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Baby Boy V

Baby boy was born on August 31, 2020. Upon delivery, the baby was noted to have necrotic tissue in his right arm and hand due to the possible wrapping of the umbilical cord around his arm in-utero. He was transferred to Lucile Packard Hospital at Stanford immediately. It was suspected at that time that he would require an amputation of his right arm.  He underwent surgery to relieve some of the pressure in his arm and hand as well as surgery to remove some of the necrotic tissue.  He remained in the NICU with care from a neonatologist as well as a neonatal surgeon. As of 9/2/2020, he had not undergone an amputation however the necrotic tissue continued to worsen and the prognosis indicated that he may have to undergo a hand amputation at minimum. It was also noted that he began seizing and an MRI was ordered to diagnose the cause of the seizures. He received a head ultrasound which indicated he may have experienced a stroke in-utero.

Below you will find more notes on baby's current medical status. 

 

Race of Baby: Caucasian

Location

This birth mother resides in the Reno, Nevada area. Relinquishment has been taken.  Baby born in Reno, NV and currently at Lucile Packard Children’s Hospital Stanford.

 

Birth Mother

Birth mother is a single female in early thirties with brown hair and brown eyes.  She stands approximately 5’7” tall and weighs approximately 150 pounds (pre-pregnancy).  She has a light complexion and is Caucasian with a medium build.

 

Birth mother currently resides with her mother and her 13 year old daughter in a single residence home.  Birth mother is employed part time at the local gas station.  Birth mother will require financial assistance for living expenses (i.e – groceries, clothes, food, toiletries, cell phone, gas, etc).   Birth mother has her own car. No one in her family knows about her pregnancy so she would like all correspondence sent to her house to be unmarked. Birth mother does not plan to tell anyone in her family that she was pregnant or completed an adoption plan.

 

Birth mother describes her personality as bubbly. She was unable to articulate any interests or hobbies as she has been simply “surviving” on her own raising her daughter for the past thirteen years. 

 

Birth mother was raised by her biological mother. She has two half-brothers. Her mother is not aware of her pregnancy nor delivery.  Birth mother told her mother she was in the hospital due to elevated blood pressure.  Birth mother does not have a relationship with her biological father. Birth mother discovered that she was pregnant when she was approximately six months. She stated she had continued to menstruate until the sixth month. When she did not menstruate in the sixth month, she took a pregnancy test and calculated the last time she was intimate with someone.   Birth mother stated she knew she could not raise another child at this time and immediately considered adoption. She had not acted on contacting an adoption agency however because she was not aware of who to contact. 

 

Birth father was reported as a casual acquaintance that she met when he came into the gas station.  Birth mother “partied” with him and had a one-night stand. When she became aware of her pregnancy, the next time she saw him at the gas station she informed him of her pregnancy. Birth mother stated that he stated he “did not care” and said that if she was in fact pregnant, he knew the baby was not his. She has not seen him since that interaction. Birth mother did not readily have his contact information but planned to ask around town when she discharged from the hospital.

 

Birth mother stated she is in good health with no major medical concerns.   She had surgery on her knee with no other medical concerns.

 

Birth mother is Christian.

 

Birth mother denied any substance abuse during pregnancy.  She stated she drank alcohol during the initial one-night stand with birth father but had not consumed alcohol since that night. Birth mother does not smoke. 

 

Birth mother has one daughter who lives with her and her mother. Her daughter is 13 years old. Birth mother stated her daughter is in good health without any behavioral concerns. Her daughter was born with seven toes on her right foot. She has since had surgery to correct it and have the extra toes removed. 

 

Birth mother denied Native American ancestry.

 

Birth Father

Birth Father’s first name is known but no other information is known at this time.

 

Reasons for Choosing Adoption

Birth mother stated she cannot financially support another child at this time. She also stated she has a “hard enough time with one daughter and her father.”

 

Health of Baby/Medical Information

 

Prenatal Care

Birth mother did not receive prenatal care.  She delivered a baby boy on 8/31/2020 after going to her local acute care facility because she was bleeding. She was immediately transferred to Renown Regional Medical Center in Reno and was found to have extremely high blood pressure and abruption of membrane. She subsequently vaginally delivered a baby boy estimated to be 32-34 weeks gestation.

 

Baby

Notes 9/2/20

Upon delivery, the baby was noted to have necrotic tissue in his right arm and hand due to the possible wrapping of the umbilical cord around his arm in-utero. He was transferred to Lucile Packard Hospital at Stanford immediately. It was suspected at that time that he would require an amputation of his right arm.  He underwent surgery to relieve some of the pressure in his arm and hand as well as surgery to remove some of the necrotic tissue.  He remained in the NICU with care from a neonatologist as well as a neonatal surgeon. As of 9/2/2020, he had not undergone an amputation however the necrotic tissue continued to worsen and the prognosis indicated that he may have to undergo a hand amputation at minimum. It was also noted that he began seizing and an MRI was ordered to diagnose the cause of the seizures. He received a head ultrasound which indicated he may have experienced a stroke in-utero. The MRI had not been conducted as of 9/2/2020.

