Care for the Most Vulnerable
Meet Jameson and Jamesly, the newest additions to proud mother Nerine and her family. Their survival was anything but guaranteed.
Nerine unexpectedly went into labor one evening when she was just under seven months into her pregnancy. Nerine was afraid, knowing this was too early for the babies to come. She delivered the twins at home because there were no nearby hospitals open at that time. (She lives outside the HAS service area.) Once born, the babies obviously needed emergency care, so she sought help at her local clinic. The clinic referred her to HAS, renowned for our neonatology services in a country where specialists are scarce.
Our HAS pediatrics team, led by Dr. Maurice Toussaint, began treatment in the neonatal intensive care unit. Both twins were diagnosed with maternal-fetal infections, and were placed on antibiotics. One of the babies, Jamesly, also was found to have a heart abnormality. About 50 percent of premature babies experience heart irregularities, and like Jamesly’s, the problem disappears as the baby matures, but requires monitoring. HAS monitored Jamesly’s heart until its activity was fully normal.
The boys also had gastroesophageal reflux (also common among preterm neonates) and at first could not swallow, so they were given feeding tubes until they could accept food orally. Nerine, like many women in her circumstances, was unable to produce milk because of the stress of carrying twins and delivering them so early. HAS provided infant formula for the babies during their hospital stay, and will continue to do so for the first six months of their lives – the critical window during which babies should receive a diet of breast milk or formula exclusively.
After six weeks in the hospital, the twins were well enough to go home. They return to HAS for consultations every two weeks, and will do so until they reach the normal nine months’ gestational age. Then our physicians will see them every two to four weeks for routine check-ups for up to one year. HAS is one of the few healthcare facilities in Haiti that provides this vigilant follow-up care for babies born prematurely.
HAS provides critical healthcare for 500-600 neonates every year, at least 200 of whom are born prematurely, to ensure that children like Jamesly and Jameson survive and move on to the path of a healthy and productive life.