Pierre Robin Sequence?

tinker&belle

DIS Veteran
Joined
Jan 25, 2006
Messages
2,244
My newborn daughter was diagnosed with Pierre Robin, I was wondering if anyone has any experience with this disorder. We are very worried right now and I wondered if anyone had dealt with this before.
 
my dd has this and she is now 15 yrs old, If you have any questions just ask.
Kim
 
I'm going to move this to the disABILITIES Community Board.
People who are looking for general information are more likely to visit that board than the disABILITIES Board, which is more for WDW/Florida trip questions.

This website doesn't look very pretty, but they do usually keep it up to date with resources and it has a lot of helpful links.

This website also has some good information, but the last time I looked at it, some of the links were not updated and no longer worked.
 

My 8yo DD had PR due to a rare chromosome abnormality. She got a trach and g-tube at 1 month old and had the trach for 3.5 years. She still has the g-tube.

I'm sure you are totally overwhelmed, sad, angry, confused. Please send me a PM if you have any questions.
 
Thank you for all the kind replies, the pm and the offers to talk. I haven't had much time to be online or talk on the phone between taking care of her, going back and forth twice for stays at the children's hospital and my toddler who has hit the terrible twos with a vengence since baby came home, baby's 'sick', mom and dad disappear back to the hospital for days at a time.

She seems to be doing fairly well for what I have read about the sequence. She is on oxygen and an apnea monitor. We were back up at the children's hospital this week because she sometimes will have bad feeds (she usually will take food from a special tall bottle with a cross cut premie nipple), so we had to learn how to use a feeding tube when that happens.

We thankfully don't have to do the surgery on her jaw right now, only if it doesn't grow with time. We will have to do the cleft surgery at about 9-12 months.

One thing that I have noticed that maybe others who have dealt with this can give me some ideas is how it seems some people perceive her. She hasn't been out in public a lot, but I notice at the doctor's office people either look at her with a sad head tilt or they give me a look like "what did YOU do wrong to have a sick baby." Maybe it is just how I am interpreting the looks, but it is an odd feeling.

Also, her grandpa and uncle seem really scared to hold her now. I've tried saying things like "she looks worse than she is," and such, but they don't seem to want much to do with her since she got on the oxygen. Any suggestions? I'm sure it will change with time, but it does bother me.

Thank you everyone for listening. I am curious to know how this looks long term and what we have in store. I will try to get on here and update as often as I can.
 
Hello. My daughter has PRS. We had to have surgury at 8 days, she couldn't breath or eat without tubes. We had the internal distraction osteogenesis procedue done. So no having a trach or a G-tube. You can't tell she has had any surgury apperance wise.

Other people will be scared to hold her, but mostly because they think they will hurt her in some way. My mother who has had 4 of her own and 7 grand kids was scared to hold my daughter at first. But you just have to assure them that if you hold her straight up, she'll be just just fine.
The hard part was not being there with her at the hospital all the time. My wife would get a ride to the hospital in the morning and stay all day, and when I would get off of work I would go up there and stay till about 2am. We would then leave and do it over and over. We each got about 4 hours of sleep a day for the first month she was in the NICU at Wolfsons Childrens Hospital. Finally the Head of the NICU came over to talk to us, and promised if we wento home early one night the baby was in good hands, she said "Your baby's going to be okay tonight, go home and take care of you." We hadn't thought about it, but neither one of us could remember when we ate, the couple hours we were at home was only restless sleep and rushing out the door. This is our first baby, we were scared. It was rough.

After we brought her home she had parts of the extraction device (metal rods) sticking out behind her ears, and of course some little scars (now bearly noticable at 6 months.) Alot of people have never heard of PRS, and they had no idea what to think of her. We had to keep her on a monitor pretty much 24/7, unless we we holding her and she was awake. People would always ask what it waa for, I would tell them its a battery charger, and the wind up thingy in her back was broke, they would just look at me funny. I would laugh and tell them we have to have it because she'll just stop breathing. Then they would give her the poor baby look, one of sympathy not of disgust. The hard part of having the monitor was when they take her off of it. Yeah, that was tough for me. When she first came home the monitor went off all the time, of course you run to her to make sure shes breathing, and it gives you a pretty big scare. You eventually get to a point where you wait for it to beep a couple time and she will start breathing again, but if it beeps more than three time you run to check on her. Towards the end of us having the monitor, when she was sleeping in her crib, you could just look at her, and if she seemed really still you could just look at the monitor and know she's breathing. Now when its gone, you will probably check her alot when she is sleeping, that's normal. I still do.
My wife was afriad she did something to cause our baby to have PRS. We don't drink, smoke, use drugs, really anything, we're kind of boring people. She followed all of the advice from doctors, just a really perfect pregnant mommy. It just happens sometimes for no reason at all.

