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Doernbecher neonatal Care Center Give Vulnerable PatientS The

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04<br />

“I can’t put into words what we went through in the<br />

first few weeks,” said Heidi. “Kory had collapsed<br />

lungs and had a tube inserted in his chest seven times.<br />

Kaden had heart and hernia surgeries.” Both boys<br />

also endured eye surgeries and numerous infections.<br />

Like many premature babies, the twins were also at<br />

risk for later complications. “We were told Kaden and<br />

Kory had an 85 to 90 percent chance of developing<br />

cerebral palsy, but the boys are 18 months old now<br />

and doing fine,” Heidi said.<br />

Helping the most vulnerable patients<br />

A normal pregnancy lasts 38 to 42 weeks, but<br />

premature babies are born at 37 weeks or younger.<br />

While the average U.S. newborn weighs seven and a<br />

half pounds, babies with low birth weight, a common<br />

condition for “preemies,” tip the scales at just three<br />

pounds, five ounces. Infants with extremely low birth<br />

weight are no more than two pounds, three ounces –<br />

Kaden and Kory’s size. <strong>The</strong>se “micropreemies” enter<br />

the world up to three months before their lungs,<br />

brains and other systems are ready.<br />

Kaden and Kory under the care of the DNCC staff.<br />

Specialized care, high-tech equipment<br />

<strong>The</strong> DNCC’s mission includes keeping babies<br />

warm – preemies lack sufficient fat to regulate body<br />

temperature – limiting stress on their immature<br />

systems, preventing infection and treating medical<br />

conditions. <strong>Doernbecher</strong> delivers “the highest<br />

possible level of critical care,” said H. Stacy Nicholson,<br />

M.D., M.P.H., F.A.A.P., Physician-in-Chief at OHSU<br />

<strong>Doernbecher</strong> Children’s Hospital and Credit Unions<br />

for Kids Professor and Chair of the Department of<br />

Pediatrics in the OHSU School of Medicine.<br />

<strong>The</strong> DNCC is a Level 3 <strong>neonatal</strong> care center,<br />

equipped to care for babies who are extremely<br />

premature, critically ill or in need of specialized<br />

surgery. <strong>The</strong>se tiny patients include infants with<br />

conditions such as heart disease or spina bifida.<br />

“<strong>The</strong> level of specialty care is a really unique feature,”<br />

said Dr. Nicholson. “We’re prepared to help all<br />

children who need it.”<br />

Intensive care units for newborns date to the<br />

1950s and 1960s. <strong>Doernbecher</strong> established the<br />

DNCC’s predecessor, a <strong>neonatal</strong> nursery, in 1951<br />

and opened a full-fledged NICU in 1968. Portland<br />

pediatrician S. Gorham “Gorie” Babson, M.D.,<br />

was the hospital’s first neonatologist. Dr. Babson<br />

died in Sept. 2010, but his legacy continues in the<br />

advanced, compassionate care the DNCC delivers.<br />

“He was a real pioneer in neonatology,” said Dr.<br />

Nicholson. “This unit has a tremendous history<br />

and bright future.”<br />

Today, <strong>Doernbecher</strong>’s <strong>neonatal</strong> team includes<br />

six board-certified neonatologists, doctors who<br />

specialize in the care of newborn babies. Each<br />

is also an expert in a subspecialty such as infant<br />

lung or brain development. A physician assistant,<br />

four board-certified <strong>neonatal</strong> nurse practitioners<br />

and nearly 120 nurses also care for <strong>Doernbecher</strong>’s<br />

tiniest patients.<br />

Providing cutting-edge <strong>neonatal</strong> care requires highly<br />

specialized equipment. For example, to meet a

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