Lifes Little Treasures

Lifes Little Treaures are a Melbourne group of mothers who have experienced the roller coaster ride of N.I.C.U. & Special Care Nurseries, who would like to provide you with support and friendship. They provide morning tea’s at many different locations around Melbourne, quarterly newsletter, buddy program, parent information booklet and more.

I joined their committee this month and will be creating their new website which has plenty of information for parents of premature babies. They are a founding member of the new National Premmie Foundation and are such a lovely group of women to work with. They work alongside the Royal Women’s Hospital and Monash Medical Centre in Melbourne Victoria.

Alot of the mothers have had premature babies born around the 24 week gestation so they really know how tough it is.

www.lifeslittletreasures.org.au

Questions premature babies, abortion, overlap

Federal Health Minister Tony Abbott says decisions about whether to keep sick premature babies alive should not be “forced on” families by governments.

He said discussions about whether to treat premature babies who were unlikely to survive, or were likely to be seriously disabled, were already happening between clinicians and families.

But he said a potential overlap in the period in which late-term abortions occurred and very premature babies were born, “raised very serious ethical questions” that were important in the debate.

The matter of the overlap, in which a baby could be aborted at 23 weeks’ gestation while a premature baby born at 24 weeks could be saved, was first raised last year by his parliamentary secretary, Christopher Pyne.

“There is a real issue when you’ve got one part of the hospital desperately trying to save these kids and the other part of the hospital terminating them,” Mr Abbott said.

He said the issue would not be resolved by letting sick babies die in neonatal intensive care units.

“I don’t think we resolve this dilemma by not intervening to try to save premature babies,” he said.
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Mr Abbott’s state counterpart, Bronwyn Pike, said this week there needed to be public debate about whether the most premature babies who faced poor futures should be allowed to die.

Ms Pike’s comments came as doctors and nurses in Britain this week are debating whether there should be a point at which babies are no longer treated.

In Holland, intensive care is not routinely administered to babies born before 25 weeks’ gestation.

Research shows that one in five premature babies will have a serious disability, compared with one in 25 babies born at full-term or about 40 weeks.

“If we were turning off life-support systems for budgetary reasons, and not because they’re the decisions that families have made, I think that would be very, very sad,” Mr Abbott said.

“These things are always being debated.

“Every human being at some stage of his or her life thinks things like, ‘If I’m very old and very sick and have some kind of a health episode, how heroic do I want the efforts to revive me to be?’ I think most people from time to time think about these things.”

Leanne Uwland, president of Austprem, a support group for premature babies’ parents, said the decision to end a baby’s life should be one made on a “baby-to-baby basis”.

“I don’t believe in drawing a line in the sand and saying for anyone who’s younger than this gestation, ‘I’m sorry but we’re not helping them’,” Ms Uwland said.

“You can’t judge at birth what a baby’s outcome is going to be.”

She said the issue also raised the debate about the ethical right to decide what a life is.

Article from The Age

Questions premature babies, abortion, overlap

Federal Health Minister Tony Abbott says decisions about whether to keep sick premature babies alive should not be “forced on” families by governments.

He said discussions about whether to treat premature babies who were unlikely to survive, or were likely to be seriously disabled, were already happening between clinicians and families.

But he said a potential overlap in the period in which late-term abortions occurred and very premature babies were born, “raised very serious ethical questions” that were important in the debate.

The matter of the overlap, in which a baby could be aborted at 23 weeks’ gestation while a premature baby born at 24 weeks could be saved, was first raised last year by his parliamentary secretary, Christopher Pyne.

“There is a real issue when you’ve got one part of the hospital desperately trying to save these kids and the other part of the hospital terminating them,” Mr Abbott said.

He said the issue would not be resolved by letting sick babies die in neonatal intensive care units.

“I don’t think we resolve this dilemma by not intervening to try to save premature babies,” he said.
AdvertisementAdvertisement

Mr Abbott’s state counterpart, Bronwyn Pike, said this week there needed to be public debate about whether the most premature babies who faced poor futures should be allowed to die.

Ms Pike’s comments came as doctors and nurses in Britain this week are debating whether there should be a point at which babies are no longer treated.

In Holland, intensive care is not routinely administered to babies born before 25 weeks’ gestation.

Research shows that one in five premature babies will have a serious disability, compared with one in 25 babies born at full-term or about 40 weeks.

“If we were turning off life-support systems for budgetary reasons, and not because they’re the decisions that families have made, I think that would be very, very sad,” Mr Abbott said.

“These things are always being debated.

