Viability. Such a cold term for such a sad reality – that there is a point in a baby’s development before which he cannot survive outside the womb.
Medical advances have pushed the age of viability back further than ever imagined – but it still exists. Babies of a certain age can’t live outside their mothers.
The difficulty is, age of Viability isn’t a magic number. It’s a spectrum. Two babies born at just under 22 weeks have survived (according to Wikipedia) – but 0 out of a hundred babies born under 22 weeks will survive. At 23 weeks, about a quarter of the babies will survive – but most of these survivors will experience some level of disability due to their prematurity. Not until 24 weeks is the chance of living greater than the chance of dying.
For this reason, debate goes back and forth as to how much work to do, how much machinery to use , how much money to spend to try to save a child whose likelihood of living is miniscule.
Daniel Taylor and Ronald Hoekstra’s Before Their Time doesn’t try to debate age of viability or to argue for a standardized approach to caring for a preemie – but it does tell the story of six preemies born within the tenuous period of questionable viability. Four of the six were born at 23 weeks, while two – twins – were born at 25 weeks. In addition to being born with low viability, each of these children was cared for by Dr. Hoekstra, a neonatalogist, at Minneapolis’s Children’s Hospital and Clinic.
When I first started reading Before Their Time, I was impressed to learn that Dr. Hoekstra was a believer. I know what a comfort it is to have a believing doctor in a time of crisis.
When I was on bedrest, preparing to deliver a premature baby (although nowhere near as premature as the babies in this book), I asked to have a neonatalogist visit me in my hospital room to discuss what would happen after I delivered. One of the neonatalogists came by to answer my questions – many of which were about what to expect if my baby were born at a particular point in my pregnancy or another. The doctor explained the many variables that influence outcomes in a preemie, and then, nodding to the Bible sitting on my bedside table, said, “I see that you are a person of the Book. Pray. God is the one who ultimately determines what will happen.”
I had only minimal interactions with that doctor – another doctor cared for Tirzah Mae and we mostly got updates through one of the neonatal nurse practitioners. But just knowing that one of the doctors in the practice was a believer was a great encouragement.
As I read further, reading story after story of people of faith (some more in line with my own theological bent, some less), I realized that this was a Christian book. I finally got around to reading the back cover of the book (Yes, I selected it to read based solely on the title and the reality that it was a book my library owned about preemies) and discovered that the book was published by InterVarsity Press. That made so much sense.
Yet this isn’t a theological treatise, it isn’t even a book of “testimonies”. It’s stories. Honest stories about moms and dads making tough decisions. Doubting. Believing. Fearing. Rejoicing. Grieving. It’s about how tiny babies, with dozens of difficulties, affected their families, their communities. It’s about how families and communities affected tiny babies.
It’s beautiful.
I am so very glad that I read it.
Rating: 4 stars
Category: Stories of premature babies
Synopsis: The stories of six children born on the edge of viability – and the stories of their families, caregivers, and communities.
Recommendation: If the subject matter interests you at all, it’s definitely worth reading.