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Need advice re: DAYCARE for preemie

post #1 of 12
Thread Starter 
My daughter was born February 6th, 2010 at 34 weeks 1 day. She spent 18 days in the NICU, as a result of jaundice (resolved with one day of lights) and then the big one, getting to the point where she could consume what she needed to without feeding tube. She came home, and we have not had any problems since then. She was born at 6 lbs. 1 ounce. She is now 9 lbs.
Bear with me, this is kind of complicated. I have a 20 month old daughter who attends daycare at a center. It is a wonderful place, there is a very long waiting list to get in, and even then it helps to have other connections (referrals from other parents, etc.). We love the daycare and the providers, and we trust them so completely. My preemie was supposed to start attending daycare at this center 12 weeks after my due date, around June 6th. She arrived six weeks early, but that is still the first available spot for her. We asked my employer to extend my leave until June 6th, which would allow me to stay home with her until the daycare spot opens, and they have denied this request. I have to be back at work May 3rd in order to keep my job. A job I don't want to go back to at all, who has really kicked us while we have been down through all of this, but that is another post.
So we are trying to decide what to do. The hospital did not give us guidelines about daycare, they just told us not to take her out anywhere until she is 2 months old. Our pediatrician (who is not a huge fan of daycare anyway) , said she would like us to keep her out of daycare, especially a center, until she is at least six months old as she thinks her immune system will be caught up by then. She believes that we might do ok in a center because my daughter is exclusively bf, RSV season should be over, and she had Synagis shots in Feb. and March. So she doesn't prefer that we do the center at all, but kind of thinks it would be ok if we had to.
We have been trying to find a nanny/ babysitter who would provide care for my preemie at our home from May 3rd until she would start the daycare center on June 6th. We have some possibilities, but no one that we are very excited about or comfortable with. We do not have family support at all, so no grandparents or other family will be willing or able to help with childcare. If we talked to the daycare center, they would most likely make some scheduling adjustments so that our situation could be accommodated, basically would find a way for our preemie to start in May if that is what we need or want. We really felt strongly about not putting her in daycare until June (to give her more time to build up her immune system), but as more time passes, and the more we evaluate options, we are now leaning towards considering starting her in the center in May if we can.
I am trying not to make this too long, so I would love to hear from anyone that has an opinion about what we should do. There are other options (I stay home with both girls, I stay home with only the preemie until I can find another job in a few months, etc.), but I am trying to keep this simple. My older daughter loves daycare so much, and I don't want to take her out or she will lose her spot. And we are having some serious financial issues as a result of medical bills, taxes, needed roof repair, so it is financially better for me to work. So, can I have some advice, or any experiences you have had putting your preemies in daycare, etc... ?We are totally unsure what to do. I hope I have not been rambling all over and have given you enough information to form an opinion. THANKS!
post #2 of 12
Just curious why you or your pediatrician thinks her immune system needs to "catch up"? What kind of complications were there when she was born?

My son was 34 weeks 0 days born at 5 lbs 4 oz. In the hospital for 5 days for jaundice and a little apnea. We were not told anything by any of the doctors about his immune system needing to catch up. In fact our pediatrician said he would treat DS the same as any term baby in terms of germ safety, etc. He said try to keep him in the home for the first 6 weeks, then after that, just use common sense.

He's 7.5 months now and still breastfed. He made it through the winter with no sicknesses, and just got sick for the first time last week.

Granted, we did not do daycare with him, but we did go out of the house quite a bit to restaurants and grocery stores, etc. When he was 6 weeks old, my parents and 7 year old sister stayed at our apartment with him and my sister, it turned out, had H1N1.

So I guess if it were me and I had to do daycare, I would wait as long as I could, but I think 6 months is probably unnecessary, unless there are some extenuating circumstances in your case.

ETA: I think the 8-week maternity leave we have here in the US is barbaric. I'm sorry about your situation.
post #3 of 12
Have you tried posting in FYT in your area to see if anyone knew of good options that way? Maybe even another MDC mama who is at home could care for her for a short time?
post #4 of 12
Quote:
Originally Posted by meadow123 View Post
And we are having some serious financial issues as a result of medical bills, taxes, needed roof repair, so it is financially better for me to work. So, can I have some advice, or any experiences you have had putting your preemies in daycare, etc... ?We are totally unsure what to do. I hope I have not been rambling all over and have given you enough information to form an opinion. THANKS!
Do the financial problems make it unreasonable for her father to take 4-5 weeks of family leave needed to cover the gap? He should legally be able to take them (if you're in the US) but they will probably be unpaid.
post #5 of 12
Quote:
Originally Posted by odoole View Post
ETA: I think the 8-week maternity leave we have here in the US is barbaric. I'm sorry about your situation.
This.
post #6 of 12
Wow. I am a WOHM mom and DD started daycare at 10 weeks. We too, had a great center that we loved and trusted and that is what made it work.

I would sit down with the center administrator or the woman in charge of the baby room and get her take on the situation, if you feel comfortable doing so.

