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Hashtag #preemiestrong Instagram preemiestrong hashtag, #preemiestrong meaning preemiestrong photos

preemiestrong Day 597...
Today started well... not! We were awoke by a little voice ‘Uh Oh!’ Dadda looked over the cot, let out a big sigh (& a few choice words!) Zachary had managed to get into an unopened pack of loo rolls and unravel, part & shred one full roll 😐 (they’re in storage in our room under one side of the bed! God only knows how he got them... stored along with everything else until we’re moved), he had also undressed his top half too, anyone that says boots and bars will restrict you I couldn’t disagree more, all those worries of will he won’t he be able to do things. This moon head is into everything, he’s even mastered climbing out the cot too with them on 😐 We had a lovely afternoon, Uncle Boy & Auntie Sally & Zachary’s big cousins came over for a visit. Not a visit we want though with all this social distancing, but it was lovely to see everyone all the same. We had a big walk around the estate where the dogs got to meet for the first time, which was fun to see, then a lovely afternoon spread out in the garden 💙 can’t wait until we can all meet up properly! #zacharyslade #talipes #talipesjourney #preemiestrong #ex29weeker #bootsandbar #ponsetimethod #looroll #andrexpuppywannabe #family #familystrong #lockdown2020 #isolation #covid19

Day 597... Today started well... not! We were awoke by a little voice ‘Uh Oh!’ Dadda looked over the cot, let out a big sigh (& a few choice words!) Zachary had managed to get into an unopened pack of loo rolls and unravel, part & shred one full roll 😐 (they’re in storage in our room under one side of the bed! God only knows how he got them... stored along with everything else until we’re moved), he had also undressed his top half too, anyone that says boots and bars will restrict you I couldn’t disagree more, all those worries of will he won’t he be able to do things. This moon head is into everything, he’s even mastered climbing out the cot too with them on 😐 We had a lovely afternoon, Uncle Boy & Auntie Sally & Zachary’s big cousins came over for a visit. Not a visit we want though with all this social distancing, but it was lovely to see everyone all the same. We had a big walk around the estate where the dogs got to meet for the first time, which was fun to see, then a lovely afternoon spread out in the garden 💙 can’t wait until we can all meet up properly! #zacharyslade #talipes #talipesjourney #preemiestrong #ex29weeker #bootsandbar #ponsetimethod #looroll #andrexpuppywannabe #family #familystrong #lockdown2020 #isolation #covid19

0
5/27/2020
8
preemiestrong ...little man had his first big trip yesterday. We traveled to Des Moines to see an audiologist after failing the newborn hearing screening when born. As of right now there are no responses from his middle ear and we will follow up in 6 weeks with a non sedated ABR. She did say that she can tell us right now that he cannot hear. The only question is, is it a middle ear issue or is there also hearing loss involved? These next 6 weeks will be a long wait to find out!!! #beckettames #preemiestrong

...little man had his first big trip yesterday. We traveled to Des Moines to see an audiologist after failing the newborn hearing screening when born. As of right now there are no responses from his middle ear and we will follow up in 6 weeks with a non sedated ABR. She did say that she can tell us right now that he cannot hear. The only question is, is it a middle ear issue or is there also hearing loss involved? These next 6 weeks will be a long wait to find out!!! #beckettames #preemiestrong

1
5/27/2020
4
preemiestrong Nicu newbies- Expressing!
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Once your baby is born and taken to NICU your whole world is turned upside down. You may have just had an emergency c section or hours long labour and your heart is suddenly ripped out and placed in a different room to you. And whilst you are trying to process what is happening to you and you baby and your world is crashing down around you a nurse comes and asks you about expressing. .
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Expressing is probably the last thing on your mind but you suddenly feel an overwhelming amount of confusion and pressure. How do I do it? What if I don't have any milk? What if you didn't want to breastfeed and don't want to express?
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So many questions about expressing and, sometimes, no one to really ask or spend the time to show you. So what advice would you have wanted to hear when you were a NICU newbie?

Nicu newbies- Expressing! . . Once your baby is born and taken to NICU your whole world is turned upside down. You may have just had an emergency c section or hours long labour and your heart is suddenly ripped out and placed in a different room to you. And whilst you are trying to process what is happening to you and you baby and your world is crashing down around you a nurse comes and asks you about expressing. . . Expressing is probably the last thing on your mind but you suddenly feel an overwhelming amount of confusion and pressure. How do I do it? What if I don't have any milk? What if you didn't want to breastfeed and don't want to express? . . So many questions about expressing and, sometimes, no one to really ask or spend the time to show you. So what advice would you have wanted to hear when you were a NICU newbie?

26
5/27/2020
5
preemiestrong This fluff ball turned 8 months old...about 2 weeks ago 😂🥴😍
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I guess if all these milestone photos are 2 weeks overdue then at least they will be relative? Right?🤷‍♀️
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We have been crawling for about a month now💪We are even crawling up stairs now so keeping mom on her toes to say the least. She is bumping her head about a trillion times a day 🥺 I still haven’t got used those cries from pain. Absolutely hate it and feel so guilty.
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We are pulling ourselves up everywhere and on everything. And can stand for about 1-2 seconds by ourself with no support🤯
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We still wear 3-6month clothing and only weigh about 7.5kg. But growing exactly like mom did😬Also small 🙈
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We haven’t really ever experienced sleep regression yet. I think she had a week of bad day sleep(naps), starting the day she turned 8 months old, but never her nighttime sleep really. Very similar to how her 4 month “regression” ...literally just one week🤷‍♀️ so happy that she is a good sleeper 😃
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We are going through a bit of a bottle strike at the moment. Refusing the bottle. Which she never ever does🧐 For the first time ever she skipped 2 bottles yesterday! 👀 but she is taking her solids so well and loves sipping water. So we are a bit stumped. We have no teeth so maybe teething but I don’t see anything. Maybe she just wants less milk? We feed her 5 x 150ml bottles a day with solids and water in between. No night feeds. But maybe she just wants less now? I dunno 🤦‍♀️
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She’s also been lifting her right shoulder to her right ear and holding it there for a split second. Google results range from teething to infantile seizures. Again, I’m stumped 🤔 again, any insights welcome 😂
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I can’t believe this fluffy summer babe is growing so fast. Sometimes I wish I could pause it and other times I wish it would speed up😂 but I loooove her so much and her smiles are my pursuit on the daily🥰

Milestone cards gifted by @laatlam_gifts 🤍

#8monthsold #8monthsoldbaby #correctedage #preemiestrong #babymilestones #letthembelittle #southafricanmom #southafricanmoms #mommyblogger #instablogger #southafricanblogger #bohomama #bohobaby #momlife #motherhood #cutebaby

