The Ithaca Journal Pages 3D-4D The Parents’ Journal Tuesday, August 15, 2000, Greeting an early arrival Parents of premature babies face special challenges By KATHY HOVIS Journal Stuff ITHACA — Kathy and Martin Berggrens' two miracle babies will turn a year old this month. And in that time, the Berggrens have become specialists in many areas of neonatal care. The babies, Annika and Linus, were born three months premature. This month, Kathy Berggren goes back at work full-time as a lecturer at Cornell University, but the family's life still revolves around care for their little ones, who require nursing help and medical treatment. "When they walked me in to see them, I thought they were the most beautiful tiny beings," Berggren said of her delivery in Syracuse's Crouse Hospital. "They showed me these small babies. I don't think we really knew what we were in for." Annika weighed 1 pound 5 ounces and Linus was 2 pounds 1 ounce. Now Annika weighs in at 12 pounds and Linus is 23 pounds. The Berggrens knew their ride to parenthood wouldn't be easy. Kathy Berggren does not ovulate, has only one fallopian tube and a unicornate uterus. Doctors were hopeful she could conceive with the help of fertility drugs, but not sure she could carry the baby to term. Two cycles of fertility injections were unsuccessful, but she did become pregnant on the third round, only to have an early miscarriage. On the fourth round, she again was pregnant. At eight weeks, doctors noticed one sac and a tiny dot next to it. They said it was twins, but were fairly sure the second sac would be reabsorbed since it was so small. But at 19 weeks, she was still pregnant with twins, one a lot smaller than the other. After bouts of early bleeding, bedrest and a cerclage to tie her ' cervix shut, Berggren's doctors realized the blood flow to the smaller twin was compromised. The Ithaca Journal Pages 3D-4D The Parents’ Journal Tuesday, August 15, 2000, At 25 weeks, she entered the hospital on strong anti-contraction drugs. At 27.5 week's, she was transferred to Crouse Hospital in Syracuse, which has a Level III neonatal intensive care unit. The babies were delivered on Aug. 28, 1999. Her due date had been Nov. 23. "We were so happy they were alive,” Kathy Berggren says, although they were terrified of the possible outcome. The delivery was hardly the end of the road for the Berggrens. Their babies spent 3 and 4 months in the hospital, including eye surgery for Annika and a spinal tap for Linus after a brain bleed. During this time, the Berggrens visited daily, driving one hour each way. When they came home in November and December of last year, the babies still required constant care and monitoring. Annika was rehospitalized twice for lung problems. Several times, the Berggrens had to resuscitate their kids. They had to learn how to administer breathing treatments and various medications. They still visit doctors in Syracuse once or twice a month. And they have daily nursing help to care for Annika. Kathy Berggren said without the help of family and support from other people who've had premature infants, the experience would be even more overwhelming. Luckily, she met a woman whose child was born at the same time and just as premature as her twins. They've shared stories and been there for each other through the process, she said. Berggren knows her kids will be more susceptible to certain illnesses throughout their life and may have early developmental problems. The first two winters are key, she said, to avoid respiratory illnesses. They also take part in early intervention programs to help with motor development and feeding issues. But for now things are as "normal" as they have been for quite a while, she says. "I don't feel like I'm in survival mode," she says. The experience with her children has taught her many things, Berggren says, including being able to enjoy each moment together and learning what’s worth getting worked up about. And she’s learned that despite her best efforts, it's impossible to plan for the pace of her babies' progress. As with most preemies, it's up and down. "I started to let go of having a really set-up plan," she s says, adding that it's difficult to learn to live day to day. The Ithaca Journal Pages 3D-4D The Parents’ Journal Tuesday, August 15, 2000, She's also learned the importance of keeping her marriage healthy. Divorce and separation are common among families with premature infants or infertility issues. So the Berggrens institute a Thursday night date night. "We are so thankful and realize how lucky we are," she says. They have lots of advice for other parents of preemies. "Find some sort of support system," Kathy Berggren said. "Nobody understands this unless you've been there." Try to take one day at a time. Be ready to be your child's advocate. And be persistent with insurance companies and bureaucrats about getting financial help and programs for your child. And trust your intuition. After educating themselves extensively about their babies' issues and knowing their children so well, Kathy Berggren said she and her husband have often been right about what's going on with their children when doctors weren't sure. "There is something to say for parents’ intuition."