It was really fast. My water then broke. They took me back into the delivery room because they thought she was coming, right then and there. Luckily, the anesthesiologist came in and gave me an epidural, which slowed the contractions way down. Then, they gave me steroid injections and she stayed in overnight. The next morning around 6:30, they came in and said, “You’re dilated to ten – she’s coming.”
So, we had her early that morning. She was two pounds. The NICU Team was waiting there on the other side of the glass. [The Neonatologist] Dr. Farrera was like “Oh, she’s two pounds, that’s a good size for a twenty-five weeker!” So, it was a very fast vaginal delivery.
What were her first couple of hours like?
She was rushed to the Children’s Hospital and they intubated her right away. Matt went with her.
Was she crying?
She wasn’t. She couldn’t cry, but she sputtered, which they said was a good sign.
In my mind, not knowing micro-preemies from the past, I thought, “She’s not going to make it.” She was so tiny. I’d never seen a baby so tiny. And then, three hours after I had her, they let me go and see her. The nurses were like, “She’s doing really well; she’s actually breathing on her own.” She was breathing over the vent! Her Apgar Score was 8, which was amazing. She was a champion from the start.
The social worker was there. Doctors came in to see us right away. They told us what our days were going to look like from then on: “Every three hours, you’re going to come in and give her a little breastmilk, change her diaper, help us flip her to keep her head round.”
Did she have any other medical concerns? Was it just that she was premature?
Mostly that she was premature. And then, five days after she was born she had a spontaneous perforation in her small intestine. Her PDA was still open in her heart, which for a typical full-term child, closes up after they’re born. Hers didn’t, so they gave her some Ibuprofen. That can actually cause it to close sometimes. But, it also puts her intestines at risk. So, she started needing more oxygen that day. It was also the first day I got to hold her, so it was really emotional! I was holding her and her oxygen needs kept going up and up and up and we thought, “What’s going on?” Dr. Farrera came in and said, “We’re going to do an x-ray and make sure everything is ok.” Sure enough, there was a leak in her intestine. She had to have surgery – an ileostomy – to fix it. She was less than two pounds at that point because she’d lost weight, like every baby does.
Then, she had the PDA surgery a few weeks later.