Audrey Diehl is what every parent would wish for in an 18-month-old.
“She’s a healthy, happy toddler — walking, starting to talk, getting into everything,” said her mom, Crystal Diehl.
Quite a contrast to Audrey when she was born on March 22, 2010, at 25 weeks, weighing 12 ounces. She is the smallest baby ever to survive in the Neonatal Intensive Care Unit at Essentia Health St. Mary’s Medical Center.
Audrey, profiled in a June 2010 story in the News Tribune, made it through her first winter — a precarious time for prematurely born babies because of the risk of a cold-like illness. She got help from an expensive therapeutic medication. But she got that only after her parents, Marshall and Crystal Diehl, fought their insurance company, which originally turned them down.
The risk
Even among prematurely born babies, Audrey was tiny. In fact, she is listed on the University of Iowa’s Tiniest Babies Registry, a worldwide list of babies to survive after being born at a weight of less than 400 grams (14.1 ounces). Only one other Minnesota birth is in the registry, a girl born in Minneapolis in 2002.
It put her, like all prematurely born babies, at risk.
“With premature babies, they have such a weakened immune system,” said Pam McArthur, a registered nurse for 23 years in the NICU. “A regular newborn has only what they get from their mother for their immune system, so when you’re talking about a premature baby, you’re talking about a baby that doesn’t even have what they would normally have gotten from their mother. ”
One of the risks is RSV — respiratory syncytial virus. You might have had RSV last winter. You told people you had a bad cold.
“For older infants, children and adults, it mostly acts as an upper respiratory virus, like a cold virus,” said Dr. Lee Muskovitz, a neonatologist who is medical director of the St. Mary’s NICU. “You have fairly typical, not-specific symptoms: wheezing, coughing, runny nose, mild fever.
But she got that only after her parents, Marshall and Crystal Diehl, fought their insurance company, which originally turned them down. Even among prematurely born babies, Audrey was tiny. In fact, she is listed on the University of Iowa's Tiniest
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