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Adirondackwannabe's avatar

NSFW How small is too small for a premature birth? See details.

Asked by Adirondackwannabe (36713points) October 27th, 2011

Is a one pound fifteen ounce infant going to have a fighting chance? I threw the NSFW on as a precaution. How small is too small?

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11 Answers

ANef_is_Enuf's avatar

I’m no expert, but a bit of research seems to suggest that the baby has a pretty decent chance of survival, thanks to advancements in modern medicine and pre-natal care. However the baby will most likely be at high risk of developmental issues, such as mental retardation, hearing impairment, and vision impairment, for example.

Cupcake's avatar

It’s not just the size, but also the gestational age that determine survival. In addition, the level hospital of birth plays a big part. If you give birth at a regional center equipped with a full NICU (neonatal intensive care unit), you will fare much better.

In general, 25–26 weeks gestation have >80% survival rates. 23 weeks gestation with a birth weight 500–699g has under 50% survival, but >700g has over 50%. 24 weeks gestation is in-between the two.

As @ANef_is_Enuf mentioned, this is only survival, not morbidity. Morbidity will depend on gestational age and birth weight (and level of hospital of birth) as well, but will also depend on infections, oxygenation (too much or too little), feeding/intestinal issues, etc.

Feel free to PM me. I’m a neonatal clinical data analyst.

Tropical_Willie's avatar

My brother had a friend ( she is 62 plus now ) when born that weighted on one pound 9 ounces. She was in the hospital for 5 months, if I remember right, before coming home.

nikipedia's avatar

Another factor to consider—I just read something that said that premature boys tend to fare worse than premature girls of the same age.

YoBob's avatar

Hard to answer since medical technology is pushing the bounds of what is viable.

My brother in law was an extreme preme and was so small that his fathers wedding ring could be placed over his around his entire hand/arm. He is now a healthy 6’4” adult.

EmptyNest's avatar

Yep. Have to agree…seems the consensus is that size does not matter. Um. wait. what?

Adirondackwannabe's avatar

My nephew is home. 4 pounds 15 ounces, but he’s out of the hospital. A ways to go still, but much better than I expected.

Adirondackwannabe's avatar

I got to meet the guy last friday. 20 pounds of healthy happy baby. He still has a few issues, a hernia that needs repair and some acid reflux, but he’s amazing. He’s sharp as a tack, has great hand eye coordination, and is strong for his size. They figure his body will catch up soon with his age group, but he’s happy and healthy. Thank you so much for all of your thoughts and prayers.

Adirondackwannabe's avatar

A little followup. He’s doing great. He is a happy healthy generic baby.

Cupcake's avatar

@Adirondackwannabe Yay for happy healthy generic babies!! :)

Adirondackwannabe's avatar

He’s pretty amazing. And in the ward where he was, they lost a bunch of babies of similar size. But on the bright side, his mom is pregnant with another boy and doing fine. Hopefully he soon has a little brother to torment.

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