I am 31 weeks preg with identical girls and have cholestasis. I could have my girls by c section at the end of next week making me 32 weeks. My girls are currently estimated to weigh 4lb each and I have had 2shots of steroids. What are their chances of being healthy?

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Kate - posted on 05/06/2012

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Hi Nikki... I wish I could tell you exactly what to expect and how well things were going to go your girls if they are indeed born that early in your pregnancy.. But all babies are different and I can only tell you my experience with my situation that is somewhat similar to yours.
I'm going to apologize now if this gets a bit long winded, I'll try to get to parts that are more to point in your post. I was pregnant with twin boys, I start having complications quite early in my pregnancy that were not caught until 26 weeks into my pregnancy. I started seeing a specialist he recommended that I have steroid shots and delivering the boys early. I received the steroid treatment went back a week later for my specialist to tell me that it wasn't wise that I deliver because I was risk both babies lives, I argued with him for hours about the situation, when I finally gave after being told Ross would only have a 2% chance of life and Austin a 10% chance.
The next week I found out that I had in fact lost Ross and at that time they told me that Austin's estimated weight was 5.6 pounds. And due to the risks of fetal stress it'd be best if I carried Ross in my womb with Austin until I finally went into labor with Austin. Since I was carrying a deceased baby as well as Austin my body tried to naturally abort Ross which put Austin in fetal distress and I delivered him 33 weeks into my pregnancy. Austin weighed 3.9 pounds at birth, could not breathe on his own, his heart would stop beating, he couldn't eat from a bottle nor the breast because he didn't have the suck swallow breathe reflex, he had acid reflux disease, which made his brandycarida's much worse. He was extremely jaudice, he didn't put on weight as well as other babies did... He spent 6 and a half weeks in the NICU which is typical, honestly, they do normally keep preterm babies in the NICU until their actual due date. All of Austin's issues were considered 'common' premature issues. But that doesn't mean that your girls will have any of these issues, with the exception of the feeding from a bottle or breast, that skill doesn't develop that early in pregnancy and takes training and practice from the baby with a pacifier, so hopefully have nothing against them, because the babies will get one whether you like it or not, so that the muscles develop for feeding. But like I said your babies may not end up with any of the 'common' preterm issues. They'll just be smaller than other babies and probably face more issues than term babies with weight and could be a bit slower at milestones and learning than their full term counterparts. They aren't just a smaller version of a full term baby, they do have problems because of the prematurity which should/will be explained to you if and when your girls go to the NICU.
I hope this kind of helped you, I know it probably didn't answer your questions or keep you from worrying but it's best you know what to expect. If you have questions or need someone to talk to feel free to message me, I wish you and girls the best of luck.

Catalina - posted on 05/03/2012

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Nikki I wish I could give you great positive percentages and numbers to hold on to!
All I can say is I wouldn't expect them to be born and ready to go home the next day! Expect some time in the hospital, and expect a few complications, but I bet there is a really good chance that a year from now you will have two healthy baby girls! :-)
I'm praying for you mama!

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