Ruby and I went to see her pediatrician for her 4 month check up. She is over 10 and half pounds and about 22 inches. This puts her on the chart for a 4 month old, without having to adjust for her age! This means that technically, she is "caught up" for growth, which is just amazing for a preemie born at 32 weeks! Hooray Ruby!
Developmentally she is right on target with smiling, babbling, trying to roll, tracking, turning towards voices, etc. That's always nice to hear. In the next two months we can look forward to rolling over, grabbing objects, and actual laughing. Good times!
We then again discussed the Synagis shots for RSV. I know many preemie moms fight hard to get appoved for these, but after doing my own research I just wasn't feeling good about it. Preemies born before 32 weeks are automatically approved, but those between 32 and 34 weeks must meet criteria. After meeting with Ruby's pulmonologist we confirmed that she has NO lung disease. And since she will not be going to daycare, does not have siblings that may expose her, and does not live with smokers, she has absolutely NO risk factors. So no Synagis shots for Ruby! Instead we will keep up with breastfeeding and lots of hand washing to keep her well this winter. I was happy to hear that my pediatrician and I were on the same page.
Ruby did have to get vaccinations/boosters today. She did cry, but only until I swooped her up and held her close. Poor thing, I feel so bad for her! So we spent most of the day cuddling and napping. Which I have to say, was lovely...