High Risk Pregnancy (1)

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A Moms Journey of High Risk Pregnancy
TheNest.In
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Four surgeries and a health complication during
pregnancy had endangered this young womans life.
But path-breaking care by gynaecologists at
Fortis Hospitals has ensured she is today a proud
mother to a beautiful baby girl. For years,
28-year-old Ragini (name changed) struggled with
painful gynaecological problems and even
underwent multiple surgeries. Her medical
complications had taken a major toll on her body
at a young age. So when she finally conceived
through In-vitro fertilisation (IVF) earlier this
year, all she wanted was a comfortable and
uneventful pregnancy. But it turned out
otherwise. At 28 weeks of pregnancy, Ragini
developed acute pain in the abdomen and incessant
vomiting that kept getting worse. She was
diagnosed with obstruction in the small intestine
and was treated at a local hospital with
medications but to no avail. Ragini was brought
to Fortis Hospitals in Banerghatta Road in a
delicate condition. The joint efforts of expert
doctors in the gastro-intestinal and gynaecology
departments helped put this young expectant
mother on the path to recovery and ensured the
safe delivery of her little baby girl.
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THE HISTORY A working woman, Ragini had been
coping with endometriosis (a painful condition
wherein the tissue lining the womb is found
outside the uterus) for a few years and was under
treatment at a local private hospital. In 2012,
doctors at the hospital performed a laparotomy (a
surgical procedure where a large incision was
made through the abdominal wall to gain access
into the abdominal cavity) to remove an
endometrial cyst. But her troubles were far from
over as about a year ago she underwent another
procedure for endometriosis. Unfortunately, the
second day after surgery, she suffered immense
bleeding and had to come under the knife again.
The problem seemed to have been resolved and
Ragini finally conceived in her second cycle of
IVF and her consulting doctor had also performed
a cervical stitch to prevent abortion.
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THE EMERGENCY After I conceived, we were all
very happy and for some time, I did not have any
problems. Suddenly in the seventh month of
pregnancy, I developed severe pain in the abdomen
and also had vomiting. We went to the same local
hospital which we had consulted earlier and I was
given painkillers and other medications but my
condition did not improve. On the third day, I
had fever and also breathing difficulties. We
were referred to Fortis Nagarbhavi where, after
detailed investigations including ultrasound and
CT scan, doctors diagnosed it as an intestinal
obstruction and I was shifted to Fortis Hospitals
at Bannerghatta road for further management,
informs Ragini. An intestinal obstruction occurs
when the small or large intestine is blocked. If
intestinal obstruction happens, food, fluids,
gastric acids, and gas build up behind the site
of the blockage and if enough pressure builds up,
the intestine can rupture. Raginis condition was
particularly delicate because she was pregnant
and any complication could be harmful to the
mother and baby.
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When she was brought to our hospital, she had
also developed sepsis and her platelet count was
very low at 60,000. She was admitted and
monitored in the MICU. We also kept a close watch
on the condition of the foetus. She was operated
upon by Dr.Shabeer Ahmed, gastro-intestinal and
laparoscopic surgeon to treat the obstruction.
Steps were taken to reduce the sepsis and bring
her platelet count to normal level. It was a high
risk pregnancy in only 28 weeks and precious at
the same time, that is why we decided to wait and
monitor instead of doing a Caesarean section
delivery. Moreover she had already undergone so
many operations, explained Dr.Anu Sridhar,
consultant gynaecologist at The Nest. Dr. Anu
and her team kept a close watch on the expectant
mother, equipped to deal with any emergency. On
the fourth day, Ragini went into labour. The
cervical stitch was removed and she had a normal
delivery within three hours, giving birth to a
baby girl. As the newborn was extremely
premature, she was kept in an incubator and was
monitored in the NICU. After some days, Raginis
sepsis also resolved and she was discharged,
while the baby was monitored at the hospital and
was discharged after few days.
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The pain and discomfort is gone and I am feeling
much better now. We are glad to being blessed
with the small little girl, said Ragini.
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Thank You