Maeve and Molly Corrigan made tiny grunting sounds from inside
their adjacent warmer cribs, amid a cacophony of medical beeps,
bells and monitors.
Their mom, Kate Corrigan, sat a few feet away from her twin
bundles of joy, born premature on March 13 at just 30 weeks old. In
a few minutes she will be allowed precious "kangaroo time," when
she cradles each girl against her chest, skin on skin, like a human
pouch of protection and bonding.
"It's like a drug," she says softly, in anticipation.
The hardest part for the Forest Park mother, however,
wasn't watching her babies breathe their first breaths and cry
their first tears through enclosed isolation beds, or seeing them
hooked up to more wires and gadgets than a new entertainment
The toughest thing is not being able to pick up her tiny
preemie daughters when they cry for her affection.
"It's a mother's natural instinct, but ..." says Corrigan,
her voice trailing off and her eyes drifting to her twin
Corrigan visits them daily at Northwestern Memorial
Hospital's Renée Schine Crown Neonatal Intensive Care Unit, or NICU
(pronounced NIK'-u), in downtown Chicago.
Here premature and at-risk babies are rescued, cradled and
cuddled-some weighing less than a loaf of bread. Parents visit
daily for feedings. A few of the babies never make it home to see
Here skilled neonatalogists work around the clock to
perform delicate surgeries on babies just minutes old, while
parents can only wait, hope and pray. Stuffed animals, homemade
posters and family-friendly touches share space with high-tech
equipment, feeding tubes and navel catheters.
Here babies born weeks early struggle to stay alive while
mothers struggle with feelings of guilt, separation and a haunting
lack of emotional bonding. Here the tiniest of lives are nurtured
by stand-in mommies, such as registered nurse Kirsten Bizarra, who
delicately balance maternal instincts with medical
Bizarra joins 120 other NICU nurses to take care of
thousands of babies each year inside Northwestern University's
Prentice Women's Hospital, a million-square-foot, state-of-the-art
facility. The NICU can house 83 babies at one time, and many nurses
have worked here a quarter century, watching some preemies grow
into mothers with babies of their own.
"It's the most fulfilling job I could ever imagine," says
Bizarra, a six-year veteran who works 12-hour shifts three days a
New parents are often scared, confused and intimidated
when they first learn their babies have been admitted into NICU.
Gone are any dreams of returning home immediately with their new
baby in tow, often replaced with nightmarish fears about their
"It's very overwhelming at first, which is why education
is everything here," says Bizarra, who breaks the ice by asking
parents for their baby's name.
It personalizes her nursing care while reminding parents
that their child is a person, not only a patient. Bizarra
artistically writes the name on a poster above the crib, one of
several touches to make parents feel at ease.
"This way, doctors and nurses can refer to each baby by
name, not by gender or by medical problem," she says.
After instructing parents to scrub up to their elbows, she
encourages them to begin talking to their baby immediately, even if
the child is strapped down with tubes and beepers, or seemingly
"The babies can hear their voice, including the micro
preemies, even through a warmer (crib)," Bizarra says.
Parents visit here around the clock, taking turns feeding,
burping and changing their newborns. Most also slowly learn to
medically treat their babies, first by watching nurses and then by
"We try to get parents involved in their baby's care as
soon as possible," Bizarra says. "We are often the nurse to the
However, some choose not to, leery of becoming too
emotionally close, or from guilt over what caused their baby's
premature birth. Smoking? High blood pressure? Lack of neonatal
health care? Genetics? Bad luck?
Most babies here are preterm births-before 37 weeks
gestation-yet every week a mother remains pregnant her baby has
better odds of surviving, as millions of new brain cells are
NICU nursing "hands-on assessments" of each baby take
place every few hours, with the least interruption possible, often
timed with a doctor's visit. A baby's color, breathing and
digestive system are routinely checked, and any needed tests, such
as X-rays, can be done through their warmer.
"It's called cluster care so the baby is not constantly
interrupted," says Bizarra as she adjusts the feeding tube of a
Nurses also weigh dirty diapers to determine how much
"output" is produced and how much progress is made on a daily
basis. They also consistently change the positioning of the baby,
including the head, because the baby is still
"Even the gel pillows are form fitting," she explains,
while adjusting another preemie.
One baby boy, born at 29 weeks weighing just two pounds,
one ounce, sleeps quietly while Bizarra checks his
Each baby's crib space is adorned with "It's a girl!"
greeting cards, "It's a boy!" balloons or other personal touches,
more for parents than oblivious babies. Parents can even reach into
the warmer to touch their baby, but not to rub them or disrupt
"We try to create an atmosphere as if the baby is still in
the womb, yet through very high-tech means," Bizarra
Medical gowns are no longer needed here for parents, a
change from the past. But parents are asked to not bring in
jewelry, cell phones, laptops and other items that can carry germs.
A swipe card is needed for access into the tight-security
The precious "kangaroo time," when parents are allowed to
cradle their baby against their skin, is designed to acclimate a
baby to each parent while also adjusting to their
"Studies show that this is very therapeutic for babies,"
Bizarra says. "And research also shows if the mother is in their
baby's presence, it helps with producing breast milk, which is
liquid gold here."
It's not until babies turn about 34 weeks old that they
learn how to suckle, and then they can be weaned from a feeding
tube. Baby-step milestones are often celebrated here with colorful
posters, such as the "Three Pound Club" for growing preemies or
five straight days with no heart-rate drop or weight
Each baby is monitored and each monitor is hooked up to a
central monitor in the nurses' station. The nurses also have a
high-tech walkie-talkie around their necks to keep in touch with
each other. A "crash cart" sits outside each pod, ready for the
"It's hard to not get attached to each baby, especially
the ones who are here for several weeks or months," Bizarra says
while giving a tour of the pod's "family suite," often used as a
hospice room for babies who never go home.
Here parents spend the last few days, hours and minutes
with their dying baby, while nurses put together a personalized kit
of finger and foot prints, photos and outfits.
"This is the sad part of my job," she explains, noting the
death of a baby just two weeks earlier. "But there are far more
happy outcomes than sad ones. I never dread coming here, even if
Bizarra, whose mother was also an NICU nurse, even dreams
of babies in her sleep, and she still keeps in touch with some
families of her "NICU graduates."
"When you work here, this is your life. But I love my job,
I really do," she says, beaming.
Jerry Davich is a freelance writer and father of two living in the Chicago area.
See more of Jerry's stories here.
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