Something I had to tell my wife, which is very, very important. "It is not your fault. You have done nothing wrong. This just happens. You are Perfect. This baby is perfect."
:hug:
 
We are almost to the four week mark. The doctors said she will have the hardest time the first four weeks then start to get better so we are hoping for that!

She has been eating relatively well. We have noticed if we warm her bottles very warm or I give her milk that has just been pumped she eats a lot better than if the milk is a little chilly. The only challenge she had was on Weds. when I took her to the children's hospital to do the sleep study.

They left her oxygen canula (sp?) in her nose and placed other wires there as well. They did not tell me the oxygen was off. They told me to feed her, and I did but she did not seem right and started turning blue and her stats started dropping. The doctors/techs (not sure who it was running the sleep lab) came in the room, but she was okay by then. When I talked to them I realized her oxygen was off, and she had all that stuff up her nose. This for a baby who has trouble eating/breating anyway.:rolleyes: Poor baby. I hope it doesn't affect how they interpret the results.

It has been a frustrating taking her to this big hospital. We are not from the smallest town in the world, we actually have a large general hospital in town, but for pediatric specialties you are sent to a large children's hospital about an hour away. Don't get me wrong, I'm grateful for specialists who treat children, I am just used to a little more personalized care. It probably doesn't help we are dealing with pulmonary doctors, feeding-developmental ped. doctors, and plastic surgery and there is no one person that seems to coordinate all her care except for me to pull things together and I don't know what the heck I'm doing! Sorry for the vent, I just wondered if anyone else had the same experience?
 
Hi, sorry i haven't been on , My dd had jaw distraction and we just got home from the hospital, Sorry to hear she had trouble with the sleep study, Bethany is 15 now, she never had a trach but spent her first three months in Nicu. But she had other things going on.
As far as getting help, there should be a cranial-facial team at your hospital they can help you with drs and getting everything together.There is also state insurance that you can apply for no matter what you make that can help with what your insurance don't cover, ask your plastic surgeon nurse, give them a call and see what they can do. It's hard trying to go to every dr, they can help get appt together. if you can think of anything eles let me know
Kim.
 
Tinker&Belle, someone at your NICU should have referred you to the local agency administering the Infant/Toddler early intervention program........you may have just been so busy with "getting everything done" that they have not been able to contact you. If not, ask the NICU nurses or patient advocate for a referral - not sure what it's called in your state, but every state has an I/T program under federal law. You will have access to a service coordinator who can help you manage and organize all these new services you are encountering every day - it's a world that you just aren't aware of until you have a child who needs it, then you plunge in head first! Ask the nurses/advocate if there are any support groups for parents of children with special needs in your area, maybe even a parent-to-parent matching service where they match you with another parent who has experienced the same issues. Take advantage of any opportunity to connect with other parents, both locally and online - this board was a great place for you to start - you will find lots of support and friendly advice here!

Libby
 
Tinker&Belle, someone at your NICU should have referred you to the local agency administering the Infant/Toddler early intervention program........you may have just been so busy with "getting everything done" that they have not been able to contact you. If not, ask the NICU nurses or patient advocate for a referral - not sure what it's called in your state, but every state has an I/T program under federal law. You will have access to a service coordinator who can help you manage and organize all these new services you are encountering every day - it's a world that you just aren't aware of until you have a child who needs it, then you plunge in head first! Ask the nurses/advocate if there are any support groups for parents of children with special needs in your area, maybe even a parent-to-parent matching service where they match you with another parent who has experienced the same issues. Take advantage of any opportunity to connect with other parents, both locally and online - this board was a great place for you to start - you will find lots of support and friendly advice here!

Libby

Thanks Libby. We got a case manager for her through Cigna, and they recommended this so we did the intake for this yesterday. They will come to evaluate her in a week or two. I hadn't thought of asking about resources for parent to parent connections that sounds like a great idea.

I was reading the 'what to expect' about cleft surgery the hospital gave me and I got very upset. It says that she can't have any comfort type things (ie pacifier) after the surgery, and that her arms will have to be restrained after the surgery to keep her from putting things in her mouth. I just am so sad after reading this, and feel it will be awful. I know that the surgery is essential and needs to be done, but I was already dreading her going under and now I am dreading the recovery process.

