A TWIN CHALLENGE

 


A 35 year old lady had been presented at Ruby General Hospital with complaints of pain abdomen, pre-eclamsia (A dangerous pregnancy complication characterized by high blood pressure) induced by her twin pregnancy and had been admitted under the expert care of Dr. Ayan Mukhopadhyay (Consultant Gynaecologist). This required careful management, timely investigations and faith in the caregivers. The lady with RH negative, Gestational Diabetes Mellitus (GDM), pre-eclampsia, fatigue and abdominal cramps had been potentially life threatening complications and delivery of her twins were a nightmarish challenge. After detailed discussion with the family members and with informed and written consent the lady had been posted for caesarean section. During surgery the lady had severe complications and adhesions (Band of scar tissues that joins two surfaces of the body that are usually separate) made the abdominal route delivery of the twins a Herculean task for the surgeon. However, the babies had been delivered, both cried at birth and was handed over to the attending Paediatrician. There was not even enough space to put stitches on the uterus to close the gap after delivery along with a risk of blood loss and life threatening post delivery haemorrhage. Post surgery the blood pressure had been quite high and required special medicines which had been administered with multipara monitoring. The postoperative period had been uneventful. Finally, both mother and her twins went home completing the family.


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