Hi ladies!
I have twin boys who will be 2 years old in 2 weeks.
They were born at 36 weeks; Cody was 6lbs 9oz and John was deemed IUGR (from earlier in the pregnancy) and was 4lbs.
His small size and failure to grow were due to his placenta. It was a grade 2 already at 20 weeks. When he was born it was calcified (dead) everywhere except a small portion around the umbilical cord. He was also "dry" and his skin was cracked from the lack of fluid. We got him in the nick of time. We were told they weren't sure how much oxygen he was getting and that we "should keep an eye on him until he goes to school" to make sure his brain is working fine. There was no bleeding in the u/s they did on him.
Thanks to my proactive team of doctors, both boys were breathing on their own. Cody never saw the door to the NICU and John was there only briefly.
John had various "small" problems as he was growing up like immuno deficiency due to prematurity (improved), GI Reflux (treated with antacids until he was 9 months old), he is tall but very skinny and some feeding difficulties and low appetite.
He met some milestones very early like sitting up unassisted (4 months!), crawling (5 1/2 months) and he walked at 13 months (12 months corrected).
And that was about it.
He still remained a "baby" after that. His brother is growing into a "child", talking, doing things, understanding and following commands and John is acting like a 1 year old.
He also walks "funny", has a prancing, unsteady gait and walks on his toes. He also hold his arms by his sides raised and folded. He is also exhibiting "flapping" especially when excited.
He speaks 10 words and most are cut short. "Ju" for juice, "Doo" for Kandoo etc.
He does not follow commands, cannot point to his body parts and is not intimidated when we scold him. He is also fearless and get into trouble all the time.
They are doing a series of tests on him including karyotype testing for Angelman's syndrome (he fits the clinical profile), an EEG and a brain MRI under sedation.
He IS smart he initiates play, is very social etc. I do not think my child is mentally retarded but I am worried.
So far the official diagnosis is "prematurity and IUGR" pending the results of the tests.
What I'd like to know is what are the long term effects of IUGR and prematurity?
There is apparently some sort of "blockage" in his brain that does not allow him to operate like other 2 year olds and he will not "outgrow" it. I do not believe its genetic.
He does need O/T and P/T and speech therapy.
I am just so worried about all these tests.
When I was pregnant I used to think that if my babies made it past 24 weeks they would be fine (we were trying for 3 years to have a child). But now I keep thinking that if being born a mere 4 weeks early and you still get a child that is different and has seen the inside of a hospital more times than you have in 30 years, I can't even being to think what problems he would face if he was born at 25, 28, 32 weeks etc.
Such a delicate, delicate balance! Its mind staggering.
Please share any info you might have and your personal stories. I am looking mostly for what I can expect from now on. I am hopeful that with a little help in the physical department he will walk like other kid and talk and stop being so hypermotoric all the time and will be able to attend maistream school next year (as he is they can't give me the OK to send him to a school he is too active, too defiant to be a part of group activities as I've said he acts like a 1 year old)
Thank you in advance for your replies and for your time!
Best wishes
Tina


good day to ya .. dont know if i can be helpful or not. just wanted to comment any ways
my son was born @ 24w2dys 1lb 10oz and spent 4 months in the nicu he had grade 3 & 4 brain bleeds and has a shunt still has bpd and its like i guess i was picked since i consider my self strong and paitent and prayerful. althought i hate my baby came early i thank God daily just for the opportunity t hat i have now. and i tell ya it seems like it can get rougher by the day and depressing soemtimes but i keep surronding my self with family and friends that really care about my sons well being. (thats 1 suggestion) now my baby is 18 months 14 months adjusted. and he is the happiest thing i tell ya he is such a delight every where we go the nurses fall in love with him.. he is a cuddler. now age/developmental wise he can vary from hour to hour. when he is with his dad he is a little boy when he is with me he is a baby. when its time 4 meds and feeding he is a baby. when he tired of being held he is a littl boy . on the floor tummy/kick time and with his toys he is a litle boy. dad has to pull rank sometimes when he is fighting to not have his nose cleaned or his gumms wiped (fake teeth brushing). sometimes he thows things mainly his bottle and i fuss .. mr man is fearless as yours. when his feelings are hurt you can really tell when he bites and i fuss he laughs its crazy. his activity level is like he is a regular lil boy. here is the deal .although he is a strong kicker and on his tumy he is a strong swimmer and can get to where he wants on his tummy kicking and swimming but my son does not roll over freely only rolls with encourgmnet he can go from back to side to tummy... once on tummy he is stuck till some one gets him... he can not sit for more than 20 seconds w/o support b-4 he goes wobbling over..its kinda funny since once he falls over he knows how tio kick about and get on his tummy and off he goes. remeber the inch worms? he is mr wiggle worm.!. he does not crawl he does not pull up he is no where near walking he does not even put weight on his feet when he stands.. he has full range of motion with the legs and hips you should see him kick and throw a tantrum with them legs and hands but muscle tone in lower back is extremely low increased therapy wil help so they say i think a lil prayer will also work .also his shunt is on his right side so his right hand is not as strong as that left but he is getting there.
.here is my backwards journey.. after being home 12 months frm the nicu ...august found out my son has epilepsy ...sept was 13 months home from the nicu found out son will be getting feeding tube this month of november....october was 14 months home from the nicu
just fund out 10/23 my son has cerebal palsey.... whoa!! am i going backwards or what. then jus speaking with hubby about reading ont he internet jus this past tuesday the pediatricans will be screening for autism twice on the 18 and 24 months well being check up my son 18th month well being chk up is monday 11/5 i alrdy see the warning signs... he shows full ranges of emotions but he does not waive hello or good bye nor does he point.
i have been so overwhelemd since august but i choose to celebrate his life and pull from that little mans keep on trucking spirit ya know.. truthfully i have not told all the family nor all of my friends since naturally i am not ready to deal with the ignorance of anyone who does not understand. or just dont get it nor and i especially dont want pity or anyone looking at my baby any differently so for now i'm keeping my mouth shut. when we found out he has *cp* we were told about all of the walking and special standing equipment and braces he might need and special wheelchairs he may need to get him ready for pre-k @ age 3.. now that was a blow, since i never thought about school duh me but they sure gave me a reality check. having a preemie baby at any stage is truly trying. i think i got it bad but then i think about moms whose babies did not make it out the nicu and then i think about the mom whose baby was born the week b-4 mine her lil guy stayed inthe nicu until he was 13 months old . wow! and i'm complaining? not really just expressing my thoughts. then i think hey in the nicu i saw moms carry their babies 39 and 40 weeks who have just as many if not more challenges than we are facing. so in the meantime my son just got evaluted for ealry intervention for the 2nd time... and now we are getting busy all therapies 4 times a month speech developmental occupational and physcial. are we going to be busy or what!!
thanks for listening.reading. dont know if i was helpful in any way but it seems like we are experincing the same things.
i'm thinking of my son needing and having a walker. and a special wheelchair ramp on the front of my house whoa!! mean kids from school. think i'll teach him ju jit su a little martial arts ( thats not the way to deal with that) sure felt good saying it though
lets just celebrate out toddlers lives in the forms they were given to us.. things could be worse even if so, i dont think i would love him any less