On the plus side, she is four weeks old today. They said the first four weeks were the worst, and she has seemed to be eating slightly better the last few days, so we may be on the upswing. Thanks everyone for listening to my vents and the input. This has been hard and I have appreciated the support. We are supposed to get sleep study results tomorrow, so will post that then.
 
Coping with the surgery's aftermath will be a challenge for sure; my son had to have urinary reconstruction surgery at 10 months, had a catheter for a week, came down with roseola afterward, etc. It was exhausting - mentally and physically. Just remember, you'll be able to comfort your daughter with your touch and with your voice, maybe some music, a special blankie, toys & books to look at......it may turn out to be a special bonding time for the two of you!!

PS: My son just walked by - he turns 16 tomorrow! He would be positively mortified to know I was telling you that after his surgery he woke up STARVING and yelling - they came running out to get me, I was afraid something was going wrong - he had bitten the poor nurse on the **** looking for something to eat!!:rotfl2:
 
Hi, sorry i haven't been on , My dd had jaw distraction and we just got home from the hospital, Sorry to hear she had trouble with the sleep study, Bethany is 15 now, she never had a trach but spent her first three months in Nicu. But she had other things going on.
As far as getting help, there should be a cranial-facial team at your hospital they can help you with drs and getting everything together.There is also state insurance that you can apply for no matter what you make that can help with what your insurance don't cover, ask your plastic surgeon nurse, give them a call and see what they can do. It's hard trying to go to every dr, they can help get appt together. if you can think of anything eles let me know
Kim.

I meant to ask last night was she back in the hospital? You said she was 15, is she still dealing with treatments for PR? I just am trying to get an idea of what this is going to look like long term.
 
Coping with the surgery's aftermath will be a challenge for sure; my son had to have urinary reconstruction surgery at 10 months, had a catheter for a week, came down with roseola afterward, etc. It was exhausting - mentally and physically. Just remember, you'll be able to comfort your daughter with your touch and with your voice, maybe some music, a special blankie, toys & books to look at......it may turn out to be a special bonding time for the two of you!!

PS: My son just walked by - he turns 16 tomorrow! He would be positively mortified to know I was telling you that after his surgery he woke up STARVING and yelling - they came running out to get me, I was afraid something was going wrong - he had bitten the poor nurse on the **** looking for something to eat!!:rotfl2:


That's really funny!
 
Hi everyone,

The sleep study didn't show any changes in how we should position her, so we are scheduled to do another mid-August.

The GOOD news is I took her to her doctor's office today, and she weighed in at 9 lbs. 1 oz., which is 12 ounces more than last Thursday. The doctor said that was really good, and is happy with how she is growing. We meet with the plastic surgeon who will be doing her surgery on Monday, so hopefully he will be happy with it too, and we will have a better timeline of what to expect. Hope everything is going well for everybody else.
 
That's great news she is gaining weight,keep us updated on her progress. Sending:hug: It does get easier as they get older.
Kim
 
I just wanted to send you a link to a friend's blog. Their son was born preemie and diagnosed with PRS. A while later, after a meeting with a genetisist and several tests, they changed his diagnosis to Palister Killian Syndrome. Several of the qualifiying symptoms of PRS are also a part of PKS, so they are easily confused at the beginning of life.

Check out the blog and feel free to contact the day...he's a stay at home/artist, and the whole family is very friendly and can lead you in many directions for assistance!
 
Thanks for the info, lisaloves. Thankfully, so far, it seems like she does not have any of the associated syndromes, but the doctors continue to monitor for them. We will be seeing an opthomologist this month and if having a hearing screen in Nov. Depending how those go, they may have her see a geneticist.

So here is the update:

We went up for a sleep study last Wednesday. The technician (she's done all DD's sleep studies) said her data was MUCH better (saturations between 95-100 instead of dropping into the low 80's ) Of course the technician doesn't make the recommendation, so we are waiting to hear from the doctor after they read the results.

If they like the results we will do another carseat study and get on the waiting list for an over night study, but I don't want to get to ahead of myself, we are trying to take it one day at a time.

Besides all that technical stuff: she seems like such a strong baby girl. She is growing well (I've had her weighed at the peditricians several times and she is gaining on average an ounce a day), and her breathing while she is eating has become much less labored.

I've appreciated all the support from this board and will post another update when we know more.
 












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