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  1. #1
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    Default Expecting premature delivery 32-34 weeks- any advice to prepare?

    I was told today to expect a prem delivery because of only 50% placenta function. One of the umbilical arteries has blocked off (really rare) and baby is small. They will try to keep him in as long as possible but expect he will need delivery by c-section at 32-34 weeks, and will definitely need special care.

    any advice on what to expect after delivery and in special care? Are there things I should do to get ready? I am so stressed about it. I just want to prepare a bit for what it might be like.

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    If bub will be in scn past your discharge from hospital, you will need an electric breast pump (if you're planning on breastfeeding), something to store your milk in (I used milk storage bags), a steriliser for your pump and a cooler bag with ice bricks to transport your ebm to the hospital.

    At that gestation, you could get away with 5x0 clothes, they may just have to be folded up at the hands and feet for a little while. Try to get footless pants or onesies incase bub needs a probe on their foot. Also, a few little beanies.

    Start making and freezing meals now of you can. I found I was at hospital all day and didn't have much time to cook when I get home.

    If you're breastfeeding, ask if your scn orders meals for you (as a dietary requirement because you're the food source of bub). I didn't find this out til our last week in scn and I had been buying lunch every day.

    I'm sure I'm forgetting things

    If you're on Facebook, there's a group called 'Premature babies group Australia' where you will be able to get some great advice.
    Life's Little Treasures have also created apps that would be handy: http://www.lifeslittletreasures.org.au/llt-app/

    Just take it one day at a time and know that your bub will be in great hands.
    Wishing you and bub all the best

  3. The Following 5 Users Say Thank You to atomicmama For This Useful Post:

    Apple iPhart6  (22-08-2014),Chillies  (23-08-2014),Flower78  (09-08-2014),GM01  (09-08-2014),PinkPopsicle  (24-08-2014)

  4. #3
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    Hi, I delivered my little one last Friday due to lack of placental function. He was delivered at only 1155g at 32 weeks 6 days. Make sure they give you the steroid injections before delivery. This has meant our little one was delivered crying and has not needed any oxygen. Be prepared that your baby will lose weight before putting it on again (we freaked out when our little boy got under a kilo). Also most Nicu units have a lactation consultant so get in touch with them early on to help with any breast feeding issues as the hospital will want to feed bub with your ebm. Redlipsandpearls had some excellent ideas. You will be exhausted especially if you have other children as I have found out. Hope they can keep your bub in as long as possible. All the best xxxx

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    Flower78  (09-08-2014)

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    Thankyou ladies so much for the great advice, that was just what I wanted to know. I do want to breasfeed, for my GD it's recommended as well as good for bub so hoping I can express OK. How long after baby was born did you get to see/touch them? I suppose it will depend how he is and what gestation we make. He's estimated 950g at the moment.
    @New Hope good luck with your little one too. They gave me my first steroid shot yesterday and one more today.

    He's my first so luckily no other kids to look after but will get cooking and book in the cleaner! It's good to have some other things to do to help avoid just sitting and worrying!

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    Thanks crankyoldcow. I'm 29 weeks right now. They're just estimating when he might need to come but it could be anytime if he stops growing. Having weekly ultrasound and twice weekly ctg to monitor everything.

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    Lots of good advice already!! Some 32-34 weekers are able to be discharged before their due date, but if bub is very small and needs breathing assistance then best to keep in mind that they may be there until about their due date, and any earlier that you get to take them home is a bonus.

    All above advice about expressing is great.

    I see you're in WA, feel free to send me a PM or look me up via "Parents of Prems" facebook group, a charity I run that donates care packages to parents of very premature babies

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    Thanks GM01, yes I'm from Perth. I think if I prepare that he will be in til his due date that is best, as you say earlier is a bonus! How great that you run the charity, that's a lovely idea.

    I am having Doppler ultrasound once a week at a maternofetal specialist. He did a really amazing check yesterday of all of baby's vessels, the cord and placental blood volume/arteries. I think the regular ones won't be as detailed as that, but they seem really thorough. It's hard waiting and hoping nothing else goes wrong, it's been such a stressful pregnancy so far, something new at every visit!

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    Is it Craig that is looking after you? If so you are in the best hands ever!! Check out Tiny Sparks on fb they support families of high risk pregnancies and prem bubs and are a perth based charity. Good luck :-)

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    Apple iPhart6  (22-08-2014),Flower78  (10-08-2014),GM01  (09-08-2014)

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    Linda Wong is my main obstetrician but Craig I saw Friday for the ultrasound and review. I will keep seeing them both now and feel in safe hands. I've only heard great reports of Craig, he was very nice. I'll check out the website, thanks! I think I'll ask about seeing someone about my anxiety too.

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    Hi Flower, my third bub was born via emergency c-section at 31 weeks at KEMH in 2011 and although the NICU and Special Care are a tough road, I wanted to let you know that the staff there are the absolute best!

    You've already had loads of great advice but I just wanted to wish you all the best and to let you know that if you ever have any questions, I'd be happy to try and answer them xx


 

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