Today Jacob had a head ultrasound to check for brain bleeding called an IVH (Intraventricular Hemorrhage). Nearly all IVH's occur within the first three days of a preemie's life and this is one of the most serious conditions that a preemie can develop. The report came back good and Jacob does not have any bleeding going on. The fact that he arrived via c-section was probably a huge blessing and helped him avoid this. They will probably do a head ultrasound again within 7-10 days of birth to make sure that there is still nothing going on, but this was a huge hurdle.
Jacob also had an Echo today to look for a PDA. This occurs in 40-50% of all preemies born between 23 and 25 weeks. This condition occurs when the ductus arteriosus, a blood vessel near the heart which is supposed to close within the first few days after birth, remains open. This is treated first with medicine, which usually works, and then with surgery if necessary. The doctor does hear a murmur when he listens to Jacob's heart, but right now it is so small it does not warrant the medication. They will continue to monitor it until it (hopefully) closes on its own. If it appears to get louder they will discuss putting him on the meds.