This fluff ball turned 8 months old...about 2 weeks ago 😂🥴😍 ⠀⠀ I guess if all these milestone photos are 2 weeks overdue then at least they will be relative? Right?🤷‍♀️ ⠀⠀ We have been crawling for about a month now💪We are even crawling up stairs now so keeping mom on her toes to say the least. She is bumping her head about a trillion times a day 🥺 I still haven’t got used those cries from pain. Absolutely hate it and feel so guilty. ⠀⠀ We are pulling ourselves up everywhere and on everything. And can stand for about 1-2 seconds by ourself with no support🤯 ⠀⠀ We still wear 3-6month clothing and only weigh about 7.5kg. But growing exactly like mom did😬Also small 🙈 ⠀⠀ We haven’t really ever experienced sleep regression yet. I think she had a week of bad day sleep(naps), starting the day she turned 8 months old, but never her nighttime sleep really. Very similar to how her 4 month “regression” ...literally just one week🤷‍♀️ so happy that she is a good sleeper 😃 ⠀⠀ We are going through a bit of a bottle strike at the moment. Refusing the bottle. Which she never ever does🧐 For the first time ever she skipped 2 bottles yesterday! 👀 but she is taking her solids so well and loves sipping water. So we are a bit stumped. We have no teeth so maybe teething but I don’t see anything. Maybe she just wants less milk? We feed her 5 x 150ml bottles a day with solids and water in between. No night feeds. But maybe she just wants less now? I dunno 🤦‍♀️ ⠀⠀ She’s also been lifting her right shoulder to her right ear and holding it there for a split second. Google results range from teething to infantile seizures. Again, I’m stumped 🤔 again, any insights welcome 😂 ⠀⠀ I can’t believe this fluffy summer babe is growing so fast. Sometimes I wish I could pause it and other times I wish it would speed up😂 but I loooove her so much and her smiles are my pursuit on the daily🥰 Milestone cards gifted by @laatlam_gifts 🤍 #8monthsold #8monthsoldbaby #correctedage #preemiestrong #babymilestones #letthembelittle #southafricanmom #southafricanmoms #mommyblogger #instablogger #southafricanblogger #bohomama #bohobaby #momlife #motherhood #cutebaby

10
5/27/2020
211
preemiestrong Happy 4 months Mason (we haven't gone to bed yet so still counting it as the 26th 🤫). Mason is now 22.5ish inches and 10lbs., 6 oz.  It's weird to think he has about tripled his weight since he was born.  Mason loves slobbering on everything, going through multiple outfits in a day, smiling, and laughing.  He also thinks he's going to miss out on something so naps are a bit harder sometimes and he likes being walked around to see what is going on. 🥰
#babymason #babyboy #4months #4monthsold #preemiestrong #2monthsadjusted

Happy 4 months Mason (we haven't gone to bed yet so still counting it as the 26th 🤫). Mason is now 22.5ish inches and 10lbs., 6 oz. It's weird to think he has about tripled his weight since he was born. Mason loves slobbering on everything, going through multiple outfits in a day, smiling, and laughing. He also thinks he's going to miss out on something so naps are a bit harder sometimes and he likes being walked around to see what is going on. 🥰 #babymason #babyboy #4months #4monthsold #preemiestrong #2monthsadjusted

1
5/27/2020
3
preemiestrong She was born at 35 weeks after I experienced placenta abruption due to preeclampsia & HELLP syndrome. Nobody can prepare you for having a premature baby. Enduring those long nights without my baby worrying that I might get an unwelcome phone call from the NICU. But I believe premature babies are true fighters. Dearest NJ, we had it rough babygirl and tho we’re not done fighting but don’t worry, your dad and I, we will do everything to keep you healthy and safe InsyaAllah, Amin. #preemiepower #preemiestrong

She was born at 35 weeks after I experienced placenta abruption due to preeclampsia & HELLP syndrome. Nobody can prepare you for having a premature baby. Enduring those long nights without my baby worrying that I might get an unwelcome phone call from the NICU. But I believe premature babies are true fighters. Dearest NJ, we had it rough babygirl and tho we’re not done fighting but don’t worry, your dad and I, we will do everything to keep you healthy and safe InsyaAllah, Amin. #preemiepower #preemiestrong

1
5/27/2020
103
preemiestrong I see the world in his eyes and think about the dreams he will one day pursue. I love you little man and pray God blesses you with His shining light continually. #10monthsold #preemiestrong #dreambig #myson #blueeyes #multiculturalfamily

I see the world in his eyes and think about the dreams he will one day pursue. I love you little man and pray God blesses you with His shining light continually. #10monthsold #preemiestrong #dreambig #myson #blueeyes #multiculturalfamily

0
5/27/2020
2
preemiestrong 😂😂😂🤣🤣😝
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ਜੇ ਤੁਹਾਨੂੰ Page ਦੀਆਂ Posta ਪਸੰਦ ਆ ਤਾਂ LIKE Comment ShaRe ਕਰੋ ਜੀ🙏
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0
5/27/2020
19
preemiestrong From the first day I laid eyes on you, you were my entire world. #allisonjade #love #happy #beautiful  #girldad #preemiestrong #instagood

From the first day I laid eyes on you, you were my entire world. #allisonjade #love #happy #beautiful #girldad #preemiestrong #instagood

0
5/27/2020
8
preemiestrong “I'm the mama to a micropremie named Tallulah. She was born at 23 weeks and is now 25 weeks. She was born May 12th. Originally supposed to be here September 6th. She's at the children's hospital, overcoming alot of sickness right now. ❤️ She's so strong. Any advice for the NICU life? Coping skills?”
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Olivia Bitz
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#preemie #preemies #prembaby #colourfulbeginnings #beautiful #prematurebaby #raisingawareness #prematureawareness #prematurityawareness #babyboy #baby #babies #amazing #encouragement #encouraging #support #strength #thankyou #nicu #nicugrad #miracle #love #proudmom #successstory #progress #preemiestrong #hope #preemiepower #tips

“I'm the mama to a micropremie named Tallulah. She was born at 23 weeks and is now 25 weeks. She was born May 12th. Originally supposed to be here September 6th. She's at the children's hospital, overcoming alot of sickness right now. ❤️ She's so strong. Any advice for the NICU life? Coping skills?” • Olivia Bitz • • • #preemie #preemies #prembaby #colourfulbeginnings #beautiful #prematurebaby #raisingawareness #prematureawareness #prematurityawareness #babyboy #baby #babies #amazing #encouragement #encouraging #support #strength #thankyou #nicu #nicugrad #miracle #love #proudmom #successstory #progress #preemiestrong #hope #preemiepower #tips

28
5/27/2020
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preemiestrong Today our little Flossy had her head ultrasound & hand x-ray. 
Hopefully we get good results and no surgery for her hand will be needed 🤞 
Our girls cried the whole time they were separated today 😔

#twinmummy #mundaytwins #pprombaby #nicubaby #preemiestrong #preemiesupportandawareness #aussietwins #30weekertwins

Today our little Flossy had her head ultrasound & hand x-ray. Hopefully we get good results and no surgery for her hand will be needed 🤞 Our girls cried the whole time they were separated today 😔 #twinmummy #mundaytwins #pprombaby #nicubaby #preemiestrong #preemiesupportandawareness #aussietwins #30weekertwins

1
5/26/2020
15
preemiestrong 26052020
#pippajoankennedy is #preemiestrong . Praise the Lord 🙌🏼🙌🏼 She’s 3.55 kg and 18 weeks old (corrected age: 4 weeks). Her saturation has been stable and her oxygen support has been reduced to 58-62%! #raiseahallelujah #warriorprincess #preemiesofinstagram #preemiehood #preemieprincess #niculife

26052020 #pippajoankennedy is #preemiestrong . Praise the Lord 🙌🏼🙌🏼 She’s 3.55 kg and 18 weeks old (corrected age: 4 weeks). Her saturation has been stable and her oxygen support has been reduced to 58-62%! #raiseahallelujah #warriorprincess #preemiesofinstagram #preemiehood #preemieprincess #niculife

2
5/26/2020
21
preemiestrong Thank you great grandma for the walker and this!

