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IUGR, Hyperinsulinism, Extreme PPD and nicu PTSD

5 replies

HyperinsulinismMum · 27/12/2022 18:55

Hi all šŸ‘‹

I’m just kinda reaching out to someone who may be able to relate in some way.

My LB was born 6 weeks ago prematurely (34+0) due to fetal distress and IUGR. This was completely out of the blue, I left work to go for a growth scan and I was admitted that night and my beautiful baby was born.

There were issues with my pregnancy 2 weeks before, his movements had reduced and he wasn’t meeting criteria on the monitor. However, unknown to me I had covid and so was given 2 weeks isolating before my 2nd growth scan was arranged - he had measured under the 10th pc.

LO was born at 3lb 8oz, believed to be doing well and we were recovering together until a midwife noticed he was extremely lethargic and checked his temperature and he was hypothermic. He was rushed to the nicu where it was discovered his blood sugar was unrecordable and was hooked to a glucose drip and put on high flow breathing support.

The early days are a bit of a blur, the drs believed that it was something that would resolve itself in a few days, it isn’t uncommon for premature babies to struggle maintaining their sugars. But it didn’t resolve. He spent 4 weeks in the nicu, he was put into a controller hypoglaecemic episode to take bloods to send to Manchester children’s hospital, who confirmed he has hyperinsulinism and our crazy rollercoaster journey began.

He was nil by mouth for 2 weeks, receiving only glucose infusions and eventually started on Glucagon while Manchester and our local created a plan for him. He responded positively to every medication.

He was stabilised on Diazoxide and Chlorothiazide which we give him at home as well as his blood sugars tested 3 x a day to check they haven’t dropped below 3.5mmol. Since being home my mental health has crashed, pricking my babies foot disgusts me and the whole medical side just fills me with anxiety, his blood sugar machine counts down from 5 after a sample and I physically shake when I’m waiting for the result.

His IUGR is another thing entirely, I blame myself so badly for my body failing him and probably causing this blood sugar disorder in the first place. His feeding isn’t 100% established but he is doing amazing, taking about 70% of his feeds via bottle with top ups from a ng tube - he is fed on a 3 hourly basis (we have to set alarms). Sometimes he wakes for feeds but mainly, doesn’t. He wakes for approx 40 mins a day, he weighs 5lb at nearly 6 weeks old - anyone have any similar experience with a preemie? My anxiety is through the roof and I’ve convinced myself already that there is something seriously wrong with him šŸ˜ž My husband is off work for Christmas atm, I am TERRIFIED of him going back to work and me having to do this alone.

oh, and did I mention my mum died when he was 2 weeks old? I said goodbye to her on FaceTime as her breathing support was removed and she passed away while I sat next to my poorly babies incubator.

i just feel lost and that I need to wake up from this bad dream šŸ˜ž

OP posts:
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brawhen · 27/12/2022 19:02

šŸ’šŸ’šŸ’
I don't have any experience of all this, but just wanted to send my support. It sounds so difficult with the wee baby, and can't imagine how hard it is to lose your mum at the same time.

Have you got friends or siblings around you? Anyone you could bravely text and say that you need some help?

YorkshireTeaCup · 27/12/2022 19:11

Firstly, congratulations on your beautiful baby and im so sorry for everything you've been through.

I had an IUGR baby (although 37w so not prem) who then had neonatal hypoglycaemia followed by GBS sepsis (2 week NICU stay) then the day after we came home, a BRUE when we ended up back admitted.

Our NICU had a psychologist / counsellor attached to the unit that you could talk to. You could ask if there is similar. I would also recommend doing a birth debrief as it might be chance to ask questions about the growth scans, labour etc if there are bits that you dont remember.

I would also ask your HV or GP to refer you to your perinatal MH team. I had awful PND and PPA after DDs birth. I did some CBT but I wish i had asked for more help as when i look back, i was really ill. There are lots of ways they can help.

I had to set feeding alarms for DD until she was 12weeks old, then she was strong enough to feed on demand. So you might find its only for a little while. My DD is 18months now and doing so well but it was a hard and lonely journey to get there.

You are doing so well and you and your baby sound like warriors. Its so hard when you are in the thick of it but it will get easier.

Crossornot · 27/12/2022 23:02

Hi OP

I’m so sorry that you’re struggling with all of this, and I’m so so sorry about your mum. Things must feel SO difficult and scary right now and I really feel for you.

I don’t have experience of hyperinsulinism, but my baby (now 15 months old) was IUGR and born at just shy of 35 weeks weighing 4lbs9. I completely understand the guilt - but you know, and I know, that it isn’t rational and you have to try to push it to one side. Looking after a tiny baby with health difficulties is absolutely terrifying and, combined with the shock of the unexpected birth experience, it does a crazy number on your anxiety, or at least it did on mine. I felt dreadful for a long time after my son was born and worried about him SO much. I didn’t speak up about this to the people around me and I should have. The only practical advice I have for you is to do that; share how you’re feeling and don’t be afraid to voice your worries about yourself and your son. Make sure you’re asking the questions you want to ask about his condition to his doctors, tell them what you’re worrying about and let them reassure you - which I’m sure they will.

If you want to PM me with any more detailed IUGR questions you’re very welcome to. I just want to let you know that it does get better. I still worry about my son endlessly but it’s nowhere near as visceral as it was in the early days. You honestly won’t feel like this forever. Hugs to you.

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polkadotelephant · 09/01/2023 21:31

My son had hyperinsulinism as a baby. We were at GOSH for over 3 months before getting home. Are you on Facebook? There are a few very supportive parent groups.

www.facebook.com/groups/CHCharityUK/?ref=share_group_link<a class="break-all" href="https://www.facebook.com/groups/CHCharityUK/?ref=share_group_link" rel="nofollow" target="_blank">Children’s Hyperinsulinism Uk

Please come and have a look, there is a whole wealth of support for dealing with this rare condition.

theotherfossilsister · 10/01/2023 10:51

I'm so sorry you've gone through this.

My IUGR baby is now five and a half months, four corrected, and the early days were so hard. He was born weighing 3lb6oz and also struggled with blood sugar but only for his first week, the bigger challenge for us was breathing. I too blamed myself, and really struggled with not being able to make enough milk for him. My dad actually died two months before I had him.

What help have you got? I ended up having a complete breakdown and ended up in a mother baby psychiatric ward, but it was amazing and really helped. We now have a nursery nurse visiting weekly

Let me know if you want to talk about stuff, happy to send my number by pm. Iugr is hard.

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