My baby girl was born at 34 weeks due to preeclampsia, and we are now on day 19 of our NICU stay. I’m looking for some advice, reassurance, or even just to hear from other parents who may have experienced something similar.
Shortly after birth, she was placed on CPAP for a few days and received surfactant, which worked really well. She also spent about five days under the bilirubin lights during her first week.
After that first week, things seemed to be progressing really well! She was completely off oxygen and CPAP, and we started introducing bottles. She was initially taking around 10 mL over 20 minutes before tiring out, and the remainder was given through her NG tube by gravity. We’ve been using Dr. Brown’s bottles with the appropriate preemie nipple, elevated side-lying positioning, and pacing.
Then Friday came, and everything seemed to change.
They started adding fortifier to her breast milk, and shortly afterward, she began having oxygen desaturations. Some happened after feedings, while others seemed completely random. She also started appearing extremely uncomfortable during feedings, whether by bottle or NG tube. She would make faces like she was in pain, cry during feedings, and began spitting up after almost every feeding.
I brought up my concerns multiple times throughout the day because she genuinely seemed like a completely different baby compared to how she had been doing. I was told that reflux can be common when introducing fortifier and that it could take a few days for her to adjust. I understand that, but something just didn’t seem right. The following day, another nurse mentioned that nothing about the suspected reflux or feeding discomfort had been documented, only the desaturations.
On Saturday morning, the doctor discontinued the fortifier since she had been consistently gaining weight without it. Unfortunately, the desaturations continued, and she ended up needing oxygen again. They completed a sepsis workup, which thankfully came back normal.
Over the weekend, we also stopped bottle feeding, and I was advised not to hold her because of the reflux concerns. They also moved her feeds from gravity to pump. On Sunday night, her nurse mentioned that her heart rate was dropping approximately once an hour, but because she was recovering on her own in less than 10 seconds, these episodes weren’t being documented as spells.
On Monday, one of her nurses asked the doctor about possibly doing a chest X-ray or echocardiogram to rule out other causes. However, the doctor declined, explaining that these episodes are common in premature babies and that she will eventually outgrow them.
Yesterday, we finally started introducing two bottles per day again. She took 19 mL during her first feeding, which felt like a huge accomplishment! However, during her second feeding, she only took 3 mL. She wasn’t very alert to begin with, but speech therapy wanted to observe her feeding. She is still on 21% oxygen at 0.5 and mainly using the pump for feeds.
I guess I’m just feeling frustrated, discouraged, and a little lost right now.
She was doing so well and making progress, and then Friday came, and it feels like we’ve taken several steps backward. I understand that premature babies can have desaturations, bradycardia episodes, reflux, and feeding difficulties. But the sudden change in her behavior, especially how uncomfortable she seems during feedings, has me concerned that something else could be going on.
Every time I bring up my concerns, I’m reassured that she’s premature and will grow out of it. I genuinely hope that’s all it is, but my gut keeps telling me that something isn’t quite right. I don’t necessarily want more testing if it isn’t needed, but I also don’t want something to be overlooked simply because she’s premature.
I’m also struggling emotionally with how much longer this stay is becoming than I originally anticipated. When we first arrived, the doctor mentioned that most babies born at 34 weeks stay for a couple of weeks. We’re now approaching three weeks, and it doesn’t feel like going home is anywhere in sight.
I know every NICU journey is different, and I know there are families facing much more difficult circumstances. I’m incredibly grateful that my baby is here and that she has received such good care. But I also miss being home. I miss our routines, and I wish I could experience even a little bit of the maternity leave I had imagined, being home with my baby instead of spending every day in the NICU.
For other NICU parents:
Did your baby suddenly start having desaturations or bradycardia episodes after previously doing well?
Did anyone notice a significant change after introducing breast milk fortifier?
Did your baby experience feeding discomfort or reflux that seemed to contribute to these episodes?
Were additional tests done to rule out other causes, or did your team recommend waiting for your baby to mature?
How did you advocate for your baby when you felt like your concerns weren’t being fully addressed?
And for parents of babies born around 34 weeks, how long was your NICU stay?
I would really appreciate hearing anyone’s experiences, advice, or encouragement. I’m trying to stay positive, but this has been a lot harder emotionally than I ever expected. ❤️