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World's Tiniest Baby Was the Size of an Apple. Here's How She Survived.

Discussion in 'Pediatrics' started by Hadeel Abdelkariem, May 31, 2019.

  1. Hadeel Abdelkariem

    Hadeel Abdelkariem Golden Member

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    Saybie was born via cesarean section at just 23 weeks and 3 days gestation after her mother experienced severe pregnancy complications.

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    "It was the scariest day of my life," Saybie's mother said in a video released by the hospital. "My blood pressure was very, very high. … They had to deliver her really quick. And I kept telling them that she's not going to survive, she's only 23 weeks."

    The family was told that they would likely have just an hour with her before she died. "But that hour turned into 2 hours, which turned into a day, which turned into a week," the mother said.

    Records of the tiniest surviving babies are maintained by the University of Iowa's Tiniest Babies Registry. Saybie's extremely low birth weight is 7 grams (0.2 ounces) less than the previous "smallest baby" record holder, a baby born in Germany in 2015. In February this year, doctors reported the birth of the smallest surviving baby boy, who weighed 9.45 ounces (268 grams) at birth.

    Perhaps aiding in her survival, Saybie experienced virtually none of the medical challenges typically associated with so-called micropreemies (those born before 28 weeks), which can include brain bleeds and lung and heart problems, the hospital said.

    "We do everything we know how to do as well as we can, and after that, it's really up to our babies," Spring Bridges, a registered nurse at Sharp Mary Birch's neonatal intensive care unit (NICU), said in the video. "Some really have the strength to go through what they have to go through and grow outside the womb."

    The hospital also specializes in caring for micropreemies. "Saybie was in the exact right spot, right time, for this to happen," said Courtney Akel, a registered nurse at Sharp Mary Birch's NICU.

    Still, micropreemies can face challenges as they grow older, including vision problems, issues with fine motor skills and learning disabilities, according to The Washington Post.

    For the next few years, Saybie will make regular visits to the hospital's follow-up clinic, which aims to help NICU babies meet developmental milestones, the Post reported.

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