 

Tuesday, September 8, 2020 - Spoke to SW

 

Doing better, no overt seizures, still on seizure medication

Able to take breathing tube out, breathing on his own

Tolerating feeds, will try to feed by bottle to see how he does

Daily dressing changes, monitoring closely, may still need surgery including amputation of the hand

MRI from the read 70-75% damage to brain

Baby will be hospitalized for at least another few weeks

 

Wednesday, September 9, 2020 - Spoke to Nurse

 

He is doing well.  Not interested in bottle, took 3 cc’s last night

Fed this morning with Occupational Therapist but did not do well again

Nothing extraordinary happened overnight

 

Thursday, September 10, 2020 – Spoke to Nurse

 

He took 10 cc’s by bottle today

Overnight, he only takes 0-5 cc’s

He is very weak and sleeps during feedings

The only time he really wakes up is during diaper changes

There is talk of a G-Tube, but it has not yet been ordered

 

Friday, September 11, 2020 – Spoke to Nurse

 

He is doing okay, no major change

He did lose some weight and the caloric intake on his feedings has been increased

He took 20 cc’s of formula last night

 

Later in afternoon spoke to Nurse Practitioner. She works closely with Dr. attending baby boy.

Baby is a premature baby born at 35 weeks gestation. Right now they are working on trying to get him to take his feedings by mouth. He is doing ok for his age. If he isn’t able to take feedings he will need a gastrostomy tube. They are trying to avoid this and only time will tell as they are just starting to work with him on feedings.

 

He has had several types of seizures and is on 3 different types of seizure medication. His brain won’t recover from the damage done by the seizures but it will adapt. Next week they will conduct a video EEG, this looks at the brain to see if he is still seizing. They were not aware that he was seizing as he never showed physical signs, the only way they were able to tell was through the brain waves. He will not be able to be discharged until his brain is stable and he is eating well.

 

He has an ischemic hand injury. Not sure what has caused it, there are many theories. His skin is slowly falling off. He has lost almost all his fingers (in one hand), they are little stumps, looks almost like if he had frostbite. They are not sure if amputation will be needed at this time. There is no infection and they are watching it. If amputation was necessary, it would most likely be in the mid forearm.

 

Baby had strokes while in utero, not all at once but in different stages. Hematology is closely following him as he has a clotting disorder. Still looking for answers.

 

Baby has a small hole in his heart, which is normal for his age. It normally closes on its own but will need to be followed up with.

 

Nurse practitioner could not share what they believe his cognitive level will be. She said once we have a family that may be interested, she can help set up a call with the neurologist.

 

Mental Health

Birth mother denied any mental health illness or treatment.

 

Substance Abuse

Birth mother denied any substance abuse.

 

Medical History

 

Birth Mother

Right knee surgery

Allergic to aspirin

 

Birth Mother’s Family

Biological daughter – born with seven toes on her right foot. Surgically removed the extra toes. Allergic to Keflex

Half brother (younger) – braces

Half brother (older) – skin cancer, benign

Birth mother’s mother –color blind

Birth mother’s maternal grandmother – Type II diabetic

 

Birth Father

Unknown

 

Insurance

Birth mother has Nevada Medicaid. Premier Adoption has applied for Medicaid for baby boy.

 

Openness Desired

  • Closed

  • No pre or post placement contact. She would like regular updates to be sent to the agency and only provided to her if she calls to request them.  She would like the adoptive family to decide when/if appropriate to tell the child about her.

  • Birth mother would like the baby to be with the adoptive family as soon as possible.

 

Birth Parent Preferences for Adoptive Family

No preferences. Simply stated she would like a “happy family” and a family that will be able to provide adequate financial support for the baby.

 

Budget

Living/medical expenses are being provided. The estimated amount is $3,500.00

 

The following expenses will be associated with this case (paid to the agency):

  1. $3,500.00 estimated birth parent living/medical expenses (due upon acceptance of match).

  2. $9, 800.00 Matching and Final agency fee. Based on sliding scale. (Due 4 weeks before due date. Funds will be deposited when birth mother signs relinquishment document.)

 

Attorney fees are paid directly to the attorney.

 

Legal Risks

As the putative birth father has not been located and has not relinquished his rights and because the birth mother is not legally married, a termination of parental rights will be necessary. In the state of Nevada this process can take 3 to 4 months (after placement) and attorney fees are approximately $2,000-$3,000 (estimate). Termination may also be conducted in your home state. This option will need to be reviewed with your adoption attorney.

 

Finalization

The adoptive family has the choice to finalize in the state of Nevada. An attorney will be needed for this process. The adoptive family will not need to travel to Nevada for the adoption finalization as the attorney and agency will be attending court on their behalf. Finalization in Nevada cannot take place until the child has been in the home for six months.

 

The adoptive family also has the option to finalize in their home state. They will need to speak to their adoption attorney in their state to make sure Nevada legal documents will be accepted.

Click to read birth mother's social medical history

Click to see birth records

Click to see medical records from Lucile Packard Children's Hospital

 

Due to the special circumstances surrounding this adoption, the situation will remain open until an adoptive family is secured. If interested we are able to set up a call with the baby's doctor and neurologist to get more information. ​​ Please send an email to Debbie at admin@premieradoption.org or call 702-475-4910.

 

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