A Mom’s Journey of High Risk Pregnancy at The Nest, Bangalore
Four surgeries and a health complication during pregnancy had endangered this young woman’s 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.
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.
“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. Ragini’s condition was particularly delicate because she was pregnant and any complication could be harmful to the mother and baby.
“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, Ragini’s sepsis also resolved and she was discharged, while the baby was monitored at the hospital and was discharged after few days.
“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.