#babystuff #boosterseat #preemiestrong #preemie #infant #unboxing #video #gift #greatgrandma #love

Thank you great grandma for the walker and this! #babystuff #boosterseat #preemiestrong #preemie #infant #unboxing #video #gift #greatgrandma #love

0
5/26/2020
8
preemiestrong My sleepy boo number 2 #preemiestrong #caliliving #prattpartyoffive

My sleepy boo number 2 #preemiestrong #caliliving #prattpartyoffive

0
5/26/2020
34
preemiestrong Happy 9 months to this precious hungry caterpillar!!!! 🐛 (He is 5 months adjusted) Charlie is growing and getting stronger and stronger by the day!  He was in newborn clothes for the longest, and I swear grew over night because he jumped to 3-6 months clothes! Most of his 3 month stuff is too small and he hardly got to wear it. (I pulled two footies out to put on him tonight and they were both way too small!😱) This amazing miracle is an absolute sweetheart. It’s so hard for me to set him down even for a moment, because his baby smell and warm snuggles are divine, his smiles dang near melt your heart, and his angelic little personality is incredibly captivating. Charlies favorite thing to do is stand and chew on everyone’s fingers. He would stand all day long if he could. I’m praying he doesn’t run before he crawls. 😂 We love you little nugget!!! #CharmingCharlie #mylittlemiracle #9monthsold #5monthsadjusted #preemiestrong #micropreemie #hungrycaterpillar #preciousbaby #beautifulboy #proudmamma

Happy 9 months to this precious hungry caterpillar!!!! 🐛 (He is 5 months adjusted) Charlie is growing and getting stronger and stronger by the day! He was in newborn clothes for the longest, and I swear grew over night because he jumped to 3-6 months clothes! Most of his 3 month stuff is too small and he hardly got to wear it. (I pulled two footies out to put on him tonight and they were both way too small!😱) This amazing miracle is an absolute sweetheart. It’s so hard for me to set him down even for a moment, because his baby smell and warm snuggles are divine, his smiles dang near melt your heart, and his angelic little personality is incredibly captivating. Charlies favorite thing to do is stand and chew on everyone’s fingers. He would stand all day long if he could. I’m praying he doesn’t run before he crawls. 😂 We love you little nugget!!! #CharmingCharlie #mylittlemiracle #9monthsold #5monthsadjusted #preemiestrong #micropreemie #hungrycaterpillar #preciousbaby #beautifulboy #proudmamma

1
5/26/2020
22
preemiestrong Another day . Another reason to smile . Thank you to @memphis2.4 & his family for the quarantine fun today . It awesome connecting with other preemie mamas. Then I don’t feel so crazy for going above & beyond to protect my cub. Also Nicole I think you should go into photography. Astin doesn’t even look like he was born weighing 1 pound 9.8 ounces.

Another day . Another reason to smile . Thank you to @memphis2.4 & his family for the quarantine fun today . It awesome connecting with other preemie mamas. Then I don’t feel so crazy for going above & beyond to protect my cub. Also Nicole I think you should go into photography. Astin doesn’t even look like he was born weighing 1 pound 9.8 ounces.

10
5/26/2020
66
preemiestrong He’s so cute I can’t wait to take him home 1 week and 1 day old 🧡 #preemie #preemiestrong #preemiebaby #preemiepower #nicubaby

He’s so cute I can’t wait to take him home 1 week and 1 day old 🧡 #preemie #preemiestrong #preemiebaby #preemiepower #nicubaby

1
5/26/2020
11
preemiestrong A comparison of just how much Maverick has grown. These mittens were huge on him (photo taken 2/3/2020) almost as big as his face. Fast forward to today... they are a perfect size 💛
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#micropreemie #24weeker #thisislife #preemiestrong #preemiestory #horseshoekidney #nicu #nicumom #miracleshappen #pretermdelivery

A comparison of just how much Maverick has grown. These mittens were huge on him (photo taken 2/3/2020) almost as big as his face. Fast forward to today... they are a perfect size 💛 . . #micropreemie #24weeker #thisislife #preemiestrong #preemiestory #horseshoekidney #nicu #nicumom #miracleshappen #pretermdelivery

3
5/26/2020
66
preemiestrong We’ve come a long way.

#5monthsold #preemiestrong #simonbsays

We’ve come a long way. #5monthsold #preemiestrong #simonbsays

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5/26/2020
96
preemiestrong Thomas Update:
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At this point Thomas doesn’t have a discharge date. I have had several conversations with the providers, but I am left more frustrated than ever. Thomas is still having events stemming from GI issues (gas, constipation, and reflux). The providers continue to say his events are something he will grow out of and are prepared to keep him until 2 weeks past his due date (another 4 1/2 weeks). Please continue to pray that Thomas has no more events and finds relief for his tummy troubles so he can come home.
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#loveyoulikepeaches #thomasstokes #preemiestrong #nicubaby #twina #forresttwinstaketwo #nicu #nicumom #6of7 #heldhostageinthehospital #nicuparent

Thomas Update: . . At this point Thomas doesn’t have a discharge date. I have had several conversations with the providers, but I am left more frustrated than ever. Thomas is still having events stemming from GI issues (gas, constipation, and reflux). The providers continue to say his events are something he will grow out of and are prepared to keep him until 2 weeks past his due date (another 4 1/2 weeks). Please continue to pray that Thomas has no more events and finds relief for his tummy troubles so he can come home. . . #loveyoulikepeaches #thomasstokes #preemiestrong #nicubaby #twina #forresttwinstaketwo #nicu #nicumom #6of7 #heldhostageinthehospital #nicuparent

1
5/26/2020
17
preemiestrong Today was such a H O T day! With that said, even though my shirt says R E S C U E me from bedtime, what it really should say is this adorable fire fighter had to go to the rescue and put out the heat! ☀️🔥😉😂 #FIGHTLIKEAPREEMIE #PREEMIESTRONG 
#GODISGOOD ♡ ♡ 
#preemiepower #tracheostomy #ourlittlepreemie #oneyearoldmiracles #nicubabies #micropreemies #nicujourney #globaltracheostomyawarenessweek #wombmates #25weekers #miraclebabies #prematurity #trachbaby #preemiehood #identicaltwins #gtube #blythedale #preemiemom #tinybutmighty #nicustrong #walkbyfaithnotbysight #fromminitomoose #nicutonow #resilience #micropreemiemom #carrerabowenfamily

