MAYWOOD, Il. -- In 1989, Madeline Mann became the world's smallest surviving baby after she was born at Loyola University Medical Center. She weighed 280 g. (9.9 oz.) -- about the size of an iPhone.
In 2004. Rumaisa Rahmam set a Guinness World Record after she was born at Loyola, weighing 260 g. (9.2 oz.).
Remarkably, Madeline and Rumaisa both have normal motor and language development, Loyola physicians wrote in a case report in Pediatrics, the official journal of the American Academy of Pediatrics. The article was published online Dec. 12.
Rumaisa remains the world's smallest surviving baby, and Madeline now is the world's fourth smallest surviving baby, according to a registry kept by the University of Iowa Children's Hospital. Rumaisa and Madeline are the smallest and second smallest surviving babies born in the United States. And Rumaisa and her twin sister, Hiba, are the world's smallest surviving twins. (Hiba weighed 1 pound, 5 oz. at birth).
Of the 85 smallest surviving babies in the United States, three were born at Loyola and five others were cared for by physicians trained at Loyola.
Lead author Jonathan Muraskas, MD, and colleagues caution that successful outcomes such as Madeline and Rumaisa are not necessarily typical. Many extremely low-birth-weight preemies either do not survive or grow up with severe, lifelong disabilities such as cerebral palsy, mental retardation and blindness.
Comparing other micropreemies with Madeline and Rumaisa could "propagate false expectations for families, caregivers and the medico-legal community alike," Muraskas and colleagues wrote.
Madeline and Rumaisa had several advantages. Female preemies tend to do better than males. They had relatively long gestational ages for their birthweights. And their mothers were given steroids before birth, which helped their lungs and brains mature more quickly.
During their pregnancies, Madeline's and Rumaisa's mothers experienced preeclampsi
|Contact: Jim Ritter|
Loyola University Health System