December 16th, 2025
10:04am
Good morning! Would appreciate everyone’s prayers for Hannah and the baby. Hannah seemed to go into some mild labor last night and this morning the amniotic sac is trying to come out. We are headed to the hospital. Baby is alive and kicking, but odds are not good if we can't keep it inside mama.
12:47pm
Got the visual examination done. 3-4cm dilated and the diagnosis at this point is preterm labor. Sounds like we will eventually get another room, placed under more long term observation, and will get some opinions on what our options are. Hannah is sore but relaxed and in a bed.
2:02pm
Hannah’s being admitted to the hospital. We are going to pack Hannah full of meds in an attempt to stop labor and also give her meds to prepare for if we can’t get labor to stop.
Nicu Consult Note by Dr. Kato
5:29pm
I had the opportunity to speak with Ms. Drzycimki and her partner about the possible need to deliver her pregnancy at a preterm, peri viable gestation. Ms. Drzycimki is a 23 year old G2 female who was admitted with concerns of preterm labor and cervical dilation. I opened our conversation by defining term, and varying degrees of preterm gestations and explained that this is the most extreme degree of prematurity that we manage. I explained that at this gestational age (22wEGA) the risk of morbidity and mortality are so high that we should consider not resuscitating infant if they are born at 22 weeks EGA, so that they do not experience futile suffering. I described the modifiable and non modifiable risk factors that impact survival and I acknowledged the potential ambiguity surrounding our assessment of these factors. I gave the parents opportunity to ask questions and they felt they had enough information to make an informed decision.
Ms Drzycimki and her partner agreed that they do not want to cause their baby undue suffering; however they wish for their baby to survive and do well. Family requests resuscitation at birth if infant is born at 22 weeks. Although the gestation is low, we are encouraged by the most recent EFW, the timely administration of betamethasone, and mother's admission to an L/D connected with a level IV NICU.
Assessment
Anticipated potential delivery of peri viable baby
Plan for resuscitation and trial of intensive care
Plan
High Risk to Delivery
Admission to NICU after stabilization
Hugo Kato MD
Altogether I spent 80 minutes seeing the patient and discussing the plan of care. more than 50% of that time was spent on counseling and coordination of care.
Electronically Signed On 12/16/25 17:29
Kato, Hugo Kiyochi, MD
Mark Drzycimski’s Update
8:14pm
Got an update on Hannah and baby from Will tonight. Hannah is resting at the hospital, medicated, and the cramps/contractions have slowed down. So that's good. She's going to be there for a few weeks at least. Estimates for the baby's age is 19-22 weeks, and they need to make it to at least 24 weeks for a viable birth. With the current position of the baby, if labor proceeds they will need to do an emergency c-section.
Will was headed back to their camper to be with Priscilla for the night. Andrew and Iris are in El Paso also — Iris is staying with Hannah at the hospital tonight.
Please be praying that Hannah gets rest, that the contractions continue to subside or stop altogether, wisdom for the doctors, peace for the whole family (Priscilla especially), and ultimately a healthy pregnancy. Also we should be very thankful that this all came about while they were all still in El Paso, and that Andrew and Iris were there to help.