Today was such a H O T day! With that said, even though my shirt says R E S C U E me from bedtime, what it really should say is this adorable fire fighter had to go to the rescue and put out the heat! ☀️🔥😉😂 #FIGHTLIKEAPREEMIE #PREEMIESTRONG #GODISGOOD ♡ ♡ #preemiepower #tracheostomy #ourlittlepreemie #oneyearoldmiracles #nicubabies #micropreemies #nicujourney #globaltracheostomyawarenessweek #wombmates #25weekers #miraclebabies #prematurity #trachbaby #preemiehood #identicaltwins #gtube #blythedale #preemiemom #tinybutmighty #nicustrong #walkbyfaithnotbysight #fromminitomoose #nicutonow #resilience #micropreemiemom #carrerabowenfamily

4
5/26/2020
59
preemiestrong December 25 vs. MAY 26! WOW SOMEBODY GOT TALL #34weekpreemie  #preemiestrong  #growing #5months #quarantine15

December 25 vs. MAY 26! WOW SOMEBODY GOT TALL #34weekpreemie #preemiestrong #growing #5months #quarantine15

2
5/26/2020
86
preemiestrong Boy was it a hot day today! After it cooled down a bit we went for a walk and soaked in the beautiful day.  As we reflected on how far our boys’ have come we couldn’t stop being thankful with God.

I don’t know who needs to hear this but know this: the sun always shines above the clouds! 🌤 No matter what you may be going through, the sun sets to rise again. We are L I G H T 🌟and nothing can dim the light that shines from within. ♥♥ #FIGHTLIKEAPREEMIE #PREEMIESTRONG #GODISGOOD ♡♡ #preemiepower #NECsurvivor #mymosttreasuredblessings #ourlittlepreemie #oneyearoldmiracles #countyourblessings #micropreemies #stayhome #nicugrad #wombmates #25weekers #miraclebabies #prematurity #preemiehood #identicaltwins #immunocompromised #preemiemom #tinybutmighty #nicustrong #walkbyfaithnotbysight #fromminitomoose #nicutonow #resilience #micropreemiemom #carrerabowenfamily

Boy was it a hot day today! After it cooled down a bit we went for a walk and soaked in the beautiful day. As we reflected on how far our boys’ have come we couldn’t stop being thankful with God. I don’t know who needs to hear this but know this: the sun always shines above the clouds! 🌤 No matter what you may be going through, the sun sets to rise again. We are L I G H T 🌟and nothing can dim the light that shines from within. ♥♥ #FIGHTLIKEAPREEMIE #PREEMIESTRONG #GODISGOOD ♡♡ #preemiepower #NECsurvivor #mymosttreasuredblessings #ourlittlepreemie #oneyearoldmiracles #countyourblessings #micropreemies #stayhome #nicugrad #wombmates #25weekers #miraclebabies #prematurity #preemiehood #identicaltwins #immunocompromised #preemiemom #tinybutmighty #nicustrong #walkbyfaithnotbysight #fromminitomoose #nicutonow #resilience #micropreemiemom #carrerabowenfamily

0
5/26/2020
41
preemiestrong 8 more days!!!!! Big 11 omg Im gonna have a preteen 😭😭😭😭 #mymiraclebaby #preemiestrong #27weeks

8 more days!!!!! Big 11 omg Im gonna have a preteen 😭😭😭😭 #mymiraclebaby #preemiestrong #27weeks

2
5/26/2020
9
preemiestrong The many hairstyles of Xiomara, pick your favorite! The grandma’s @pongotunaxio @griego764 have been eagerly waiting to trim her hair and we would not let them bc @rodrigovallesjr and I had envisioned a perfect day in Brooklyn where we would stroll a few blocks to the amazing @lethaircutbar for Xio’s first milestone haircut. In today’s reality, she gets to have her mom @tunafish31 who can’t even part her hair evenly team up with a pair of giraffe shears to get the job done, luckily hair grows back. #mybeauty #covidhair #covidhairdontcare #firsthaircut #babyhairstyles #babyhair #babycurls #xiostrong #trachbaby #trachlife #tracheostomy #gtubebaby #preemiestrong #preemie #preemiebaby #preemiepower #micropreemie

The many hairstyles of Xiomara, pick your favorite! The grandma’s @pongotunaxio @griego764 have been eagerly waiting to trim her hair and we would not let them bc @rodrigovallesjr and I had envisioned a perfect day in Brooklyn where we would stroll a few blocks to the amazing @lethaircutbar for Xio’s first milestone haircut. In today’s reality, she gets to have her mom @tunafish31 who can’t even part her hair evenly team up with a pair of giraffe shears to get the job done, luckily hair grows back. #mybeauty #covidhair #covidhairdontcare #firsthaircut #babyhairstyles #babyhair #babycurls #xiostrong #trachbaby #trachlife #tracheostomy #gtubebaby #preemiestrong #preemie #preemiebaby #preemiepower #micropreemie

4
5/26/2020
101
preemiestrong It's been 7 days since you have been in this world and you are beyond loved baby girl. Happy 1 Week Rubi Anne #preemiestrong

It's been 7 days since you have been in this world and you are beyond loved baby girl. Happy 1 Week Rubi Anne #preemiestrong

0
5/26/2020
16
preemiestrong Adorable fan share!😍
#Repost @benjaminandlevi_twiinns
• • • • • •
Westchester County, New York

Through it all, may sunshine surround you each new day, and may smiles and love never be far away. As the sun rises and shines, as does your brother and you, and everyday may God bless both boys too ♥ ♥ 
Lots of smiles and fun with daddy call for a nice little nap 😴

#FIGHTLIKEAPREEMIE #PREEMIESTRONG 
#GODISGOOD ♡ ♡

Adorable fan share!😍 #Repost @benjaminandlevi_twiinns • • • • • • Westchester County, New York Through it all, may sunshine surround you each new day, and may smiles and love never be far away. As the sun rises and shines, as does your brother and you, and everyday may God bless both boys too ♥ ♥ Lots of smiles and fun with daddy call for a nice little nap 😴 #FIGHTLIKEAPREEMIE #PREEMIESTRONG #GODISGOOD ♡ ♡

3
5/26/2020
65
preemiestrong Wow 🥺my 22 weeker is growing up on me. I’m so amazed because we have been through such a tough journey. God has been so good to us 🙌🏽 our first day out was Sunday. We enjoyed the park and Kas was super excited to finally come out since Covid-19. I’m just glad we was able to keep him healthy and safe. Thank you GOD. •
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Oh and Kas hasn’t been sick in a while and no recent hospital visits 🙌🏽 that’s a major deal for us. It’s hard but we made it. #22weeker #micropreemie #micropreemiemom #nicu #nicumom #niculife #micropreemiestrong #preemiestrong #preemie #olp #trustyourstrength #preemiesofinstagram #kaskares #preemiepower #preemieawareness #preemiewarrior #bougiebabies #frobabies #preemiebaby #colourfulbeginnings #micropreemiesrock

