Record-Breaking Premature Baby Celebrates Milestone Birthday

A baby born at just 21 weeks of gestation has recently marked his first birthday, achieving recognition as the most premature baby ever recorded by Guinness World Records. Nash Keen, born on July 5, 2024, in Iowa City, entered the world 133 days earlier than his expected due date, weighing a mere 10 ounces (283 grams), about the size of a standard bar of soap.

Following his birth, Nash spent six months in the neonatal intensive care unit (NICU) at the University of Iowa Health Care Stead Family Children's Hospital, where he received extensive medical care. He was finally able to return home to Ankeny, Iowa, in January 2025, much to the joy of his parents, Mollie and Randall Keen.

Mollie Keen shared insights into Nash's vibrant personality, noting that he has been a joyful and curious child since coming home from the NICU. Despite the challenges faced during his early life, Nash has displayed resilience and determination, often bringing smiles to those around him.

Nash's record-breaking status as the most premature baby is a testament to advancements in neonatal care. His birth has highlighted the increasing survival rates of extremely premature infants, thanks to ongoing medical research and improved treatment protocols. Nash surpassed the previous record holder, born a day later in Alabama in 2020.

The Keens faced significant emotional challenges during Mollie's pregnancy, especially after experiencing a previous miscarriage. At a 20-week prenatal checkup, doctors informed her that she was already 2 centimeters dilated, which raised concerns about Nash's viability. However, Mollie learned that the medical staff at the Stead Family Children's Hospital was equipped to provide lifesaving interventions for infants born at 21 weeks gestation. Through medical assistance, Mollie was able to delay her labor until precisely 21 weeks.

In the month following Nash's birth, his medical team worked tirelessly to sustain his fragile life. Mollie expressed admiration for the calm demeanor of the healthcare providers, which helped reassure her and her husband during this tumultuous time.

Dr. Malinda Schaefer, a high-risk obstetrician who played a pivotal role in Nash's delivery, remarked on the significance of his birth within the field of maternal-fetal medicine. While aware of the potential risks Nash faced, she emphasized the importance of open communication with the Keen family to ensure they were fully informed about their options.

As Nash approaches his first birthday, he has encountered some common complications associated with extreme prematurity, including developmental delays. However, his progress has exceeded expectations. Currently, he relies on supplemental oxygen for breathing and is nourished through a feeding tube, with plans to transition to pureed foods soon. Despite not yet crawling, he is actively learning to stand, showcasing strength in his legs.

This remarkable story of Nash Keen serves not only as a celebration of his first birthday but also as a beacon of hope for many families facing similar challenges. The advancements in neonatal care continue to pave the way for the survival and thriving of preterm infants, offering optimism for the future.