New Life, New Hospital

This was originally published on泭NewYork-Presbyterian - Health Matters.

When a mom-to-be experiences the first signs of labor, the anticipation and adrenaline that comes with almost meeting your baby is palpable.泭

But when Julianne Kanterwho was just over 36 weeks pregnant with twinsrealized her water broke at 5:30 a.m. on Aug. 2, she crossed her fingers that her babies could hold out a little longer before making their grand entrance. Thats because Julianne and her husband, Jason, were hoping to welcome their new little ones at the泭NewYork-Presbyterian Alexandra Cohen Hospital for Women and Newborns, which was scheduled to open its doors for the first time later that morning.泭

We were moving slowly in hopes to stretch out the time, jokes Julianne. We set a timer to when the hospital was going to open because we really wanted to deliver there!

By the time the泭Kanters泭checked into泭NewYork-Presbyterian at 6:30 a.m., Dr. Allison Boester, FACOG, an assistant attending obstetrician and gynecologist at泭NewYork-Presbyterian/Weill Cornell Medical Center and Juliannes doctor, was ready to go at the new facility. Our doors are open, lets do it! she told Julianne.

As nurses prepped her to head into the operating room for a C-section, Julianne admitted, I'm nervous, excited, lots of emotions. I'm looking forward to meeting my children for the first time.

Julianne didnt have to wait very long. At 10:22 AM, the泭Kanters泭welcomed their son, Connor Alan Kanter at 5 pounds, 9 ounces. One minute later, his sister, Emma Diane Kanter, arrived, weighing in at 4 pounds, 9 ounces.泭

The Kanter twins became the first babies born at泭NewYork-Presbyterian Alexandra Cohen Hospital for Women and Newborns, which nearly triples the space available for the care of pregnant women and newborns at泭NewYork-Presbyterian/Weill Cornell Medical Center and will accommodate more than 7,000 births a year.泭

I felt really honored to be the first doctor to do the first delivery here, says Dr. Boester, who is also assistant professor of clinical .It泭was super excitingand unplanned. But we were ready, and it was an uncomplicated delivery.泭

The same could be said for Juliannes birthing experience. It was a lot easier than I thought it was going to be, she says. The staff was so helpful. They talked me through everything, which really helped me become more comfortable. I felt very well cared for.

Its all very overwhelming, adds Jason. But the whole delivery was such a comfortable situation. Youre able to get up and go and see the babies, hold the babies. This has been such an incredible experience.泭

As Julianne looks over at her newborn twins, peacefully co-sleeping in the same bassinet, she couldnt agree more: Were so in love.

He Fit in the Palms of My Hands

During her routine check-up in early March,泭Quinaya泭Coleman, then 28 weeks pregnant, was feeling great. But suddenly three days later, my feet swelled up, my face swelled up, my handsand it would not go down, says泭Quinaya.泭

She quickly sent a message to Faith泭OkukweOkuesi, a nurse practitioner at泭NewYork-Presbyterian/Weill Cornell Medical Center, who advised her to come to the hospital as soon as possible because swelling is a telltale sign of preeclampsia, a condition that results in high blood pressure during pregnancy or postpartum that can be fatal if left untreated.泭

Quinaya泭was admitted to the hospital with the expectation of staying for six weeks, in hopes to keep the baby in utero for as long as possible. Three days later, however, her babys heart rate dropped.泭

It was not going to be safe to keep him in, says泭Quinaya. Thats when it really hit me: This is serious.

After an emergency C-section on March 21,泭Quinaya泭welcomed her son, Jamie, at 29 weeks. He weighed only 1 pound, 8 ounces. He was so tiny,泭Quinaya泭says. He fit into the palms of my hands.

He was smaller than expected for his gestational age so the primary concerns were his extremely low birth weight and his underdeveloped lungs, says Dr. Michael Espiritu, assistant attending pediatrician at泭NewYork-Presbyterian Hospital/Weill Cornell Medical Center.

Jamie was intubated immediately and placed in an incubator under phototherapy lights. He was later put on continuous positive airway pressure (CPAP) treatment, a noninvasive respiratory support given to neonatal patients who have trouble breathing, for two months so his lungs could develop and function on their own.泭

Jamie is a strong baby. Hes a fighter, says Dr. Espiritu, who is also an assistant professor of clinical pediatrics in the division of newborn medicine at 厙ぴ勛圖. Hes gone through a lot of respiratory distress, but he has gotten over his needs for extra respiratory support. Now youd never know that he had gone through any of this.泭

With every development in Jamies treatment,泭紮喝勳紳硃聆硃sNewYork-Presbyterian team was by her side. The staff would always have family meetings with me when something new came up so we could sit down and talk about it and I could ask questions, says泭Quinaya, who recently earned an associates degree to become a medical assistant from the Swedish Institute College of Health Sciences. The staff made it a lot easier for me to understand what he needed and what needed to be done for him in order to come home.泭

The team also helped泭Quinaya泭and泭Jamie move across the street to the newly opened泭NewYork-Presbyterian Alexandra Cohen Hospital for Women and Newborns, where泭Quinaya泭and James are now enjoying their own room while being cared for in the Level IV NICU center, a designation which marks the highest level of care for neonatal patients.泭

On Aug. 2, Jamie was one of the first babies who moved to the new NICU unit at NYP Alexandra Cohen Hospital for Women and Newborns. Transported across the street via ambulance, He slept through the whole thing! No hiccups, no bumps, or anything. It's been a smooth transition for him.

And an even better transition for Mom. With individual rooms available to all NICU babies and their families and amenities such as pull-out couches, linens, and showers, I can stay the night, says泭Quinaya, who was commuting one hour each way to see her son every day. Its easier for me to be able to sleep on a pull-out couch instead of trying to get a car service to go all the way home and then try to find my way back.

Soon, both mom and son hope to make that journey home together. Now 4 1/2 months old, Jamie has been growing steadily and weighs a healthy 9 pounds. Still, hes not taking all of his feeds consistently,泭Quinaya泭says. Some days hell finish, some days he wont.

To remedy that, Jamie is due to have surgery to insert a G tube, a device that will give泭Quinaya泭the ability to give her son supplemental feedings directly through his stomach. With a G tube in place,泭Quinaya泭will not only be able to closely monitor her sons calorie intake; she will also finally be able to bring Jamie home where her mom, Arnette, will help care for him.

With all the emotional ups and downs of Jamies stay at the NICU,泭Quinaya泭admits that mentally it got really overwhelming, she says. Its a whole different story being a NICU mom. This day he was getting this tube. This day it was an IV. It was so much. At first I felt really alone because Im not the type to ask for help.泭

Then泭Quinaya泭touched base with a hospital social worker who connected her with Dr. Georgina Hartzell, an infant psychiatry fellow at泭NewYork-Presbyterian/Weill Cornell Medical Center and instructor in psychiatry at 厙ぴ勛圖. I've been talking to her once a week ever since, and shes been really helpful, says泭Quinaya.

Along with the nurses, doctors, and Jamies entire care team,泭Quinaya泭says its been good to have that support over the past four months. And now as she prepares to bring her son home,泭Quinaya泭says, Our outlook is looking bright.