Wow 🥺my 22 weeker is growing up on me. I’m so amazed because we have been through such a tough journey. God has been so good to us 🙌🏽 our first day out was Sunday. We enjoyed the park and Kas was super excited to finally come out since Covid-19. I’m just glad we was able to keep him healthy and safe. Thank you GOD. • • • • Oh and Kas hasn’t been sick in a while and no recent hospital visits 🙌🏽 that’s a major deal for us. It’s hard but we made it. #22weeker #micropreemie #micropreemiemom #nicu #nicumom #niculife #micropreemiestrong #preemiestrong #preemie #olp #trustyourstrength #preemiesofinstagram #kaskares #preemiepower #preemieawareness #preemiewarrior #bougiebabies #frobabies #preemiebaby #colourfulbeginnings #micropreemiesrock

7
5/26/2020
49
preemiestrong These pictures say all the things that my heart can’t put into words every single day.
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📸 @mariarosellaphoto the way you capture a mother’s love is incredible ❤️
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#twins #twinning #twin #twinsofinstagram #twinmom #twinmama #twinmommy #twinparents #twindad #twindaddy #fraternaltwins #boygirltwins #6monthsold #6monthtwins #mixedbabies #mixedtwins #preemiestrong #preemie #preemietwins #preemiemom #32weeker #32weekers

These pictures say all the things that my heart can’t put into words every single day. . . . 📸 @mariarosellaphoto the way you capture a mother’s love is incredible ❤️ . . . #twins #twinning #twin #twinsofinstagram #twinmom #twinmama #twinmommy #twinparents #twindad #twindaddy #fraternaltwins #boygirltwins #6monthsold #6monthtwins #mixedbabies #mixedtwins #preemiestrong #preemie #preemietwins #preemiemom #32weeker #32weekers

5
5/26/2020
94
preemiestrong Took Kysen to the park where we got engaged and married. He loved it! Who would’ve thought all those nice sunny days we spent in the NICU would lead us here 🥰 #nicugrad #nicugraduate #preemiestrong #preemie #preemiesofinstagram #preemiemom #preemiehood #nicu #lifeafternicu #nicugraduate #nicugrad

Took Kysen to the park where we got engaged and married. He loved it! Who would’ve thought all those nice sunny days we spent in the NICU would lead us here 🥰 #nicugrad #nicugraduate #preemiestrong #preemie #preemiesofinstagram #preemiemom #preemiehood #nicu #lifeafternicu #nicugraduate #nicugrad

11
5/26/2020
60
preemiestrong “Dear NICU Mama, bravery sometimes looks like surviving - even though you’ve lost your footing. You never considered finding yourself asking for permission to touch your baby, but here you are. Bravery sometimes looks like putting your inner feelings aside and just waiting. Waiting to open the isolette door, waiting for ‘touch time’, and waiting for the chance to give your baby a kiss in which you try to convey the endless love you have for them.

Mama, bravery is speaking up and asking the nurse to prick the other foot, use a smaller lancet, or wait a little longer with the heating pack in order to minimize the squeezing. It’s dismissing the discomfort from your c-section to make sure you’ve made it for rounds to discuss blood levels, progress, or test results. It may also look like moving earth and trying to connect with any resource possible to make sure nothing is missed.

Bravery is also crying on the shoulders offered and questioning why this is happening. Being scared is not a weakness. It can help you find the strength inside to push forward in your role as a mom. Bravery is accepting that you cannot control the situation and that this is not your fault. (This one may take the longest to conquer, but you will get there.)
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In the meantime, please take a minute to do something to refuel your tank which will give you more strength. That may look like getting your nails done, blow drying your hair, going to Target, or simply stepping away to grab dinner with your partner. The bravery in trusting that the nurses, doctors, and those that you leave behind to watch your baby will feel the hardest, but self-love is so incredibly important to help you feel a little bit like yourself.

You never imagined going home with medical equipment or a list of medications, but know that you’ve got this. Educating yourself by taking the CPR class, learning how to use equipment, and keeping track of all the medication times shows the bravery you have to tackle anything that comes your way. Bravery looks like you, a NICU mom.” -Vilma #dearnicumama #dearnicumamaletters

“Dear NICU Mama, bravery sometimes looks like surviving - even though you’ve lost your footing. You never considered finding yourself asking for permission to touch your baby, but here you are. Bravery sometimes looks like putting your inner feelings aside and just waiting. Waiting to open the isolette door, waiting for ‘touch time’, and waiting for the chance to give your baby a kiss in which you try to convey the endless love you have for them. Mama, bravery is speaking up and asking the nurse to prick the other foot, use a smaller lancet, or wait a little longer with the heating pack in order to minimize the squeezing. It’s dismissing the discomfort from your c-section to make sure you’ve made it for rounds to discuss blood levels, progress, or test results. It may also look like moving earth and trying to connect with any resource possible to make sure nothing is missed. Bravery is also crying on the shoulders offered and questioning why this is happening. Being scared is not a weakness. It can help you find the strength inside to push forward in your role as a mom. Bravery is accepting that you cannot control the situation and that this is not your fault. (This one may take the longest to conquer, but you will get there.) . In the meantime, please take a minute to do something to refuel your tank which will give you more strength. That may look like getting your nails done, blow drying your hair, going to Target, or simply stepping away to grab dinner with your partner. The bravery in trusting that the nurses, doctors, and those that you leave behind to watch your baby will feel the hardest, but self-love is so incredibly important to help you feel a little bit like yourself. You never imagined going home with medical equipment or a list of medications, but know that you’ve got this. Educating yourself by taking the CPR class, learning how to use equipment, and keeping track of all the medication times shows the bravery you have to tackle anything that comes your way. Bravery looks like you, a NICU mom.” -Vilma #dearnicumama #dearnicumamaletters

9
5/26/2020
148
preemiestrong 𝐃𝐚𝐲 𝟐𝟒⁣
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No more IVs and the suction was turned down on both chest tubes 🙌🏼⁣
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Also, send all of the Xanax to Mommy because she’s still recovering from the last time they turned down the suction on both chest tubes 😂

𝐃𝐚𝐲 𝟐𝟒⁣ ⁣ No more IVs and the suction was turned down on both chest tubes 🙌🏼⁣ ⁣ Also, send all of the Xanax to Mommy because she’s still recovering from the last time they turned down the suction on both chest tubes 😂

5
5/26/2020
27
preemiestrong Smiley boy 💙 it's crazy to think that 5 months ago, this beautiful little boy was being born at 24 weeks and was so tiny and so poorly. Our little miracle baby 🌈💙 We are so lucky to have such a clever, beautiful little boy who is full of personality! 💙

#24weeks #24weeker #preemiepower #babyboy #baby #prembaby #prematurebaby #premature #prem #preemiestrong #preemiestory #preemie #newborn #tinybaby #tinybutmighty #prematurebaby #prematurebabies #fletcher #babyfever #preemiesofinstagram #preemielife #chroniclungdisease #bpdawareness #necawareness #NICU #NICUMUM #Niculife

Smiley boy 💙 it's crazy to think that 5 months ago, this beautiful little boy was being born at 24 weeks and was so tiny and so poorly. Our little miracle baby 🌈💙 We are so lucky to have such a clever, beautiful little boy who is full of personality! 💙 #24weeks #24weeker #preemiepower #babyboy #baby #prembaby #prematurebaby #premature #prem #preemiestrong #preemiestory #preemie #newborn #tinybaby #tinybutmighty #prematurebaby #prematurebabies #fletcher #babyfever #preemiesofinstagram #preemielife #chroniclungdisease #bpdawareness #necawareness #NICU #NICUMUM #Niculife

1
5/26/2020
27
preemiestrong Oh hey there 4 month old baby boy 💙
We love when mommy makes silly faces and tickles my cheeks and tummy. 
We finally dont hate diaper and outfit changes! We’ve discovered our hands and fingers and are starting to get a good start on some head, neck, and back control. 
Keep growing my sweet boy. I have a feeling you’re gonna give your mom and dad a run for their money!

