September 19, 2010

You Were Meant To Be Here



An except from Rachel's hospital discharges papers...

Pregnancy Complications: Abruptio placentae, fetal bradycardia, polyhydramnios, duodenal atresia diagnosed on ultrasound, premature rupture of membranes and preterm labor.

Labor & Delivery Complications: Placental abruption and variable FHR decelerations. Emergent C/S for abruption with large amount of blood noted at delivery.

Condition at Delivery (for Rachel): Bradycardic, floppy and apneic.

Treatment at Delivery (to Rachel): Stimulation, oxygen, oral suctioning, gastric suctioning, tracheal suctioning, endotracheal  tube ventilation, epinephrine x 2 and cardiac compression.
Infant had no tone at delivery and unresponsive to bag/mask ventilation.
Infant was intubated and given chest compressions. There was no improvement and epinephrine was given via ETT. No improvement was noted and infant was prepped for insertion of an umbilical venous catheter. Upon insertion of the catheter another dose of epinephrine was given as well as 2 normal saline boluses. 

APGAR scores: 1 at 1 minute, 2 at 5 minutes, 3 at 10 minutes (the lowest score is 0, the highest is 10)

Thank you so much for fighting.

We love you fiercely.
Happy First Birthday,
Rachel girl!

9 comments:

  1. Happy Birthday Rachel...you were definately meant to be here!

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  2. Happy Birthday, sweet girl! We are so happy you are in our lives!

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  3. Happy Birthday, Rachel! So glad you were such a fighter in those early days!

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  4. What a year you've had! Happy, happy birthday peanut!!!

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