![]() The story of the Nadarajah twins puts an unusually sharp line under the medical and moral challenges that arise when women go into labour dangerously early. He was part of the team that cared for the Nadarajah twins during their 5½-month stay at the hospital. Prakesh Shah, Mount Sinai’s pediatrician-in-chief, takes part in morning rounds in the NICU. “He said, ‘If you have the babies even a few minutes before 22 weeks, it’s going to be a death sentence for them.’” Rajendram in a way that is seared in her memory. If she delivered afterwards, two resuscitation teams would try to save their lives.Ī doctor explained the plan to Ms. Rajendram delivered before midnight, Mount Sinai staff would ensure the twins died comfortably. Rajendram reached 21 weeks and six days, Mount Sinai agreed to admit her. It also has a standard, however, mutually agreed upon by the neonatology staff, that it will not provide intensive care to babies born earlier than 22 weeks. It has a track record of saving infants born at the precipice of viability. Mount Sinai Hospital, located in downtown Toronto, is home to one of the most sophisticated neonatal intensive care units in the country. Push for a transfer to Mount Sinai, she texted. Nadarajah reached out to the group’s Canadian co-founder for advice on what to do next. Nadarajah to the Instagram account of TwentyTwo Matters, a group that advocates for babies born in the 21st, 22nd and 23rd week of pregnancy – infants so small and fragile that, until the last decade, most Canadian hospitals offered them nothing more than a comfortable death in their parents’ arms. Kevin Nadarajah and Shakina Rajendram, seen here with their dog, Eden, were thrilled when they learned Ms. She and her husband, both devout Christians, prayed that her labour would slow down enough to give the twins a chance. There were her babies, safe inside her, their hearts thumping away. “The doctor kept asking us: Do you understand you’ve lost the babies?” Ms. Death is inevitable if the baby isn’t put on a ventilator right after birth, and even then, the odds of survival are so slim that few hospitals in the world are willing to try. The babies are coming too early, he said, and nothing can be done to save them.Īt 21 weeks and five days, a fetus’s skin is like tissue paper, its lungs too immature to draw breath. Rajendram and confirmed she was in labour. The couple drove to the emergency department of their local hospital, where a doctor examined Ms. Nadarajah said, “everything was kind of a blur.” Rajendram called for her husband, who was sipping coffee on the couch next to the couple’s Bernese-poodle mix, Eden. She was 21 weeks and five days into her pregnancy, barely halfway to the ideal finish line of 40 weeks.ĭistraught, Ms. Rajendram, then 34, woke to discover she was bleeding. List the inferences you can make about the person who works in this room.The next morning, Ms.Women often get diamond rings when they are engaged. Prior Knowledge: My sister has been dating her boyfriend for three years. Learning to Make Inferences New Information: My sister came home from a date with a diamond ring on her finger. ![]() For example, if you walk into your classroom and see an answer sheet on each desk, you might infer that you’re going to have a test.You make many inferences every day, probably without even knowing it. You do this by combining what you learn with your prior knowledge.An inference is a logical guess you make by “reading between the lines” of new information.You have to go beyond the facts and think about how the new information affects what you already know. Understanding and evaluating what you read or hear are important first steps in thinking.
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