Oh hey there 4 month old baby boy 💙 We love when mommy makes silly faces and tickles my cheeks and tummy. We finally dont hate diaper and outfit changes! We’ve discovered our hands and fingers and are starting to get a good start on some head, neck, and back control. Keep growing my sweet boy. I have a feeling you’re gonna give your mom and dad a run for their money!

3
5/26/2020
32
preemiestrong “I can’t get up early to workout because I’m not a morning person.”
“I can’t ask for that promotion because I’m not good enough.”
“I can’t take that class because I can’t afford it.”
“I can’t go do that because I don’t have anyone to watch my kids.”
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I’ve said all those things. But what I really was saying is “I don’t want to.”
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“I won’t wake up early to exercise because I love sleeping in.”
“I won‘t ask for that promotion because I don’t want to put myself out there for rejection.”
“I won’t take that class because I don’t want to get uncomfortable.”
“I won’t go do that because I don’t want to be inconvenienced.”
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It’s not something I wanted enough or cared enough about to put it in front of my other priorities.
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But here’s the thing, when we use the word “can’t,” we start to behave like victims—powerless against our circumstances. It’s as though we have no control over our time, energy, or choices. We take no responsibility for our lives.
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When we use the word “won’t,” we feel and behave more powerfully. We remember that we’re in charge of our thoughts and actions. WE get to determine how to spend our time and resources. We’ll feel more alive and energized and free because we’re taking full responsibility for the state of our life.
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And guess what...it’s OKAY to not want to do something 😉 It doesn’t make us lazy or bad. It makes us honest.
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And sometimes when we switch our verbiage to “won’t” we realize we’re getting in our own way.
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My love for sleeping was not bigger than my priority to be healthy. In fact, sleeping in was hindering my goals because I stealing away the time to exercise. Once I realized that, my priorities shifted & I began waking up early.
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The next time you say “can’t” stop yourself, switch it to “won’t” and then ask yourself if that feels like a good answer. If it does...great! Move on. If it doesn’t, then take a deeper look & figure out why 😉

“I can’t get up early to workout because I’m not a morning person.” “I can’t ask for that promotion because I’m not good enough.” “I can’t take that class because I can’t afford it.” “I can’t go do that because I don’t have anyone to watch my kids.” . . . I’ve said all those things. But what I really was saying is “I don’t want to.” . “I won’t wake up early to exercise because I love sleeping in.” “I won‘t ask for that promotion because I don’t want to put myself out there for rejection.” “I won’t take that class because I don’t want to get uncomfortable.” “I won’t go do that because I don’t want to be inconvenienced.” . It’s not something I wanted enough or cared enough about to put it in front of my other priorities. . But here’s the thing, when we use the word “can’t,” we start to behave like victims—powerless against our circumstances. It’s as though we have no control over our time, energy, or choices. We take no responsibility for our lives. . When we use the word “won’t,” we feel and behave more powerfully. We remember that we’re in charge of our thoughts and actions. WE get to determine how to spend our time and resources. We’ll feel more alive and energized and free because we’re taking full responsibility for the state of our life. . And guess what...it’s OKAY to not want to do something 😉 It doesn’t make us lazy or bad. It makes us honest. . And sometimes when we switch our verbiage to “won’t” we realize we’re getting in our own way. . My love for sleeping was not bigger than my priority to be healthy. In fact, sleeping in was hindering my goals because I stealing away the time to exercise. Once I realized that, my priorities shifted & I began waking up early. . The next time you say “can’t” stop yourself, switch it to “won’t” and then ask yourself if that feels like a good answer. If it does...great! Move on. If it doesn’t, then take a deeper look & figure out why 😉

1
5/26/2020
29
preemiestrong No matter how cranky they get we can still manage to get them to smile for a photo. Goodnight ladies 😴💫🌙 #twinsisters #necsurvivor #cutebabies #parenthood #micropreemie #preemiestrong #24weeker #babiesofinstagram #gtube #miracles #baystatechildrenshospital #lifeafternicu

No matter how cranky they get we can still manage to get them to smile for a photo. Goodnight ladies 😴💫🌙 #twinsisters #necsurvivor #cutebabies #parenthood #micropreemie #preemiestrong #24weeker #babiesofinstagram #gtube #miracles #baystatechildrenshospital #lifeafternicu

0
5/26/2020
29
preemiestrong If Ellie girl wants to be held all day just so she can nap, so be it! Especially since this is probably our last baby... I’ll just let the dishes and laundry pile up, because the feeling of her asleep on my chest is way more fulfilling than laundry and/or dishes completed. 🥰💖
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#EllieJuneSmith #SoSweetBabySmith #3monthsold #nicubaby #oldnavystyle #oldnavybaby #nicumom #thebump #preemiestrong #preclampsia #preemie #girlmom #ourlittlepreemie #babygirl #itsagirl #cartersbaby #nicubabies #nicuwarrior #milestonephotos #ultrasound #ellenratemybaby #postpartum #mom_hub #justbaby #livecolorfully #momlife #motherly #colorfulmotherhood #motherhoodismystical

If Ellie girl wants to be held all day just so she can nap, so be it! Especially since this is probably our last baby... I’ll just let the dishes and laundry pile up, because the feeling of her asleep on my chest is way more fulfilling than laundry and/or dishes completed. 🥰💖 . . . . . . #EllieJuneSmith #SoSweetBabySmith #3monthsold #nicubaby #oldnavystyle #oldnavybaby #nicumom #thebump #preemiestrong #preclampsia #preemie #girlmom #ourlittlepreemie #babygirl #itsagirl #cartersbaby #nicubabies #nicuwarrior #milestonephotos #ultrasound #ellenratemybaby #postpartum #mom_hub #justbaby #livecolorfully #momlife #motherly #colorfulmotherhood #motherhoodismystical

48
5/26/2020
286
preemiestrong Christmas in May!!🎄🎅🏼 It took 9 1/2 years to talk Kevin in to getting family pictures, and I’m not really sure what made him say yes this time....but he did!

He always makes fun of me for how often I get the kids pictures taken, but school pics just don’t cut it as far as I’m concerned.

How often do you get professional photos of your kids? Tell me I’m not the only one that does at least 2 photo shoots per year.

