XP: Adalyn's First Concert! *Update 3/31

DrRx · March 2012

Hello ladies!! I can't believe that Adalyn is 8 weeks old today! Her progress, although slow, has been coming along. She is down to 1.5L of regular flow oxygen, a little on the high side of 40%. She is getting her feeds over 45 minutes. They tried to do it over 30 minutes yesterday, but it proved to be too much for her--desatted a few times. Today she has been getting them over 45 minutes and has had no problems. She is up to 4 pounds 3 ounces and the Preemie diapers are starting to actually fit her! Soon they'll be too small and she'll need the Newborn ones! Smile

I also signed consent for her to get her first set of vaccinations! She'll get them when she is 60 days old (Wednesday) over 2 days. She will be getting vaccinated against Pneumococcal, polio, Hep B, DTP, and Hib-- 7 diseases in 3 shots (DTP is for 3 diseases, diptheria, tetanus, and pertussis). She will get the DTP, Hib, and polio in 1 shot (pediarix) and Hep B separate on one day. Then, she will get Prevnar (pneumococcal) the next day.

Adalyn also attended her first concert today given by her daddy! This past summer, for our 5 year anniversary, we went to Hawaii. While we were there, DH became interested in ukeleles, since you see and hear them pretty much everywhere. DH plays guitar and was interested in this instrument. We thought about buying one while we were there, but the ones that weren't play/souvenir ones that we saw were like $700! So, for Christmas, I bought him a decent ukelele (nothing fancy)--really, a beginner's one--to mess around with. So today we brought the ukelele to the hospital to play for Adalyn, to see how she liked it. She LOVED it!

DH basically picked at it and played some random melodies, etc. He also figured out how to play Yankee Doodle Dandy, and Adalyn enjoyed the whole thing! She was awake for some of it and slept for the rest. I could tell she like it because her face was relaxed, and the monitors showed me that her heartrate was low and her sats were high. We did this for about 3 hours--the time between her 11am and 2pm Hands On.

DH looks so silly playing the ukelele since it is so small. However, I told him, tiny baby=tiny guitar.:) When she's bigger and is home, we'll try her out on the big guitar. However, I think that the ukelele will always be soothing.

Have a great weekend everyone!

JuliaJAG · March 2012

Oooh, look at her! She looks so sweet and peaceful! That is too sweet about her first little concert! My little one is a music lover too, although we never would've thought to bring a musical instrument to the NICU (great idea!)... he loooves being sung to and instantly calms down and his sats go up. I think it's really good for them to be exposed to music so early (they'd be hearing it if they were still in the womb, right?).

Do you mind if I ask what made you decide to go ahead with the standard 2-month vaccinations? We are thinking we will hold off until our LO is bigger and stronger (he's currently 4 pounds 11 ounces). I think a lot of preemie parents decide to wait until 2 months adjusted rather than actual, at least for the ones where they're not likely to be exposed in that amount of time (like polio and hep . Of course it's every parents' personal decision; I'm just always curious what makes parents of preemies decide to go with the current standard.

Thanks for another great update... it's so great to see her doing so well!!

DrRx · March 2012

JuliaJAG:
Oooh, look at her! She looks so sweet and peaceful! That is too sweet about her first little concert! My little one is a music lover too, although we never would've thought to bring a musical instrument to the NICU (great idea!)... he loooves being sung to and instantly calms down and his sats go up. I think it's really good for them to be exposed to music so early (they'd be hearing it if they were still in the womb, right?).
Do you mind if I ask what made you decide to go ahead with the standard 2-month vaccinations? We are thinking we will hold off until our LO is bigger and stronger (he's currently 4 pounds 11 ounces). I think a lot of preemie parents decide to wait until 2 months adjusted rather than actual, at least for the ones where they're not likely to be exposed in that amount of time (like polio and hep . Of course it's every parents' personal decision; I'm just always curious what makes parents of preemies decide to go with the current standard.
Thanks for another great update... it's so great to see her doing so well!!

I asked a couple of her neonatologists, in whom I have full faith in, and they said that as far as their immune system, they wouldn't be concerned about adjusted vs. corrected age. One of them, who is the director of the NICU, said that as far as corrected age he would only be concerned regarding growth and neuro developmental things, but that other things you can go by actual age.

I would rather have them in the hospital instead of the pedi's office in case she has a reaction, and I've always been a big believer in vaccines and the CDC schedule. I've done my research and feel comfortable with her receiving it at 2 months. I have access to several medical/drug databases/resources as a pharmacist and preceptor, and after weighing risk vs. benefit, I feel confident in our decision to go ahead and start the vaccination process.

I'm not sure if you know or have read this, but here's the article from the peer-reviewed journal Pediatrics where the recommendations are from:

https://pediatrics.aappublications.org/content/112/1/193.full

I think that you're fine either way and that it's a decision that you make along with your doctor. She had been scheduled to get Hep B at 30 days, but her MD (the one who is the director) cancelled it and said that she could wait until the 2 month shots, since it would include the Hep B and would hopefully be over 2kg (which she will be).

kelkel09 · April 2012

Aww! That's so adorable. I am glad she loved her little concert! She is so precious! I love reading your updates and hearing about her continued progress

We also did our vaccinations at 2 months actual not adjusted. That is standard practice in our NICU.

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XP: Adalyn's First Concert! *Update 3/31

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