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Vitals: Maxie was born weighing 2 pounds and 4 ounces, and she was in the NICU for almost 11 weeks.

Interventions: She had apnea and jaundice and needed to gain weight. She was diagnosed with bilateral cleft palate. At 6 months old, she had facial reconstructive surgery. At home Maxie got early intervention services, including OT/PT and orthotics for her shoes. She had RSV when she was less than a year old, and now she has virus-induced asthma; she also has reflux.

Mandel Family Story
I had a “perfect pregnancy” with no known complications until 5 days before Maxie was born. That’s when I started experiencing a lot of pressure and contractions—I thought it was Braxton Hicks. It was my first child, and I have a high pain tolerance, so I wasn’t thinking about how serious it could be. I didn’t get any education in advance about the signs and symptoms of premature birth or what to do.


The head neonatologist gave my husband and I literature with general stats about the stage that we were in, and the NICU staff gave us March of Dimes materials. We were trying to stay positive, and the neonatologist told us that every day Maxie stayed in mattered. We also received sobering information about what to expect, and at one point, I didn’t want to have the baby because I was so scared.

I was still feeling extreme pressure while having contractions and she was still breech. On my fifth day of bedrest, they recommended having an emergency c-section. Maxie was born prematurely at 27 weeks, weighing 2 pounds and 4 ounces, and she was in the NICU for almost 11 weeks. She had apnea and jaundice and needed to gain weight. She didn’t have any surgeries while she was in the NICU, but I thought her mouth looked too big and noticed that she had trouble making a seal.

I felt a loss of control as a parent in the NICU wanting to feed my daughter but not really having that power. One neonatologist let me stay overnight and nurse her; it was successful, but I still felt there was something about the way the breast/mouth fit that wasn’t right. The doctors felt it was unrelated, and she had genetic testing that didn’t turn up anything. I was told there was nothing to be worried about. I took her to a specialist and she was diagnosed with bilateral cleft palate—her mouth was too open on the sides. When Maxie was about 4 months old I took her to a plastic surgeon and at 6 months old, she had facial reconstructive surgery.

Maxie qualified for OT/PT through the local IU as soon as she came home from the NICU. She received those services and was followed by a development specialist through the third grade. She needed orthotics to support muscle development and proper movement patterns—she still wears orthotics today, though different ones than those little booties! Maxie had RSV when she was less than a year old, and now she has virus-induced asthma; she also has reflux.


Maxie has a younger brother, Leo, who is 11 years old. Because of my experience with Maxie, I went to a high-risk doctor from the start when I was pregnant with Leo. He was born prematurely at 34 weeks. Years later, I had blood work that revealed I can’t break down b-vitamin and folate.








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