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Mumbai: After three unsuccessful deliveries, woman with Rheumatoid Arthritis and Hypertension successfully gives birth to baby

Updated on: 04 September,2024 01:45 PM IST  |  Mumbai
mid-day online correspondent |

Unfortunately during her fourth pregnancy, the woman was diagnosed with Complete Placenta Previa and raised blood pressure, requiring her to be on bed rest throughout the duration. At around 30 weeks, she experienced heavy bleeding, prompting her to be admitted to the hospital again, but ended up delivering the baby successfully

Mumbai: After three unsuccessful deliveries, woman with Rheumatoid Arthritis and Hypertension successfully gives birth to baby

Image for representational purpose only. Photo Courtesy: istock

In a heartening tale, a pregnant woman, who was dealing with Rheumatoid Arthritis and Hypertension, has given birth to a premature baby girl weighing 1.6 kg, after which she needed NICU management for 35 days.
 
Rinki Yadav, a 37-year-old woman who visited Wockhardt Hospitals in Mira Road with a history of Rheumatoid Arthritis, which she had been managing since 2015. She had experienced several miscarriages in the past. She got married on December 15, 2018, and got pregnant in September 2019, which ended in a miscarriage at 7 weeks with a spontaneous abortion. She immediately conceived again in November 2019, but unfortunately, this pregnancy also ended in a miscarriage at 7 weeks due to a Blighted Ovum. Her third pregnancy in April 2021 resulted in another miscarriage at 9 weeks, and further diagnosis revealed a Chromosomal abnormality, specifically Trisomy 21 (Down Syndrome)
 
In September 2023, Yadav conceived for the fourth time and because of high risk pregnancy, she was strictly monitored throughout the pregnancy at the hospital. Unfortunately during this fourth pregnancy, she was diagnosed with Complete Placenta Previa and raised blood pressure, requiring her to be on bed rest throughout the duration. At around 30 weeks, she experienced heavy bleeding, prompting her to be admitted to the hospital again.

Complete Placenta Previa is a deadly disease for both the mother and the foetus. The risks of severe bleeding in pregnancy can be life-threatening to both mother and the baby There is a 3-4 fold rise in the chance of a newborn death. It affects 0.3-2 per cent of pregnancies with a high risk of preterm labor, low birth weight, and complications at the time of birth.

When she arrived at the hospital's emergency department, the on-duty doctors were prepared to attend to her, having been informed about her condition in advance. She was treated conservatively for 24 hours, where she was given steroid injections and magsulf infusion so that the baby would benefit from lung maturity and prevent further neurological complications. The hospital also conducted relevant investigations to assess the baby's condition. 


For two days, Yadav was kept under complete observation and the baby was monitored. Given the severity of the patient's condition and the potential risks to both her and the baby, the patient underwent a cesarean section. Dr Mangala Patil (consultant obstetrician & gynaecologist), Dr S N Agarwal (consultant senior gynaecologist), and Dr Nitu Mundhra (consultant pediatrician & neonatologist) carried out the procedure. Throughout this process, they had to ensure that the patient and her family were fully informed about the situation and the potential outcomes. As the baby was born prematurely having other complications, she was admitted to the NICU for 35 days to receive the necessary care.
 
Dr Mangala Patil says, “Wockhardt Hospitals in Mira Road is a guiding light for families navigating the complexities of high-risk pregnancies and delicate newborn care needs in North Mumbai. The NICU is well-equipped with State-of-the-Art facilities to cater to emergencies with precision and efficiency. The seamless integration of infrastructure backup ensures that no matter how challenging the situation may be, there is always a robust support system to tackle any unforeseen circumstances swiftly and effectively. The hospital has set new standards in Neonatal care, prioritising successful outcomes without compromising on compassion or quality of service.” 


Yadav concludes, “Having undergone three abortions and experiencing a health crisis, I had little hope for the survival of my baby. Nevertheless, Wockhardt Hospitals in Mira Road defied my expectations. The advanced technology and skilled experts at the hospital turned what seemed impossible into reality. The moment I held my baby for the first time, tears of joy streamed down my face, overwhelming me with happiness. Our delight is immeasurable as our baby not only survived but is thriving, growing, and recognising us with each passing day. We are forever indebted to the team of doctors who saved the life of me and my baby."


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