Your employer sounds totally crappy. I pretty much never recommend this--because I love my job and have had a good experience as a working mom, but in your shoes, if I could swing it financially, I might leave to stay home for a while and figure out my next move. Are your skills transferable? Could you find a similar job in a few months/year at another, better company? I know the economy is terrible and no one wants to leave their job now, but I can imagine how hard it is also going to be for you to return to an unsupportive work environment.

I wish you and your family the best.
post #7 of 12
Unless she has major health issues, I'd be ok with a 34 weeker starting at 12 weeks honestly.

My 34 and 35 weekers were never given any restrictions regarding daycare/exposures. Only my 32 weeker had restrictions but he also has chronic lung disease, laryngo tracheomalacia, and major feeding/aspiration issues that made things tough. He was at high risk for severe respiratory illness and in 17 months ahs landed in the hospital 15 times for respiratory issues. He also was on an apnea monitor for 10.5 months and now has a pulse oximeter (to measure oxygen saturation). He's prone to turning blue (which is enough to make ANYONE freak out). He started daycare (2 days a week) at 11 months but even now at 17 months misses a great deal because his teachers are paranoid. We also keep him out when major illnesses go around like RSV, croup etc (croup landed him in the hospital, with an ambulance transfer to Children's Hospital and on oxygen for 8 days).
post #8 of 12
My 31-weeker started daycare at 12 weeks with no problems. And honestly, I'm a little offended at your pediatrician ASSuming people can take of 6 months of work without any repercussions, either from their employer or financially. Will the center really not work with you on those 6 weeks you need? With my DCP, since we're established clients (already have 2 kids going there) we get first priority as to any needed spots. Ugh, that's a tough spot to be in.
post #9 of 12
Unless it's totally impossible for you financially, I would say stay home with her. The longer she remains healthy the better off she is. Respiratory infections are no joke, particularly when they're so young. If you at least get her through to the summer then by next fall when all the viruses are circulating again, she'll be that much bigger and stronger! An infection now could put her back...

I'm from Canada where they let us take a year off and keep our job so the thought of ever leaving a baby THAT small in care is totally incomprehensible to me. When I went back after am entire year I cried and cried and then eventually quit. It makes me so sad how it is for you moms down there I just can't imagine....

Good luck!
post #10 of 12
Janelle was born at 34 weeks at 5lbs 9ounces (then since it was 56 hours of fluids and pitocin and she needed diuretics she lost 17ounces in her first 12 hours, making her 4lbs 8ounces, which is what all doctors use for her actual birth weight...just not what I use). We were told as soon as she reached 7lbs we could treat her like a normal newborn as far as bringing her out in public, putting her in daycares or mommy and me classes, no longer waking her to feed, that sort of thing... That happened relatively soon, like around 2 or 2 1/2 months old.

She spent about 3ish hours in the nicu for diuretics, stomach pumping, and deep suctioning and 5 days in the hospital for issues with suck/swallow/breath and maintaining body temp, and then 3 days in the nicu again at 6 weeks old for severe reflux, poor weight gain, and still dealing with jaundice (basically, back in the nicu for having a horrific pediatrician to start with who didn't deal with the reflux sooner). Basically, no one even considered her a preemie, 34-36 weeks was considered pre-term but not premature (two different labels) by our hospital. And other than adjusting for weight (which still didn't ever put her on the charts) by 6 weeks, no issues ever popped up...she was, and is, sick a lot, but no more so, actually probably less, than Travis, who was born at 38 weeks and 6lbs 14oz.

River was born at 36 weeks and was around 5lbs 14oz or so (they weighed him wrong...they said he was 6lbs 9ounces, but like 4 hours later he was 5lbs 10oz, and was still big enough to keep on all his hospital bracelets and such, so their was no possibility of losing 15 oz in 4 hours... so, yea, we will never really know his birthweight)...and we were basically told the same thing, once he was 7lbs and it was past his due date we were fine to treat him like a normal newborn...he didn't get to 7lbs till 2ish months old and he did have issues maintaining body temperature for much longer than that, but that's it...he's also much healtheir thus far than Janelle and Travis.
post #11 of 12
Most 34 weekers will do just fine in daycare. Preemies who needed respiratory support for more than a day or two, who had issues with sepsis, or who have severe reflux aren't great daycare candidates, but it doesn't sound like you have any of those concerns :-) The fact that you breastfeed and that it's not RSV/flu/cold season all point to a good start to daycare.

Here's a link to my article on finding childcare for preemies. It sounds like you've considered most of these options, but maybe it will be of some help.

Good luck!
post #12 of 12
Quote:
Originally Posted by odoole View Post
ETA: I think the 8-week maternity leave we have here in the US is barbaric. I'm sorry about your situation.
Quote:
Originally Posted by momma_bear View Post
. It makes me so sad how it is for you moms down there I just can't imagine....

Good luck!


here maternity leave is 9 mths, hope you managed to get something sorted
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