Irina GUBSKAYA, “FACTS”
Baby Diana is actively “Coos”, helping the mother to give an interview. Her sonorous voice remains in the recordings.
— Daughter is able to speak about thirty words, but favorite is “dad,” laughs the girl’s mother Snezana. — Daddy’s girl! Crawl start Diana at seven months gone — a year and three months. It is quite a bit behind schedule healthy full-term babies.
— But Diana is a very early bird!
Yes. Was born in the 27th week of pregnancy. We never expected this. First pregnancy I was normal, the eldest daughter Sasha was born in time. And when a year and a half I got pregnant again, thought I was an experienced mother. And wasn’t afraid to go by train to my parents. However, went with brother. Closer to the night I got a fever, started bleeding, abdominal pain. Trainmaster contacted the nearest station Sinelnikovo and called an ambulance. In the district hospital I was given first aid and then sent to the Dnieper river in the perinatal center. To prolong the pregnancy failed. Labor began — and 16 April 2018 to light a daughter.
See also: “a Son was born weighing 850 grams”: in Ukraine care for extremely premature babies
— You just showed her?
— No. I saw her three hours later, when she was lying in the incubator, was connected to the ventilator. So tiny! Height — 30 cm, weight — 750 grams. By the way, a baby born to a gestational SAC. While the bubble was moving through the birth canal, it did not pierce to the girl not to hurt. And did it when she had “fluttered”. As they say, Diana was born “in a shirt”.
The growth of girls at birth was 30 centimeters, and the length of the stalk no more index finger doctor
— You know what health problems are in extremely premature babies?
Yes. I am a doctor myself and understand that prematurely born babies organs and systems are immature. Therefore, so that she could breathe, she was injected with a drug that helps lungs expand — surfactant. I am the first days was decanted breast milk. Daughter fed them through a tube, pouring just a few drops. But the weight the baby was gaining very slowly. Yourself could not breathe, there were problems with the heart. And three weeks after birth, it became clear that need heart surgery to tie off the patent ductus arteriosus. This defect is fixed, then breathe Diana was much better, and after some time she was transferred to a non-invasive machine that supports breathing.
Diana was on a ventilator for 45 days
It took a total of four months (!), so we could be released from the hospital. Then we went home to Kiev. Of course, this has not yet been complete recovery. But I’m sure the doctors Dnipropetrovsk perinatal center did everything possible and even the impossible to save our child. Now we go to visit them and gladly demonstrate their successes, sending videos and photos. Brag!
— We are very pleased to receive such reports on the done work, — says the head of the Department of anesthesiology and intensive care Department, Dnipropetrovsk perinatal center Elena Vereshchak. — Such children as Diana, has become our pride and joy. Tell about this girl is the mothers who are now having to go through trials. We use the most modern technologies of nursing of tiny patients, and the results amaze even ourselves: if you had managed to save about 65 percent of newborns weighing up to one kilogram, now 90-92 percent, and those premature babies who are born weighing more than a kilogram, vyazhem in 98 percent of cases. Killed the kids with severe birth defects incompatible with life. Of course, in extremely premature babies almost always have health problems. But they often can be overcome if the doctors are right and parents are persistent in their desire to defeat the disease. We are the majority.
“Doctors should save a child, born from 22 weeks of gestation weighing 500 grams or more”
Diana stayed on the ventilator for 45 days.
Is too much for these kids, but in the end we managed to teach her to breathe on his own, — continues Elena Vereshchak. — Of course, there were objective reasons of the serious condition due to heart disease mixed venous and arterial blood. Cardiac surgeons performed open-heart surgery, which was successful. When Diane returned after the operation to us in the office, she began to breathe much better, although at first without the help of non-invasive apparatus do not UDAplanned. And then refused him.
“In this photo taken last year, Diana a year, — says Elena Vereshchak (pictured right). — For us a great joy when you come family with kids whose lives hung in the balance. We celebrate their success and talk about them mothers, whose children are now in critical condition”
— But the troubles not over?
— Developed a fairly frequent ocular complication is retinopathy of the newborn. This is a very dangerous disease, and if urgently not to perform laser correction (welding of the retina), the child may go blind. For all protocols oftalmologi should frequently inspect the prematurely born children, not to miss the retinopathy. Diana made it on time.
