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Baby weighing 9.97 ounces at birth stays in good health

Sunday, May 26, 2002

ROME -- A healthy 3 1/2-month-old girl who came into the world weighing just 9.97 ounces spent her first full day home from the hospital Saturday, and her doctors said they believe she is the tiniest human being on record to live so long.

Doctors at Careggi hospital in Florence sent the "miracle" baby home Friday weighing 4.4 pounds, saying she has a nearly 100 percent chance of enjoying a normal life.

"She really had the will to live, she was strong and lively," Margarita Psaraki, the pediatrician on the baby's medical team, said Saturday. "She was immediately lively, active. This helped us to help her."

Doctors said that at the parents' wishes, they were identifying neither the baby nor the parents, who live near Florence. The medical team nicknamed the girl "Pearl."

The baby was delivered by Caesarean section in early February during the 27th week of pregnancy. At that stage of prematurity, some babies do survive, but they have weighed much more at birth.

"We were completely taken aback. The weight is usually double that" at the 27th week, Psaraki said.

The baby's survival "is an absolute record," she said.

The previous record was set in the 1990s by a baby in Japan who weighed 10.5 ounces at birth, doctors said Friday at a news conference in Florence. A low birth weight is considered to be 2.5 pounds and under.

Early in the pregnancy, "Pearl's" mother was diagnosed as having a problem with arteries, and at one point was at risk of needing a leg amputated, the doctors said. That persuaded them to deliver the baby early but at a stage when survival is possible.

Dr. Firmino Rubaltelli, in charge of the medical team that cared for her, told reporters that the baby's survival was a "true and proper miracle." He predicted that her chances for having a normal life are "nearly 100 percent."

When doctors saw how little the baby weighed, they asked themselves: "Do we go on? and how do we go on?" with her care, Psaraki said in another interview, on Canale 5, a private TV network.

Many of the premature babies who do survive birth at the 27th week or even later go on to have serious physical or mental handicaps, and there is intense debate in the world of medicine and ethics over how much extraordinary intervention should be used in such cases.

"I was afraid of holding her," Psaraki told Canale 5. At birth, "she was 10 inches long. But that's when she was stretched out. Normally babies curl up and then she would fit right into your hand."

After delivery, the baby's weight dropped to 8.92 ounces, but she rebounded. Her mother was allowed to nurse when the baby reached 1.53 pounds.

Before that, the mother was only allowed to caress her child after donning sterile gloves.

"Her skin was so thin," said Psaraki, adding that the baby "was struggling to breathe" and had to be intubated at the beginning.

Doctors said that they asked a company to design special instruments, such as tubing, to help care for the baby because she was so small.

The parents, while shying away from publicity, wanted their baby's story told to inspire hope in other parents, doctors said.


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