Perinatal Parent Advisory What a Great Year! A message from Kristy Macdonell I hope that the New Year finds you all well and in good health. This newsletter will highlight some of the fantastic work that the Parent Advisory Committee has been working during 2010. The Effective Communication parent lead in services are now integrated into our NICU program on a consistent basis. This is a positive achievement and serves as a testament to how much staff appreciate and value parent perspective. Many of us look to parent feedback to help guide our professional practice to ensure that every family feels that they have received excellent care. In November 2010, we held our bi-yearly Dialogue with Administration, which was attended by our NICU Administration as well as many of the NUA’s from the Maternal and Infant Program. "Are we being heard? Yes we are! We experienced this first hand at the parent/administration meeting held this past November. Both Raffi and I were pleasantly shocked at the number in attendance from the 7th floor administration. They were keen to hear about our experiences and ideas. They were receptive to hear about how fathers are viewed and heard in the NICU, which was just one of many other topics discussed that night!" Stephanie Demerjian "Are we being heard? Yes we Bi-annual Dialogue with Administration, November 2010 are!” INSIDE... NICU Graduates raising money for the NICU A note from a newly trained Parent Buddy page 3 page 3 Learn about the new TLC Pilot Project in the NICU page 4 Becoming a Family Today my daughter Morrigan is a strong, happy, healthy, active and verbal little person, but that wasn't always the case. Her entry into the world and the time that followed was easily the hardest, most terrifying, and overwhelming time of my life. You see, my daughter was born 12 weeks early. To start with, I had practically every pregnancy complication in the book. This led to increased monitoring and, at 26 weeks into my first pregnancy, an ultrasound showed that my cervix was a bit short. The next day, December 12, 2009, I lost my mucous plug. Due to my history, I was asked to come to triage Decemb for an NST and fetalfibronectin test. Everything looked good, so we were sent er 2009 home. Unfortunately, the test results came back positive (i.e. not good) and I was called back early Sunday morning for admission as a premature labour risk. I thought that I'd be sent home the next day, but after two days of steroid shots, the doctors thought that I should stay for observation. I had high hopes that I'd be home for Christmas, but on December 21st an ultrasound showed that my cervix had disappeared and I was told I'd be on 7South until I delivered. There were a number of women who'd been on the floor for weeks with no cervix, so, though it would mean a long stay in hospital, I hoped that I could last until close to term. Despite the bedrest, however, I went into labour and our daughter Morrigan arrived on December 28th, at just over 28 weeks gestation, weighing 2.5 pounds. She was tiny and fragile, but was the most beautiful thing I'd ever seen. Until I was on bedrest with time to do research, I had no idea that one in eight babies is born prematurely and I didn't know that significantly preterm babies could even survive. We'd dealt with infertility, we had been "prepared" to face loss, but no one had ever suggested to us that prematurity was a risk. To say we were unprepared is one of the biggest understatements of all time. Thankfully, we were really lucky and Morrigan had a pretty easy run. She was born "flat" and not breathing, but was only on the ventilator for a day before being switched to CPAP. Head ultrasounds showed only a tiny Grade I bleed and an Echo scan showed no PDA. She spent lots of time under bili-lights, but her biggest problems were food intolerance and apnea/bradycardia. In summary, her biggest challenge was being really small. With time, that improved and she grew before our eyes. There was really only one day when she had the doctors worried, but all cultures and tests came back negative. In total, Morrigan stayed in the NICU at Mount Sinai and eventually St. Mike's for almost three months and came home on her due date of March 20, 2010. Being the parent of a NICU preemie is terrifically hard. Even when your baby has an easy course, the stress, trauma, and disjunction with expectations is huge. We felt alienated from our tiny baby, totally helpless, and like no one understood. Pumping made me feel like part of the team, but kept me up around the clock. The knowledge gap between us and care providers seemed insurmountable, but staying at her isolette as much as possible and asking questions was really helped, as was attending Tuesday NICU Education meetings and lactation lunches. Having a Parent Buddy made me feel less alone and huge amounts