CHICAGO .- A healthy student is a first degree and the other a high school with honors that will specialize in psychology. The two tiny babies at birth are developing very well, despite the doubts raised when they were born weighing less than 300 grams (one pound).
A doctor’s report that he had to resuscitate infants in a suburban hospital in Chicago is both a success story as a warning. These two cases are notable exceptions and their progress should not raise false expectations: most such tiny babies do not progress the same way and many do not survive even with advanced medical treatment.
“These are extreme cases,” said Dr. Jonathan Muraskas Medical Center, Loyola University. They should not be considered general for the doctors try to save all the tiny babies, he said.
The report reviews the cases of Madeline Mann, born in 1989 weighing 280 grams (9.9 ounces) then world record Rumaisa Rahman, seven years old, whose birth weight of 260 grams (9.2 ounces) is the new global brand. Two other babies born in 1989 weighed less than Madeline and a German girl was born last year with the same weight.
The report was released online Monday by Pediatrics.
The study is a hotly debated issue when Madeline was born 22 years ago and still no clear answer: after how many weeks can be born with a good chance an unborn baby? Still no one knows, said Dr. Stephen Welty, director of neonatology at Baylor College of Medicine and Texas Children’s Hospital in Houston.
Muraskas and co-authors of the report say that most experts believe that babies born after 25 weeks of gestation are likely to survive and therefore should receive medical attention if they need to breathe. Infants of lower gestational age are in a “gray area” in which the intervention is not always as safe, the report suggests.
In Japan, doctors have reduced the threshold-gestational-age to 22 weeks. Normal pregnancy lasts 40 weeks.
Some U.S. doctors try to save babies from 22 weeks of gestation, but not routinely done, said Dr. Edward Bell, a professor of pediatrics at the University of Iowa
Published in: Family