Christmas in May!!🎄🎅🏼 It took 9 1/2 years to talk Kevin in to getting family pictures, and I’m not really sure what made him say yes this time....but he did! He always makes fun of me for how often I get the kids pictures taken, but school pics just don’t cut it as far as I’m concerned. How often do you get professional photos of your kids? Tell me I’m not the only one that does at least 2 photo shoots per year.

12
5/26/2020
77
preemiestrong My loves!!!!
#adoptionislove #preemiestrong #preemie

My loves!!!! #adoptionislove #preemiestrong #preemie

0
5/26/2020
1
preemiestrong When Silas came home, our life flipped upside down. I had to leave my job which was a hard adjustment. I quickly realized how little I meant to my job and how much stress it caused.  I found out who was there for us and who wasn’t. I can promise you, there isn’t a person or job in this world that can make you feel as important or as loved as your kids do. I take pride in whatever I do and I give my all. What I do now may not seem like much to anyone else but no one values me as much as my kids. -
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-  #MightySilas #micropreemie #27weeker #27weekermiracle #nicu #nicugraduate #trach #trachbaby #tracheostomy #gtube #gtubebaby #tubie #nicutonow #strongasamother #preemiestrong #medicallyfragile #medicallycomplex #lifeafternicu #tinysuperhero

When Silas came home, our life flipped upside down. I had to leave my job which was a hard adjustment. I quickly realized how little I meant to my job and how much stress it caused. I found out who was there for us and who wasn’t. I can promise you, there isn’t a person or job in this world that can make you feel as important or as loved as your kids do. I take pride in whatever I do and I give my all. What I do now may not seem like much to anyone else but no one values me as much as my kids. - - - - - - #MightySilas #micropreemie #27weeker #27weekermiracle #nicu #nicugraduate #trach #trachbaby #tracheostomy #gtube #gtubebaby #tubie #nicutonow #strongasamother #preemiestrong #medicallyfragile #medicallycomplex #lifeafternicu #tinysuperhero

3
5/26/2020
21
preemiestrong My first couple of days home, mommy made sure to get me out of bed. This was our new norm; mommy was no longer traveling back and forth from the hospital, participating in rounds everyday, waking up at 3 am for X-rays, blood gas at 3 am, and all the other things that went on in the hospital. We made it work! 
It was a lot the 1st month, getting into the swing of things, the biggest challenge, HOW DO WE GET HIM IN THE CAR with a ventilator, oxygen, emergency bag, feeding pump, diaper bag, apnea monitor, and pulse ox? 
Now mommy and I will be assisting other families transitioning home, and we are so excited! Bringing a baby like me home on a ventilator is a lot and has to be strategically thought out. 
We have a plan that will ease families, help take the strain away, all on a budget! .
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#specialneedsparenting #tracheostomy #specialneedsmom #momlife #specialneedsfamily #autismacceptance #marchofdimes #tubie #nicubaby #trachbaby #selflove #kindnessactivist #hydrocephalus #podcastlove #gtubebaby #preemiestrong #micropreemie #bekind #nicujourney #medicallycomplexfamily #nicugraduate #choosekindness #medicallycomplex #positivity

My first couple of days home, mommy made sure to get me out of bed. This was our new norm; mommy was no longer traveling back and forth from the hospital, participating in rounds everyday, waking up at 3 am for X-rays, blood gas at 3 am, and all the other things that went on in the hospital. We made it work! It was a lot the 1st month, getting into the swing of things, the biggest challenge, HOW DO WE GET HIM IN THE CAR with a ventilator, oxygen, emergency bag, feeding pump, diaper bag, apnea monitor, and pulse ox? Now mommy and I will be assisting other families transitioning home, and we are so excited! Bringing a baby like me home on a ventilator is a lot and has to be strategically thought out. We have a plan that will ease families, help take the strain away, all on a budget! . . . . . #specialneedsparenting #tracheostomy #specialneedsmom #momlife #specialneedsfamily #autismacceptance #marchofdimes #tubie #nicubaby #trachbaby #selflove #kindnessactivist #hydrocephalus #podcastlove #gtubebaby #preemiestrong #micropreemie #bekind #nicujourney #medicallycomplexfamily #nicugraduate #choosekindness #medicallycomplex #positivity

1
5/26/2020
26
preemiestrong Not my best looks if you swipe right. I’ve written out parts 1 through 4 of our pregnancy and birth story with Bella. You can read by tapping the link in my bio. The most recent part of the story is about the actual csection in the operation room which was a bit scary for me.

I’m sharing to relate with other moms who went through a similar situation, to help raise awareness of the signs of preeclampsia, and to be a release for me. Taking the experience out of my memory and putting it down on paper is helping me close that chapter so I can move forward with a fresh, unjaded start. 💜

#preeclampsia #preeclampsiaawarenessmonth #preeclampsiaday2020 #preeclampsiaawareness #preeclampsiasurvivor #hellpsyndrome #hellpsurvivor #nicu #preemie #preemiestrong #preemiemom #nicumom  #nicugraduate #nicugrad #birthstory #pregnancy #motherhood #motherhoodunplugged #honestmotherhood #motherhoodrising

Not my best looks if you swipe right. I’ve written out parts 1 through 4 of our pregnancy and birth story with Bella. You can read by tapping the link in my bio. The most recent part of the story is about the actual csection in the operation room which was a bit scary for me. I’m sharing to relate with other moms who went through a similar situation, to help raise awareness of the signs of preeclampsia, and to be a release for me. Taking the experience out of my memory and putting it down on paper is helping me close that chapter so I can move forward with a fresh, unjaded start. 💜 #preeclampsia #preeclampsiaawarenessmonth #preeclampsiaday2020 #preeclampsiaawareness #preeclampsiasurvivor #hellpsyndrome #hellpsurvivor #nicu #preemie #preemiestrong #preemiemom #nicumom #nicugraduate #nicugrad #birthstory #pregnancy #motherhood #motherhoodunplugged #honestmotherhood #motherhoodrising

7
5/26/2020
57
preemiestrong This is how my little boy slept for an hour yesterday. He just held my hand and rested his head against it. He's such a cutie ❤️ #myson #mylife #myheart #preemiestrong #prematurebaby @kittydellez

This is how my little boy slept for an hour yesterday. He just held my hand and rested his head against it. He's such a cutie ❤️ #myson #mylife #myheart #preemiestrong #prematurebaby @kittydellez

6
5/26/2020
63
preemiestrong Little man when he was back on the Jaundice lamp at 3 days old! 💙📸 @themightyfletcher #24weeker

Little man when he was back on the Jaundice lamp at 3 days old! 💙📸 @themightyfletcher #24weeker

9
5/26/2020
376
preemiestrong Day 273: Trying some baby bananas and working on our oral feeding skills. He seemed to love it, took about 5-6 bites which is awesome!!
#CountdownToDischarge #FeedingTherapy #SpeechLanguagePathology #OralAversion #Intubated64Days #TrachBaby #GtubeBaby #TrachLife #Tubie #MicroPreemie #PreemieStrong #FightLikeaPreemie