“Every human being at some stage of his or her life thinks things like, ‘If I’m very old and very sick and have some kind of a health episode, how heroic do I want the efforts to revive me to be?’ I think most people from time to time think about these things.”

Leanne Uwland, president of Austprem, a support group for premature babies’ parents, said the decision to end a baby’s life should be one made on a “baby-to-baby basis”.

“I don’t believe in drawing a line in the sand and saying for anyone who’s younger than this gestation, ‘I’m sorry but we’re not helping them’,” Ms Uwland said.

“You can’t judge at birth what a baby’s outcome is going to be.”

She said the issue also raised the debate about the ethical right to decide what a life is.

Article from The Age

Computer to predict premature births

Australian researchers are melding mathematics with medicine to develop a computer program they hope will be able to predict whether a pregnant woman will give birth prematurely.

The scientists are studying hormone levels in blood samples provided by 500 pregnant women they believe are related to the timing of birth.

“We’re developing equations that describe how those hormones change in the pregnant woman’s body,” explained University of Newcastle endocrinologist Roger Smith.

“Once we’ve got those equations right, we think we’ll be able to predict the outcomes of pregnancies from early on.

“We can target the care to those that are at risk and allow those that aren’t at risk to enjoy happy, normal pregnancies free of medical intervention.”

Professor Smith is collaborating with biomedical engineer David Smith, of the University of Melbourne, to turn the equations into a computer program.

They hope one day obstetricians worldwide will be able to feed information gleaned from blood tests during pregnancy and ultrasounds of the foetus to determine women at risk of premature delivery.

“The only way we’ve got of predicting at the moment whether the woman’s high risk is if she’s had a previous baby born prematurely,” Prof Smith said in an interview.

Other research worldwide is investigating whether treating such women with progesterone during pregnancy can delay the birth.

Around 17,000 Australian babies are born prematurely each year, resulting in about 1300 deaths.

The babies that survive may have ongoing difficulties such as intellectual disability, sight and hearing problems.

They are also 50 times more likely to be born with cerebral palsy than babies born at full term.

“Whilst our neonatal intensive care doctors are getting better and better at looking after premature babies, there hasn’t been any improvement in the prevention of premature birth,” said Prof Smith, director of Newcastle University’s Mothers and Babies Research Centre.

Brisbane mother Deb Nowland, who has given birth to two children prematurely, said she wished the computer program was available during her pregnancies.

“I would have done anything to carry Amy and Patrick to term,” she said.

“There’s just so many extra concerns with premature babies that you have to think of.”

Ms Nowland gave birth to Patrick 10 weeks premature two years ago and Amy was born a week ago, five weeks early.

Luckily, their health complications have not been serious.

But other women haven’t been as lucky.

“There’s a lady in hospital at the moment. She’s 25 weeks’ pregnant,” Ms Nowland said.

“She’s been trying and trying to have children and has always lost the babies early.

“She’s had a hell of a pregnancy and when you’re faced with a premature baby as well, it’s very stressful.”

Prof Smith hopes his research will eventually be able to help such women.

He said the computer program may also be able to predict other women at risk of illnesses like pre-eclampsia, a high blood pressure condition in the mother which can cause reduced growth in the baby.

In severe cases, pre-eclampsia can lead to the death of the child and sometimes the mother.

The project has been granted $380,000 by the National Health and Medical Research Council.

Prof Smith hopes to have a working model of the computer program within two years.

Article from The Age 

Living With A Premature Baby

Each parent will have their own unique experience of living with a premature baby. Some babies will go home on oxygen, need continuous special care and some will be re-admitted to hospital quite a few times in the first year of life because they are very septile to colds, flu and infections.

We have been very lucky with our journey since our son Ronan came home. Ronan was born at 27 weeks gestation and after spending over 3 months in hospital we were overjoyed when we were able to bring him home with us. Within the first month we had endless appointments lined up with a paediatrician, respitory specialist, Maternal Child & Health Nurse, HITH (Hospital In The Home) which is a program for very premature babies leaving hospital and are put onto when they leave special care. A nurse comes around to your home each day for a week or until they feel you as a parent is comfortable with looking after your baby. When you take your baby home it is a very different experience than having a full term baby as you have a lot of follow up care.

As the months go by and your child is growing you continue to have follow up care with hearing appointments, eye sight tests, paediatrician & other appointments depending on how your child is developing. My son is behind with his milestones so he is now having physio once a fortnight as recommended through the paediatrician. We have daily exercises we work on to help strengthen Ronan’s muscles which in the long run will help with his milestones of sitting, walking, crawling.

