KIMS O&G experts create history, turn high-risk twin pregnancy to a safe delivery : Ommtv

KIMS O&G experts create history, turn high-risk twin pregnancy to a safe delivery : Ommtv

Bhubaneswar, January 6: Pravati Beura, a 31-year-old mother from Kendupatna in Odisha’s Cuttack district is perhaps the happiest woman on Earth. Thanks to the untiring efforts of the experts at the Department of Obstetrics and Gynecology of Kalinga Institute of Medical Sciences (KIMS), Pravati has become a proud mother now, even though one of her twin pregnancies was stillborn on October 29th, but after 52 days of the incident, the second foetus, was delivered safely by the doctors.This is perhaps the first of its kind in Odisha and “a rarest of the rare case’’ in which after the expulsion of first twin at 23 weeks of gestation the pregnancy continued with the second twin up to 31 weeks and two days. This unique distinction has brought KIMS to the limelight once again for its unique facilities in handling high-risk pregnancies, backed by a competent and able neonatal backup infrastructure with the neonatal intensive care unit (NICU) of its Paediatrics wing.Pravati lost her first foetus on October 29th, a female child of 550 grams only as she was admitted with some complicacies following her IVF pregnancy. Still, though she was having uncontrolled diabetes, obesity and hypothyroidism, the gynecologists took a huge challenge to save the other twin and kept the mother under strict antiseptic regimen, constant supervision and monitoring till she delivered the second foetus, a male child, on December 19 with 1,370 grams. Still in, NICU the baby, however, is doing exceptionally well along with her happy mother.

HOW RISKY IT WAS?

From medical literature world over and India it is seen that in India such high-risk twin pregnancies were managed two or three cases and there was not a single instance from Odisha.“The two gestational sacs in the mother’s womb in Pravati’s case was an added advantage for us, due to a twin foetus and following the birth of still-born baby girl on October 29 we took the risk with all precautions and wanted to monitor the mother, the foetus and her parameters. The challenge was more as the mother had come from an outside IVF centre with a hope that we are the best managers during such cases in Odisha,’’ said Prof Jyotshnamayee Panda, HoD of O&G Department.``Another greater challenge was the placenta of the first delivery did not come out and some other complications occurred and still we did not give up and were successful in having the success natural delivery of the second foetus,’’ said Prof Pramila Jena, a leading Faculty member of the Department, who carried out the delivery.

PATIENT CARE & SAFETY ON PRIORITY

The faculty members of O&G at KIMS are of the opinion that the basic philosophy of patient safety and patient care has always been a top priority and hallmark of KIMS and with a proven track record majority of the high-risk pregnancies are thus, finding their ways to the O&G Department. The second assurance is always there from a highly successful team of neonatologists at the Paediatrics Department, who put all their energy in helping in the survival of premature babies.“We already have a High-Risk Pregnancy Monitoring Committee at KIMS. As the medical college believes in a collective decision-making process for better safety for the mothers and their children, active participation from O&G, Paediatrics (neonatologists) and support from NICU have made the process of handling the challenge of high-risk pregnancies, more smooth and technically valid,’’ explained HoD Prof Panda.

HOW IS THE BABY?

As the team of Neonatalogists of Dr Santosh Panda and Dr Manas Nayak are leading the neonatal backup process at KIMS after the delivery, the baby and its mother, both are doing fine. ``Just after the childbirth on December 19 the baby had some mild respiratory distress as it was only 1,370 grams. After oxygenation of 48 hours the baby is fed through the nasal route. However, once it reaches 1,750 gram it can feed through its mouth and following observation both the mother-child can be released,’’ said Neonatalogist Dr Manas Nayak.The mother, Pravati, in her reaction, said "I had lost all hopes after knowing the fate of the first child, but the O&G experts and pediatricians of KIMS have done a miracle and could save the second child. I am really indebted to them."

