Pregnancy

Update about the HealthWorld

We have well trained staff to take care of the mother during surgery. There is a well equipped labour room with facilities to conduct deliveries. There are separate first stage, second stage, postnatal, neonatal sections. Facilities to manage emergencies like APH, PPH, Ecclampsia, preterm labour, etc are also well set up.

The term “high-risk pregnancy” describes a case where a pregnant woman has one or more factors that could put her or the fetus at risk for health problems.

In general, a pregnancy may be considered high risk if the pregnant woman is :

  • 35 years old or older
  • 17 years old or younger
  • underweight or overweight prior to becoming pregnant
  • pregnant with more than one fetus
  • has gestational diabetes
  • has gone into premature labor
  • has had a premature baby
  • has had a baby with a birth defect, especially heart or genetic problems
  • has high blood pressure, heart disease, diabetes, lupus, asthma, a seizure disorder, or another longstanding medical problem

Even though its multispecialty Nursing Home, we focus mainly on HIGH RISK PREGNANCIES

RECURRENT PREGNANCY LOSS CENTRE :

Recurrent Pregnancy Loss is defined as loss of two or more pregnancies. It affects 1% of all pregnancies. It has profound psychological impact not only on the patient, her familybut also on the doctor. Just like infertility, recurrent pregnancy loss has become a social issue. Need of the hour is awareness among the public to approach specialist in RPL. This field is near and dear to Dr.Sharmila’s heart. Having tasted the sweet outcome she handles such cases with great interest and enthusiasm. Giving birth to an offspring remained an unfulfilled dream to many women till they met Dr Sharmila.

OTHER SPECIALITIES :

Primary focus is high risk pregnancies and recurrent pregnancy loss. Yet to complete circle of healthcare provider to her patients SNH also has other specialities related to obstetrics andGynecology like colposcopy, myomectomy, hysterectomy [ open, vaginal and laproscopic ] Hysteroscopy both diagnostic and invasive as in case of uterine septum is also done during workup of infertile couple.

Some of other high risk pregnancy cases we handle are as follows:

  • Recurrent abortions
  • Hypertension complicating pregnancy
  • Diabetes complicating pregnancy
  • Anaemia complicating pregnancy
  • ITP complicating pregnancy
  • SLE complicating pregnancy
  • APL complicating pregnancy
  • Pregnancy with uterine anamolies and tumours
  • Previous congential anomolies
  • Previous intra uterine death
  • Intra uterine growth retardation
  • Cervical incompetence
  • Placenta praevia

Few high risks cases managed by us are briefed hereby,

MRS.G : 27 years old Mrs. G reported to us with previous one Thalassemia major ( baby died ) and MTP done once since CVS showed Thal major. Parents were found to be Thalassemia traits. Hence we suggested CVS ( Chorion Villus smapling ) and the report was Thalassemia  carrier. She continued her pregnancy without any mental agony and delivered a healthy male baby.

MRS.P  : 28 years old Mrs.P reported to us in her 5th month of pregnancy with extreme fatigueness . She was so weak that she could not squat in the toilet or lift her previous baby.  She was found to be anaemic ( resistant to usual treatment ) and also had pigmentation in her face. We diagnosed her as SLE, referred her to rheumatologist and improved very well with treatment and delivered a healthy baby at 38 weeks.

MRS.K : 22 years old Mrs. K admitted at 31st weeks with accelerated Hypertension, SLE and proteinuria ( Lupus nephritis ) and fetal distress. Her BP was 180/120. She also had ascites. Emergency LSCS was done along with draining of ascitic fluid. Patient was under care of Rheumatologist and Nephrologists. Patients was on anti HT and wysolone. BP settled by 2 weeks. Baby was extremely preterm – 1.25 kg with only mild respiratory distress. Patient’s family rejected the option of shifting for NICU care for territory centre. High risk consent obtained. Baby was in our set up for one month and discharged with 1.7 kg. Further follow up was eventful.

MRS.X : Shifted to our nursing home from another hospital at 7 months. She was advised to go to Government hospital in view oh high risks involved. First pregnancy was abortion with uterine perforations. Second was term rupture of uterus and baby died. She was also diabetic (very high blood sugar). She was in our hospital for one month. During 8th month at the onset of mild pain LSCS done with NICU team from Mehta Hospitals. It was again rupture of uterus and we saved the baby. It was a challenging case for us since many nursing homes had refused admission.

MRS.H : Had regular antenatal checkups and got admitted in labour at term. Patient was given antibiotic test dose followed by full dose of antibiotic. Immediately went into anaphylactic shock, bp. Team of doctors immediately resuscitated her. All this time her baby’s heart rate was very low. Priority was mother’s life. Once  patient was stabilized, in view of low heart rate of baby with extreme high risk consent and with all precautions emergency LSCS was done and mother and baby were normal.