NICU Question

Re: NICU Question

• nblondheim member

  December 2013

  This was my biggest fear...to have our family separated! I had a choice of a hospital 15 minutes away with no NICU or a hospital 75 minutes away with a level 3 NICU. We did pick the farther hospital and I'm glad as we will be needing the NICU. I had pprom with a water break 30 days ago and have been in the hospital since and will be delivering around 32 weeks. Good luck!

  

  Check out my blog: http://blondheimtwins.blogspot.com/

   

   

  Report0 Reply
• ntdane member

  December 2013

  Are you only going to see an OB or will you also consult with a MFM/Perinatologist (sp?)? Many expecting multiples will see both or a MFM who delivers. Talk with your OB about their comfort levels and practices delivering multiples and what kind of scenarios would put the babies in one level of NICU over another.
  
  I'm seeing a MFM who delivers at a hospital with a level 3 NICU 50 minutes away but unless complications come up I will deliver at the local hospital 10 minutes away with no NICU.

  

  Report0 Reply
• Loading the player...
• LegallyBlonde217 member

  December 2013

  I would plan to deliver at a hospital with a Level 3 NICU.  You just never know what's going to happen with a multiples pregnancy.  I'd much rather be over prepared than under. 
  

  Double the love
  
  7/30/12 - B/G twins born at 33w4d due to PPROM
  
  

  Report1 Reply
• SV917 member

  December 2013

  I'd recommend the level 3. I had what I thought was a complication-free pregnancy, but only because my MFM didn't properly diagnose IUGR. I delivered at 37w6d at a local hospital with a level 2 NICU, but after a week my daughter was transferred to a level 3 NICU an hour away. She spent 5 more weeks at that hospital and I wonder if that would have been shorter if those doctors had treated her from the start.

  

  Report0 Reply
• carrotcake06 member

  December 2013

  The better NICU and hospital reputation trumped everything for me and I'm glad - I had some complications during birth and we all made it okay. I delivered at 34w and they spent 13 days in the NICU.

  
  
  
  

  Report0 Reply
• matthew24 member

  December 2013

  I dealt with almost an exact same situation and can tell you what happened in my case; I am 29 weeks. But, my ob has privileges at the hospital right around the corner and holds my mfm satellite office. I planned on delivering there and felt comfortable ( level 2 nicu) but I had complications from complete previa several weeks ago and due to the age of the babies transferred me to the level 3 nicu 45 minutes away where I am now going to remain until delivery : womp womp: My point is that I am sure that it would be similar in your case if you were to have complications they would transfer you. But, ideally it is up to you. You can always move later if it appears that there will be complications they may automatically switch you in this case; or, move now. The hard part is that you have no clue if it will be a breeze of a pregnancy or if it can change overnight like it did in my case. So i wpuld stay with the close hospital. Good luck!

  Report0 Reply
• LucyRicardo3 member

  January 2014

  I had this option with my twins, and we would have been separated if I'd delivered them at the local hospital since they were 34 weeks. Definitely go with the level 3.
  

  
  

   
  
  
  
  

  
  

  
  
  
  

  
  

  Report0 Reply
• megs3084 member

  January 2014

  I work in the level 3 nicu at the hospital well deliver at. There is a closer hospital w a level 2 but in the event something happened,i don't want the downtime for them to be transferred nor do I want to be separated from them.

  "Everything will be alright in the end. So if it's not alright, it is not yet the end."
  Me:29 DH:29  TTC since 1/11 Dx: unexplained IF/early DOR/immune issues 
  

  Feb'12- July'12-testing(all clear minus slight arcuate ute), 3 IUI with clomid all BFN
  8/30IVF#1 Antagonist protocol- ER 9/11-8R, 7M, 5F. 

  ET 9/14 2 embies transferred. 1 10cell Grade 4, 1 8cell Grade 4. No frosties. BFN
  IVF#2 Antagonist protocol plus baby aspirin- ER 12/5-16R, 12M, 8F!
  ET 12/10 5dt! 1 fully expanded blast & 1 early blast. No frosties. BFN
  3/13 hysteroscopy & polypectomy, Consulted w Dr. Kwak-Kim.  

  DX: High NK cells, cytokines, DHEAs& PAI1;  hypothyroid, +APA, restricted bloodflow

  7/13 IVF#3 Long lupron protocol with PIO, Crinone, Prometrium, and vivelle

  (plus synthroid, metformin, baby asa, metanx, PNV, Vit E, D, calcium, fish oil, CoQ10, IVIg infusions and lovenox per Dr. Kwak-kim)
  ER 7/19 14R, 11M, 9F(4 natural fert, 5 with ICSI)
  ET 5dt 7/24 2 fully expanded blasts.  SURPRISE 3 FROSTIES!!!
  Beta #1 8/2 335!!!! Beta #2 829!!!  1st u/s 8/14 showed TWINS!!!!!

  11/11: TEAM PURPLE!!!!!
  3/21/14-L&W born at 37w via csection
  Here Comes the Sun Blog
  PAIF/SAIF welcome!

  Report0 Reply
• LilSip0611 member

  January 2014

  Thanks so much for all this wonderful advice. I think we will meet with my OB and see what she says but I'm definitely going for the level 3.

  ***SIGGY/TICKER WARNING***

  

  TTC since September 2012 ~ DH(32): Non-obstructive azoospermia, Me(32): Normal

  10/13 - TESE found sperm!! ~ 11/13 - IVF w/ ICSI #1 ~ ER 11/23/13 ~ 10 R, 9 M, 8 F

  ET 11/29/13 ~ Transferred 2 beautiful hatching blasts, 5 frosties

  12/5/13 -  BFP!!! Beta #1 (12/7/13) - 189  Beta #2 (12/9/13) - 401 Beta #3 5871

  12/16/13 U/S #1 - TWINS!! EDD - August 16, 2014 ~ 7/19/14 - Our beautiful baby girls joined the world!

  Report0 Reply