{"id":3174,"date":"2018-04-16T13:57:42","date_gmt":"2018-04-16T18:57:42","guid":{"rendered":"https:\/\/www.osfhealthcare.org\/blog\/?p=3174"},"modified":"2022-04-22T08:37:41","modified_gmt":"2022-04-22T13:37:41","slug":"unresponsive-newborn-thrives-due-to-on-site-neonatal-care","status":"publish","type":"post","link":"https:\/\/osf-blog.live.imagescape.com\/blog\/unresponsive-newborn-thrives-due-to-on-site-neonatal-care\/","title":{"rendered":"Unresponsive newborn thrives due to on-site neonatal care"},"content":{"rendered":"

Christmas 2017 will be one the Ferguson family of Clinton, Illinois, will always remember.<\/p>\n

Amanda, 32, was expecting her second child and was due on New Year\u2019s Eve. A sonogram performed a couple days before Christmas, however, showed the baby was measuring big, so Amanda\u2019s doctor decided to induce her a week early.<\/p>\n

She went to OSF HealthCare St. Joseph Medical Center<\/a> in Bloomington for induction at midnight on Tuesday, December 26. After laboring for 20 hours, Amanda underwent an emergency caesarean section.<\/p>\n

\u201cShe came out not breathing,\u201d Amanda said of her newborn, Laura.<\/p>\n

The next thing Amanda recalls is 10 to 20 nurses and doctors running through the doors. Among them was a neonatology provider. Just three months earlier, OSF St. Joseph began staffing its Birthing Center with full-time neonatology providers from OSF HealthCare Children\u2019s Hospital of Illinois<\/a> in Peoria.<\/p>\n

\u201cThey checked her umbilical cord for her oxygen and gas levels and everything was completely normal prior to her coming out,\u201d Amanda said.<\/p>\n

The next six minutes and 22 seconds were the longest Amanda and her husband, Eric, would experience as the care team worked to get Laura breathing.<\/p>\n

A higher level of care<\/h2>\n
\"Laura,

Laura, shortly after arriving to the NICU at OSF HealthCare Children’s Hospital of Illinois. The blanket that looks like “bubble wrap” is the cooling blanket she was on for 72 hours.<\/p><\/div>\n

Janessa Jenkins<\/a> was the neonatal nurse practitioner in the OSF St. Joseph Birthing Center the night Laura was born.<\/p>\n

\u201cAt birth, Laura came out not breathing and limp and required the assistance of myself and the nurses to begin breathing and having a regular heart rate. We tended to Laura immediately after delivery, and she needed CPR for a few minutes to establish a strong heart rate,\u201d Janessa said. \u201cI placed a breathing tube to be able to help her most effectively. Within six minutes of birth, she was taking some breaths on her own and her heart was beating without assistance.\u201d<\/p>\n

The concern, Janessa said, was not knowing how long Laura may have gone without getting oxygen. In these cases, there is a treatment called therapeutic hypothermia or \u201ccooling therapy.\u201d It requires lowering the baby\u2019s body temperature to around 92 degrees Fahrenheit and maintaining it there for 72 hours.<\/p>\n

Janessa explained it\u2019s not the period of low oxygen or low blood flow to the brain and organs that can potentially cause damage, the problem is the body\u2019s reaction that causes inflammation.<\/p>\n

\u201cMuch like putting ice on a sprained ankle right away prevents swelling and pain, getting the baby\u2019s temperature down within six hours of the possible injury helps prevent this inflammatory response, and decreases the chance of brain or organ damage,\u201d she said. \u201cThere are strict criteria for which babies\u00a0qualify for therapeutic hypothermia, but\u00a0Laura was a perfect candidate.\u201d<\/p>\n

With Laura just 15 minutes old, the warming equipment that usually keeps infants from getting cold after birth was turned off and her body temperature began to fall slowly.<\/p>\n

Continued care at OSF Children\u2019s Hospital<\/h2>\n

While waiting for a transport team to arrive to take Laura to OSF Children\u2019s Hospital, Janessa placed intravenous lines in the baby\u2019s umbilical cord to administer medications and fluids.<\/p>\n

\u201cWe were able to go ahead and\u00a0obtain all the lab results\u00a0that\u00a0the\u00a0Neonatal Intensive Care Unit team at Children\u2019s Hospital would need,\u201d she said. \u201cIt allowed her care to continue to progress while the transport team was en route. When they arrived, they placed her on a special cooling blanket for the transport to Children\u2019s Hospital, to keep her body temperature in the desired range, protecting her brain and organs.\u201d<\/p>\n

Amanda\u2019s husband and in-laws went to Peoria to be with Laura at Children\u2019s Hospital. Amanda, who had yet to even hold her newborn, was able to have a televideo visit with Laura and connect with the providers at Children\u2019s Hospital.<\/p>\n

\u201cThat provided me some reassurance being able to at least see her,\u201d she said.<\/p>\n

Still recovering from the caesarean, Amanda was released from OSF St. Joseph within 24 hours after having Laura. \u201cMy OB was very generous,\u201d she said.<\/p>\n

Family reunited<\/h2>\n
\"\"

Amanda holding baby Laura for the first time after the 72 hour cooling process<\/p><\/div>\n

Amanda arrived at Children\u2019s Hospital around 9 p.m. Wednesday, December 27. Fifteen minutes after arriving, Laura was taken off the ventilator and was breathing on her own without any issues.<\/p>\n

\u201cUp to that point, I hadn\u2019t got to hold her,\u201d Amanda said. By Saturday, her body temperature was being brought back up as she was monitored for any sign of seizures.<\/p>\n

\u201cI\u2019m so thankful St. Joseph had the neonatology staff \u2013 I wasn\u2019t aware they had added that,\u201d Amanda said. \u201cThey started the cooling process in Bloomington, if they didn\u2019t have those neonatology experts, they would have had to wait until they got to Children\u2019s Hospital.\u201d<\/p>\n

Janessa said Laura completed her three days of cooling without complications and was able to go home without any noticeable issues from her dramatic birth. Laura will continue to be watched by developmental specialists, who monitor to make sure she is meeting her milestones on time.<\/p>\n

Amanda said Laura is doing great, all thanks to the \u201camazing team\u201d with OSF HealthCare, and in particular, Janessa who made the decision to start the cooling treatment immediately while still at OSF St. Joseph.<\/p>\n

\u201cI’m so glad Laura continues to do well. She is absolutely darling,\u201d Janessa said. \u201cIt was my pleasure to be able to take part in her care.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Christmas 2017 will be one the Ferguson family of Clinton, Illinois, will always remember. Amanda, 32, was expecting her second child and was due on New Year\u2019s Eve. A sonogram performed a couple days before Christmas, however, showed the baby was measuring big, so Amanda\u2019s doctor decided to induce her a week early. She went […]<\/p>\n","protected":false},"author":33,"featured_media":3186,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[118,116,223],"tags":[625,142,339],"coauthors":[688],"class_list":["post-3174","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-birthing-center","category-pediatrics","category-patient-story","tag-neonatal","tag-childrens-hospital-of-illinois","tag-osf-st-joseph"],"yoast_head":"\nUnresponsive newborn thrives due to on-site neonatal care<\/title>\n<meta name=\"description\" content=\"After an emergency caesarean section at OSF HealthCare St. Joseph Medical Center in Bloomington, Amanda's newborn came out unresponsive.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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