— How’s the baby gaining weight?
— Gradually. In the month weighed one kilogram. And we wrote it almost four months, and the weight was 2 kg 400 grams. Almost a full-fledged baby!
— How many underweight children are able to help in your Department?
Every year 50-60 vyazhem those born weighing less than a kilogram. Since 2007, according to the order of the Ministry of health, doctors are obliged to save the child born from 22 weeks of gestation and weighing 500 grams. Before this order those who were born before the 28th week of pregnancy, used to be called “fruit” and considered that there was a spontaneous abortion. Children are not saved. And this was not. For example, our Department opened at the hospital in 2012. It is included into the program “cradles of hope” program of the Victor Pinchuk Foundation. And thanks to the excellent technical equipment in the Department, ongoing training of doctors and nurses during workshops organized by the Foundation, we are able to about what had and dream was impossible: not only to save the smallest infants, but also protect them from disability.
“Baby it is helpful to sleep on the mattress filled with buckwheat”
— As the older sister reacted to the emergence of younger? — ask the waiters.
— At first with interest. The husband took off in the river flat near the hospital and lived there with Sasha. And I ran among the little girls that are younger with expressed milk, then rush to the elder, to sing a song and put them to bed. After discharge we are still three days left in Kiev: the doctors wanted to ensure that the road is for the child not dangerous. When he returned home, Sasha saw us in a room someone’s crib, I felt that the attention we pay not to her alone, became a little jealous. But it’s over now. But Diana learns everything the sister and I guess, therefore quicker to develop.
— The girl and now you need to constantly be monitored by doctors?
No. Although ophthalmologist we visit regularly, every six months. And the neurologist is closely contacted to a year. Found an amazing specialist! Larisa Yakovleva works with the most challenging children. She explained that in the first year of life there is much to correct, adjust status, if you fulfill all the recommendations of your doctor: to do with the child special exercises, pass the course of massage, to choose the right toys.
And how to do it?
— Good rattles with bumps: when a child takes them, the palms of massaged the acupressure points. It turns out that for the development of view it is useful to have a child was the contrasting black and white toys. We found those. But, if someone does not find, do not worry: you can hang black and white Scotch any. Or here’s another tip: put the baby to sleep on the mattress filled with grains, for example, buckwheat. And sew him a pillow: the form is such as recommended for pregnant women, semi — circular, only smaller in size. There the child will be like in the nest.
See also: “At birth, mark weighed in at 730 grams, and the male — 470! Now the boys and they are healthy”
Really helped massage. We noticed that after every course (and we went to four years, ten sessions each) was a leap forward. For example, after one daughter learned to crawl, after the other went. The doctor advised to play with the child as together to build the pyramid and offer to knock it down. It’s so much fun! There are prohibitions. It is not necessary to use a fixture-rocker for rocking the baby. In any case it is not necessary to put the child in a Walker. According to the doctor, they are forbidden as children who have neurological problems, and healthy. Our baby is already healthy.
Now the baby around trying to catch up with peers
…Snezhana recalls how immediately after birth, the midwife was urging her: “Give the child a name. I’m afraid that the girl will not survive.”
— Then we chose the daughter name Diana, continues Snezhana. — I read that in ancient Greek it means “divine” and “messenger of health and good deeds”. It seemed to us that this is exactly what we need in our girl. The name fills you with energy and gives health.
— And Diana’s character? She’s a warrior?
Rather, an observer. It is interesting, but it does not rush to learn something new. First she looks at it and decides. Smart. She has well developed fine motor skills: loves to string the wooden beads on the lace. But already in Kiev, one neurologist, which we turned, convinced that the premature underweight children normal does not happen, saying that this necessarily will emerge soon.
— And what did you say?
— Went to another doctor. And glad that I did. The main thing — to believe that everything will be okay but don’t sit idly by but to work, helping your child to overcome difficulties.
About how Ukrainian doctors caring for extremely premature babies, read the publication “We managed to save the life of a baby girl who at birth weighed 620 grams.”
Photos from the family album