of skin-to-skin holding made us feel more like "real" parents, as did participating in as many aspect of her care as we could. In fact, I spent the New Years Eve count down changing the first diaper of my life! The Mount Sinai NICU team is pretty amazing and made our experience so much better and easier than it could have been. I'm hugely grateful to the doctors, nurses, respiratory therapists, social workers, lactation consultants, dietitians, volunteer parent December 2010 "Buddies" and those I don't even know about. As a “In summary, result, I felt the urge to give back. So far, I've joined the NICU parents association, trained to be her biggest a parent buddy, and am driven to do more. challenge was To close, let me say that Morrigan's arrival and stay in hospital was the scariest time being really of my life, but every second of it was worth it, as she's absolutely perfect. I know small.” it's been said many, many times, but thank you Mount Sinai for saving my tiny baby and letting us become a family. page 2 A reflection on Parent Buddy Training I would like to introduce myself as Ani Rapallo, mother of 3 children; Francesco, Julian and Shant. Julian and Shant were born at Mount Sinai on July 31 2009 at 24-weeks gestational age. That day a whole new page was opened in the story of our family. A new journey of fear, hope and love began as we entered the doors of Mont Sinai Hospital. During our 3-month stay at the hospital, we learned to be brave, hopeful and strong people. The wonderful staff - the nurses, the doctors and the social workers - helped us overcome our worst fears and sad moments. They also had tears of happiness with us during our victorious and successful achievements. That is why we wanted to participate to the Parent Buddy Training. It was time to give back what we call the ‘Love, Hope and Devotion’ that we learned at Mount Sinai during the recovery of our twins. The training was excellent, very well prepared and very helpful. Marianne and Kristy did a wonderful job organizing the training and teaching us all the important do's and don't's in becoming a parent buddy. I am looking forward to becoming a parent buddy to share, listen and hope for all of our parents who are at NICU with their babies. Thank you so much for everything and for giving us the opportunity to give back the least that we can. Ani We are on FACEBOOK! Join Mount Sinai NICU Parents page A veteran NICU parent will be posting NICU news about related events (ie. picnic, educational sessions) The beads of hope • Les perles de l’espoir Hello, my name is Madison Vande Sompel; I was born on May 31, 1999 at Mount Sinai Hospital in the NICU at 32 weeks along with my twin brother Ethan. We were released from the hospital 6 weeks later. I am now 11 years old and in Grade 6. I have recently learned about Craig Kielburger and Hannah Taylor in school, they have inspired me to do something I had never thought I would be able to do before. I make and sell jewelry and then donate half the proceeds to the NICU at Mount Sinai and the other half I donate to Dr. Sproule’s Foundation “Canadian Reconstructive Surgery Foundation”, my former surgeon. I called my very good friend Alexandra Steele to see if she would like to help me, and she agreed. Alexandra was not a preemie nor was she born at Mount Sinai Hospital. We had decided to name our charity “The Beads of Hope”. Alex, Ethan and I have been making and selling our Jewelry since Christmas Vacation, 2010, we have collected $300. We have a new goal; we would like to donate $1,000 by Grade 9. page 3 ber’s m e c e D y ho li da ation r b e l e c on the or 7th flo TLC Pilot Project Update The TLC - teaching, learning, caring project launched in late February 2011! Mount Sinai Hospital has both funding and a dedicated team devoted to this interesting concept. We will work with approximately 40 interested parents who will provide extra care to their baby, with the expert teaching of nurses and the support of the medical team and resources - including veteran parent mentors. When their baby/ies is stable, ‘TLC parents’ stay at the hospital for 8 hours daily to participate in rounds, provide baby care - including lots of holding, and daily education sessions, assisted by staff only when necessary. A special thank you to the families who donated gifts for the NICU babies stockings. So far, feedback from TLC parents, veteran parent mentors and trained TLC nurses has been positive! NICU Graduate Picnic Sunday June 12th, 2011 12 noon to 3 p.m High Park , Toronto Picnic areas 2 and 3 For further information, please call: Kristy Macdonell NICU Social Worker and Coordinator of Parent Programs 416-586-4800 Ext. 5213 or [email protected] Marianne Bracht Parent Resource Nurse 416-586-4800 Ext. 5338 or [email protected] page 4
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