Day 273: Trying some baby bananas and working on our oral feeding skills. He seemed to love it, took about 5-6 bites which is awesome!! #CountdownToDischarge #FeedingTherapy #SpeechLanguagePathology #OralAversion #Intubated64Days #TrachBaby #GtubeBaby #TrachLife #Tubie #MicroPreemie #PreemieStrong #FightLikeaPreemie

3
5/26/2020
50
preemiestrong You are strong • We could all use a reminder, this is yours 💜
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#CartersCause #nicu #preemie #nicunurse #micropreemie #preemiestrong #motherhood #pregnancyloss #infantloss #strong #love #lifeafterloss

You are strong • We could all use a reminder, this is yours 💜 . #CartersCause #nicu #preemie #nicunurse #micropreemie #preemiestrong #motherhood #pregnancyloss #infantloss #strong #love #lifeafterloss

1
5/26/2020
34
preemiestrong Hold up, wait a minute! 🚨 You mean to tell me there’s 𝑻𝑾𝑶 types of bilirubin? ⚠️ 𝑴𝒊𝒏𝒅 = 𝒃𝒍𝒐𝒘𝒏! 🤯
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In a previous post, we discussed bilirubin and why it’s important to monitor. ✅ Today, we will talk about the two different forms. ☀️
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𝑺𝒐... 𝒘𝒉𝒂𝒕’𝒔 𝒕𝒉𝒆 𝒅𝒊𝒇𝒇𝒆𝒓𝒆𝒏𝒄𝒆? 😎🤷🏻‍♀️🤔
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𝗨𝗡𝗖𝗢𝗡𝗝𝗨𝗚𝗔𝗧𝗘𝗗 𝗕𝗜𝗟𝗜𝗥𝗨𝗕𝗜𝗡
🟠Also known as “indirect” bilirubin
🔵This type is unable to be conjugated by the liver and re-enters enterohepatic circulation
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𝗖𝗢𝗡𝗝𝗨𝗚𝗔𝗧𝗘𝗗 𝗕𝗜𝗟𝗜𝗥𝗨𝗕𝗜𝗡
🟡Also known as “direct” bilirubin
🟣It is processed by the liver and is ready to be excreted through stool & urine
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𝗪𝗛𝗔𝗧 𝗖𝗔𝗨𝗦𝗘𝗦 𝗨𝗡𝗖𝗢𝗡𝗝𝗨𝗚𝗔𝗧𝗘𝗗 𝗕𝗜𝗟𝗜 𝗧𝗢 𝗜𝗡𝗖𝗥𝗘𝗔𝗦𝗘?
🩸Polycythemia
🤰🏻Hemolysis of RBCs d/t Rh incompatibility or ABO incompatibility between mom & baby
🩹Traumatic birth resulting in hemorrhage, bruising, cephalohematoma
👣Preterm birth
💩Inability to pass stool or make urine (excretion disorder) ➡️ This may be from Hirschprung’s disease, imperforate anus, intestinal atresia, meconium ileus, etc.
🧪Immature liver
🌡Infection, sepsis
🧸IDM, RDS—Since conjugation requires oxygen and glucose
💊Some medications compete with bilirubin for albumin binding sites (e.g. NSAIDs, steroids, lipids, etc.)
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𝗪𝗛𝗔𝗧 𝗖𝗔𝗨𝗦𝗘𝗦 𝗖𝗢𝗡𝗝𝗨𝗚𝗔𝗧𝗘𝗗 𝗕𝗜𝗟𝗜 𝗧𝗢 𝗜𝗡𝗖𝗥𝗘𝗔𝗦𝗘?
💉Chronic, long-term TPN + Lipid use—This damages the liver
🦠Biliary obstruction/atresia/cholestasis—If bile cannot be excreted from the liver, bilirubin cannot be excreted and will be reabsorbed.
🧬In-born error of metabolism (e.g. galactosemia)
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Visit the blog to check out the treatment regimen for each type and to read the 𝑭𝑼𝑳𝑳 post!✨

Hold up, wait a minute! 🚨 You mean to tell me there’s 𝑻𝑾𝑶 types of bilirubin? ⚠️ 𝑴𝒊𝒏𝒅 = 𝒃𝒍𝒐𝒘𝒏! 🤯 . . In a previous post, we discussed bilirubin and why it’s important to monitor. ✅ Today, we will talk about the two different forms. ☀️ . . 𝑺𝒐... 𝒘𝒉𝒂𝒕’𝒔 𝒕𝒉𝒆 𝒅𝒊𝒇𝒇𝒆𝒓𝒆𝒏𝒄𝒆? 😎🤷🏻‍♀️🤔 . . 𝗨𝗡𝗖𝗢𝗡𝗝𝗨𝗚𝗔𝗧𝗘𝗗 𝗕𝗜𝗟𝗜𝗥𝗨𝗕𝗜𝗡 🟠Also known as “indirect” bilirubin 🔵This type is unable to be conjugated by the liver and re-enters enterohepatic circulation . . 𝗖𝗢𝗡𝗝𝗨𝗚𝗔𝗧𝗘𝗗 𝗕𝗜𝗟𝗜𝗥𝗨𝗕𝗜𝗡 🟡Also known as “direct” bilirubin 🟣It is processed by the liver and is ready to be excreted through stool & urine . . 𝗪𝗛𝗔𝗧 𝗖𝗔𝗨𝗦𝗘𝗦 𝗨𝗡𝗖𝗢𝗡𝗝𝗨𝗚𝗔𝗧𝗘𝗗 𝗕𝗜𝗟𝗜 𝗧𝗢 𝗜𝗡𝗖𝗥𝗘𝗔𝗦𝗘? 🩸Polycythemia 🤰🏻Hemolysis of RBCs d/t Rh incompatibility or ABO incompatibility between mom & baby 🩹Traumatic birth resulting in hemorrhage, bruising, cephalohematoma 👣Preterm birth 💩Inability to pass stool or make urine (excretion disorder) ➡️ This may be from Hirschprung’s disease, imperforate anus, intestinal atresia, meconium ileus, etc. 🧪Immature liver 🌡Infection, sepsis 🧸IDM, RDS—Since conjugation requires oxygen and glucose 💊Some medications compete with bilirubin for albumin binding sites (e.g. NSAIDs, steroids, lipids, etc.) . . 𝗪𝗛𝗔𝗧 𝗖𝗔𝗨𝗦𝗘𝗦 𝗖𝗢𝗡𝗝𝗨𝗚𝗔𝗧𝗘𝗗 𝗕𝗜𝗟𝗜 𝗧𝗢 𝗜𝗡𝗖𝗥𝗘𝗔𝗦𝗘? 💉Chronic, long-term TPN + Lipid use—This damages the liver 🦠Biliary obstruction/atresia/cholestasis—If bile cannot be excreted from the liver, bilirubin cannot be excreted and will be reabsorbed. 🧬In-born error of metabolism (e.g. galactosemia) . . Visit the blog to check out the treatment regimen for each type and to read the 𝑭𝑼𝑳𝑳 post!✨

1
5/25/2020
49