The biggest fear of having your premature baby at home is the fear of them stopping to breath. When you have an extreme prem it is likely that they are on oxygen for a long time whilst in hospital. When suddenly there is no oxygen, no monitors attached to them, you have no idea how their oxygen levels are or heart rate it is so it can be very daunting for some parents when you start to rely on them like the medical staff. Whilst you keep reminding yourself that they would not be discharged to go home if they were not physically capable to be off the machines. It is very hard to adjust to this new world of no more machines and takes quite a while to adjust to your own intuition. We found that the best way to help combat this fear was to buy a sound and movement monitor. It let us rest at night without the fear of waking to see our son not breathing. A lot of hospitals recommend that parents of prem babies purchase these.

Whilst there are many thoughts and fears when having your premature baby at home there are some beautiful moments that you will cherish forever. Watching them grow and thrive whilst at home is amazing. They adapt so easily and you fall more in love with them each passing day. Living with a premature baby can be very rewarding also. When you remember how fragile their life was when they were born to how much they have developed into a little person it really is an inspiring experience.

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Brain challenge for premature babies

Babies born very prematurely have markedly less developed brains than those born at full term, a two-year Victorian study has revealed.

The study, which examined magnetic resonance images of premature babies’ brains and compared them with those of full-term infants, found that those born before 26 weeks gestation were at high risk of major brain development problems. This may explain why they are more prone to developmental difficulties later in life.

“Whatever happens in these babies’ brains, it’s not just injury, but abnormality,” said Terrie Inder, a pediatric neurologist at the Royal Children’s Hospital.

The study, headed by Dr Inder, involved three-dimensional brain scans of 260 babies born more than 10 weeks early and weighing less than 1250 grams. The team found the premature babies had about 30 per cent less grey matter – the brain’s thinking cells – than babies born at term. They also had about 40 per cent less white matter, which holds the brain’s fibre connections.

“What we found is that the brain does not grow as well when you’re born early,” Dr Inder said. The first group of children to be scanned under the MRI were now two, and were exhibiting some developmental delays compared with other children the same age.

It is hoped the findings will shed light on what happens to the brain when babies are born very early, and how that relates to the health and learning problems they are more prone to as they grow older. It will also help efforts to find ways to help nurture healthy brain development outside the womb.

Premature babies have a one in 10 risk of cerebral palsy; a quarter of them will need significant assistance at school; and they have a lower average IQ than term babies, Dr Inder said. More than 3000 babies are born in Australia at less than 30 weeks’ gestation. A full-term pregnancy runs to 40 weeks.

But the lifelong impact of extremely premature birth is still unknown, as it is only in the past decade that medicine has succeeded in keeping alive the tiniest babies – those born at 22 to 24 weeks.

The doubtful prognosis for some of these babies has sparked international debate and controversy.

In some parts of Holland babies born before 26 weeks are not resuscitated. (Experts in Australia argue the Dutch and Australian scenarios are not comparable, because premature babies born in Australia have a much better prognosis.)

Dr Inder, who is working on the study with colleagues from the Royal Women’s Hospital and the Howard Florey Institute, hoped that continuing research would reveal why the slowed brain development occurred, which would in turn help them to devise strategies to bridge the babies’ development gap.

Some of the team’s findings have been published in the Journal of Pediatrics, with several other papers under review.

Researchers were also focusing on the environment into which pre-term babies are born, Dr Inder said, including the levels of noise and light in neonatal intensive care units.

The conditions in which injury can be done to the infants’ brains, such as through infection or changes in blood pressure, was also being considered, even though it affected only a small proportion of the babies.

Dr Inder’s team is about to begin a trial looking at different ways of treating the babies to see if that helps their brain development, including having the mothers carry them on their chests, reducing medical tests, and making the unit as quiet and dark as possible to better replicate the womb.

Hormones were also suspected of playing a role in brain development, Dr Inder said. Her team was closely following a German trial in which premature baby girls – to date, researchers have been reluctant to recruit boys into the trial – are treated with oestrogen to see if this improves their brain development.

If that proved successful, exposure to oestrogen may become a future treatment option.

Lex Doyle, a consultant pediatrician at the Royal Women’s Hospital who is working on the study with Dr Inder, said although the differences in brain development uncovered so far were concerning “it’s still too early to know for sure what these MRI changes were showing”. There was no doubt that premature babies had a higher risk of long-term problems, Professor Doyle said, but “you’ve got to remember that most of them don’t have developmental problems; most of them are OK”.

Parents should contact their pediatrician if they are concerned about their child’s development.

Article from Fairfax Digital