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.


Location: Kolkata, West Bengal, India

Comments

Post a Comment

Popular posts from this blog

Dengue Fever in Kolkata: Symptoms, Treatment, and Prevention

-
Image
  Introduction Dengue fever is a mosquito-borne viral illness that is a major health concern in Kolkata, India. With its tropical climate and dense population, the city is particularly susceptible to dengue outbreaks. This blog post will provide valuable information about the symptoms and treatment of dengue fever in Kolkata, as well as tips on how to prevent mosquito bites and reduce your risk of infection. Symptoms of Dengue Fever High fever Severe headaches Joint and muscle pain Fatigue and weakness Rash Bleeding Vomiting and nausea Mild respiratory symptoms Treatment of Dengue Fever in Kolkata There is no specific treatment for dengue fever . Treatment focuses on relieving symptoms and preventing complications. This may include: Drinking plenty of fluids to stay hydrated Getting plenty of rest Taking pain relievers like paracetamol to reduce fever and pain Avoiding non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and aspirin, as they can increase the risk of bleedi...
Read more

EVEN UNEXPECTED SCARS HEAL WITH PROPER CARE IN TIME

-
Image
  A 46 year old gentleman from Kolkata Police had presented in the Emergency department of Ruby GeneralHospital after a Road Traffic Accident (RTA) with complaints of pain and bleeding from an injury over the right lower limb and was admitted under the care of Dr. Dipanjan Bhadra (Orthopaedic Surgeon) and Dr. Deepanjan Dey (Reconstructive and Plastic Surgeon). After a thorough evaluation, relevant investigations were advised and with proper written and informed consent, the gentleman was posted for surgery. Open Reduction and Internal Fixation (ORIF) of tibia (right) with reconstruction of right leg wound with a fasciocutaneous transposition flap and skin sight on donor defect was done. Fasciocutaneous flaps are tissue flaps consisting of skin and underlying tissues including fascia (A collagen-rich lining tissue) and are used to provide coverage to bones and tendons in surgery when skin grafting is insufficient. They are less bulky and are used for most of this kind of surgery, ...
Read more

AFTER DARKNESS COMES LIGHT

-
Image
  A 40 year old lady had been presented in the Emergency department of Ruby GeneralHospital with complaints of preterm premature rupture of membranes for last 7 days at 27 weeks of pregnancy. The lady had been admitted under the care of Dr. Ayan Mukhopadhyay ( Consultant Obstetrics & Gynaecologist ) and Dr. Aparupa Ghosh (Consultant Obstetrics & Gynaecologist) and after relevant investigation, the USG report revealed nil liquor. The consultants were faced with multiple challenges, on one hand there was a possibility of chorioamnionitis (A serious condition in pregnancy when the membranes that surround the foetus and the amniotic fluid are infected by bacteria), extreme prematurity along with nil liquor and on the other hand there were every chances of foetal respiratory distress due to immature lungs. The problems became manifold when the patient’s blood sugar reported as high as 370 mg/dl, thus, increasing the chances of an already ongoing chorioamnionitis. After a detail...
Read more