୫୨ ଦିନ ବ୍ୟବଧାନରେ ଯାଆଁଳା ଶିଶୁ ଜନ୍ମ
ସଙ୍କଟାପନ୍ନ ଅବସ୍ଥାରେ ମାଆ ଓ ଶିଶୁଙ୍କ ଜୀବନ ବଞ୍ଚାଇଲେ କିମସ ଡାକ୍ତର
ଗର୍ଭରେ ଯାଆଁଳା ଶିଶୁ ଥିବା ନେଇ ଜଣା ପଡ଼ିବା ପରେ ଗତ ଅକ୍ଟୋବର ମାସରେ ଜଣେ ମହିଳା ପ୍ରଥମ ମୃତଶିଶୁକୁ ଜନ୍ମ ଦେଇଥିଲେ। ଅନ୍ୟ ଶିଶୁଟି ଡିସେମ୍ବର ମାସରେ ଜନ୍ମ ଗ୍ରହଣ କଲା। ଦୀର୍ଘ ୫୨ ଦିନ ଧରି କିମସ ଡାକ୍ତର ଅକ୍ଳାନ୍ତ ପରିଶ୍ରମ କରି ମାଆ ଓ ଶିଶୁର ଜୀବନ ବଞ୍ଚାଇବାରେ ସଫଳ ହୋଇଛନ୍ତି। ମାଆ ମେଦବହୁଳତା, ଥାଇରଏଡ ଓ ମଧୁମେହ ରୋଗରେ ପୀଡ଼ିତ ଥିଲେ ମଧ୍ୟ କିମସ ଡାକ୍ତରଙ୍କ ଯୋଗୁଁ ନୂଆ ଜୀବନ ପାଇ ଉଭୟ ମାଆ ଓ ଶିଶୁ ଏବେ ସୁସ୍ଥ ଅଛନ୍ତି। ସବୁଠାରୁ ଗୁରୁତ୍ୱପୂର୍ଣ୍ଣ କଥା ହେଉଛି ମାଆ ଆଇଭିଏଫ୍‍ ପ୍ରକ୍ରିୟାରେ ଗର୍ଭଧାରଣ କରିଥିଲେ। ଓଡ଼ିଶା ସ୍ୱାସ୍ଥ୍ୟସେବା ଇତିହାସରେ ଦୀର୍ଘ ବ୍ୟବଧାନରେ ଯାଆଁଳା ଶିଶୁ ଜନ୍ମ ଗ୍ରହଣ କରିବା ବିନା ଅସ୍ତ୍ରୋପଚାରରେ ପ୍ରସବ ହେବା ପ୍ରଥମ ଘଟଣା।
କଟକ ଜିଲ୍ଲା କେନ୍ଦୁପାଟଣାର ପ୍ରଭାତି ବେଉରା (୩୧)ଙ୍କ ଗର୍ଭ ଯନ୍ତ୍ରଣା ହେବାରୁ ଗତ ଅକ୍ଟୋବର ୨୮ତାରିଖରେ ସେ କିମ୍ସର ଡାକ୍ତରଙ୍କୁ ସାକ୍ଷାତ କରିଥିଲେ। ପରୀକ୍ଷା ପରେ ପ୍ରଭାତିଙ୍କ ପେଟରେ ଯାଆଁଳା ଶିଶୁ ଥିବା ଜଣାପଡ଼ିଲା ଓ ଅକ୍ଟୋବର ୨୯ତାରିଖରେ ପ୍ରଭାତିଙ୍କ ସାଧାରଣ ପ୍ରସବ ହୋଇ ଏକ ମୃତଶିଶୁ କନ୍ୟା ଜନ୍ମ ହୋଇଥିଲା। ଅନ୍ୟ ଶିଶୁଟି ଅପରିପକ୍ୱ ଥିବାରୁ ଓ ସାଧାରଣ ଭାବେ ପ୍ରସବ ନନେବାରୁ ଡାକ୍ତରମାନେ ତାକୁ ପ୍ରଭାତିଙ୍କ ପେଟରେ ଯତ୍ନ ସହକାରେ ଚିକିତ୍ସା ମଧ୍ୟରେ ରଖିବାକୁ ବାଧ୍ୟ ହୋଇଥିଲେ। ମାଆଙ୍କଠାରେ ମେଦବହୁଳତା, ଥାଇରଏଡ ଓ ମଧୁମେହ ଆଦି ସମସ୍ୟା ଥିଲେ ମଧ୍ୟ ଡାକ୍ତରମାନେ ଜୀବନ ରକ୍ଷାକାରୀ ଔଷଧ ଜରିଆରେ ଉଭୟ ମାଆ ଓ ଛୁଆର ଯତ୍ନ ନେଲେ। ଆଇଭିଏଫ୍‍ ପ୍ରକ୍ରିୟାରେ ଗର୍ଭଧାରଣ ହୋଇଥିବାରୁ ଉଭୟ ଶିଶୁଙ୍କ ଗର୍ଭନାଡ଼ ଅଲଗା ହୋଇଯାଇଥିଲା। ଏହାର ସୁଯୋଗ ନେଇଥିଲେ କିମସ ଡାକ୍ତର ଓ ଉଭୟ ମାଆ ଓ ଶିଶୁଙ୍କୁ ବଞ୍ଚାଇବାରେ ସଫଳ ହୋଇଥିଲେ। ଡିସେମ୍ବର ୧୯ରେ ଦୀର୍ଘ ୫୨ ଦିନ ବ୍ୟବଧାନରେ ଅନ୍ୟତମ ପୁତ୍ର ସନ୍ତାନ ପ୍ରସବ କରିଥିଲେ। ମୃତଶିଶୁ କନ୍ୟା ୫୫୦ ଗ୍ରାମ ଥିବା ବେଳେ ପୁତ୍ର ସନ୍ତାନଟି ୧୩୭୦ ଗ୍ରାମ ରହିଛି। ଏବେ ଶିଶୁଟି ଏନ୍ଆରଇସିୟୁରେ ରହିଛି। ଏଭଳି ଏକ ବିରଳ ଚିକିତ୍ସାକୁ ଚ୍ୟାଲେଞ୍ଜ ଭାବେ ଗ୍ରହଣ କରିଥିଲେ କିମସ ସ୍ତ୍ରୀରୋଗ ବିଭାଗୀୟ ମୁଖ୍ୟ ଡା ଜ୍ୟୋତ୍ସ୍ନାମୟୀ ପଣ୍ଡା, ଡା ପ୍ରମିଳା ଜେନା ଓ ତାଙ୍କ ଡାକ୍ତରୀ ଦଳ। କିମସରେ ଅଧିକ ବିପଦ ସମ୍ଭାବନା ଥିବା ଗର୍ଭବତୀ ମହିଳାଙ୍କ ଚିକିତ୍ସା ପରିଚାଳନା ପାଇଁ ଏକ ହାଇରିସ୍କ ପ୍ରେଗନାନସି ମନିଟରିଂ କମିଟି ରହିଛି। ଏହି କମିଟିରେ ବିଭିନ୍ନ ବିଭାଗର ବିଶେଷଜ୍ଞମାନେ ରହିଛନ୍ତି। ଏହି କମିଟି କିମସ ମୌଳିକ ରୋଗୀ ଚିକିତ୍ସା ନୀତି ଆଧାରରେ ଏଭଳି ଗର୍ଭବତୀ ମହିଳାଙ୍କ ଚିକିତ୍ସା ଓ ଯତ୍ନ ନିମନ୍ତେ ସମୟକୁ ସମୟ ଆବଶ୍ୟକ ନିଷ୍ପତ୍ତି ନେଇଥାନ୍ତି ।
ଉଭୟ ମାଆ ଓ ଶିଶୁ ସୁସ୍ଥ ଥିଲେ ମଧ୍ୟ ଶିଶୁର ଓଜନ ବଢ଼ି ୧୭୫୦ଗ୍ରାମ ହେବା ପର୍ଯ୍ୟନ୍ତ ଆଉ କିଛି ଶିଶୁକୁ ନିରୀକ୍ଷଣରେ ରଖାଯିବ ବୋଲି କିମସ ଶିଶୁରୋଗ ବିଶେଷଜ୍ଞ ଡା ସନ୍ତୋଷ ପଣ୍ଡା ଓ ଡା ମାନସ ନାୟକ ପ୍ରକାଶ କରିଛନ୍ତି। ଏଭଳି ଏକ ବିରଳ ସଫଳ ଚିକିତ୍ସା କରିଥିବାରୁ କିଟ୍‍ ଓ କିସ୍‍ ପ୍ରତିଷ୍ଠାତା ଅଚ୍ୟୁତ ସାମନ୍ତ ସଂପୃକ୍ତ ଡାକ୍ତରୀ ଦଳକୁ ସାଧୁବାଦ ଜଣାଇବା ସହ ଉଭୟ ମାଆ ଓ ଶିଶୁଙ୍କ ଆରୋଗ୍ୟ କାମନା କରିଛନ୍ତି।