Thiruvananthapuram, Aug 14: After a brief respite, rains lashed several parts of Kerala on Wednesday under the influence of the 'vigorous' South West Monsoon as the death toll in its second spell rose to 102 with 37 people missing.
Rains, which abated on Monday, battered various parts since Tuesday night with the Met office in its latest update forecasting more showers, including heavy rains in isolated places, in the next few days and warning fishermen not to venture into sea.
Chalakudy in Thrissur received 17 cm rains on Wednesday, followed by Peermade in Idukki (15), Cherthala in Alappuzha (13), Agathi (Lakshadweep) and Enamackel, Thrissur (12 each), the Met department said.
A government update at 5 PM said a total of102 people lost their lives across the state in floods and landslides, triggered by the second spell of monsoon, since August 8.
Though people have started shifting to their homes in many places, there are still 1,89,649 sheltered in 1,119 relief camps.
The Met department in its update for the next 24 hours from 6 pm on Wednesday said the monsoon has been vigorous in most places in the state.
Warning fishermen not to venture into sea, it said strong wind from southwesterly direction with speed reaching 45-55 kmph was likely along and off Kerala coast.
A red alert (extremely heavy rains) had been issued for three northern districts of Malappuram, Kannur and Kozhikode, which bore the brunt of the flood fury and landslides last week, and central district Pathanamthitta was put on high vigil due to torrential rains since last night.
A holiday was declared for educational institutions in 11 of the 14 districts in the state on Wednesday.
The state government announced a package of flood compensation with an immediate financial aid of up to Rs 10,000 each to all calamity-hit families, who had suffered loss in the flash floods and unprecedented landslides triggered in the second spell of monsoon.
After chairing a cabinet meeting, Chief Minister Pinarayi Vijayan said a total of Rs 4 lakh compensation would be given to those whose houses had been fully damaged or had become inhabitable and Rs 10 lakh to those who had lost their house as well as land.
Compensation would also be given for the crop loss, repair and rebuild of damaged roads and buildings and for the maintenance of drinking water and irrigation projects, he said adding that flood-hit families and fishermen would be given 35 kg free rice.
On Wednesday, a fisherman drowned and three others were rescued when their fishing craft capsized in nearby Vizhinjam.
Despite inclement weather, search operations continued at Kavalappara in Malappuram and Puthumala in Wayanad, where a series of landslides had wiped out two villages last week, to trace those who were suspected to have gone missing.
Malappuram district accounted for most deaths with toll there rising to 42 on Wednesday and 29 people still missing, followed by Kozhikode (17), Wayanad (12 deaths, 7 missing), Kannur 9 and Thrissur 8. One person was missing in Kottayam district.
As per the government update, a total of 11,286 houses have been partially damaged and 1,060 fully damaged.
Chief Minister Vijayan and Congress leader and MP Rahul Gandhi had toured the worst affected districts of Malappuram and Wayanad.
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Mangaluru: In a remarkable feat of medical expertise, a team of doctors, spearheaded by Dr. Sameena Haroon, Chief Physician of the Obstetrics and Gynecology Department at KMC Hospital in Mangalore, successfully performed a challenging delivery procedure, ultimately saving the lives of both mother and child.
The delivery, which employed the innovative "Intrauterine Transfusion" system, proved critical in addressing complications arising from blood group-related issues.
The patient, a 35-year-old woman from Pune, was admitted to KMC Hospital for her third delivery due to complications stemming from blood group incompatibility. With the timely intervention and meticulous care provided by the medical team, she was safely discharged from the hospital, marking a triumph over adversity.
Blood group incompatibility between parents, particularly when one is Rh-positive and the other is Rh-negative, often leads to complications in subsequent pregnancies. These complications arise from the development of antibodies in the mother's bloodstream during pregnancy, posing risks to both mother and fetus. Dr. Sameena Haroon emphasized the impact of such blood group disparities on maternal and fetal health.
The patient's medical history revealed a prior normal delivery four years ago, followed by complications during her second delivery, which tragically resulted in the demise of the infant within a year due to intracranial hemorrhage. Subsequent pregnancies posed heightened risks, necessitating vigilant monitoring and specialized care.
During the current pregnancy, complications emerged at the five-month mark, prompting intensive monitoring. At 30 weeks gestation, an Indirect Coombs Test (ICT) returned positive, indicating depleted iron levels in the blood—a critical concern necessitating immediate intervention to safeguard the fetus. Premature delivery posed risks, including jaundice and intracranial bleeding, underscoring the importance of delaying delivery until the optimal timeframe.
In response to the precarious situation, the medical team executed a challenging intrauterine transfusion procedure to replenish the fetus's hemoglobin levels, thereby mitigating the risk of preterm birth. After two subsequent weeks, delivery at 35 weeks gestation alleviated concerns surrounding low hemoglobin levels in the infant, ensuring a safe outcome for both mother and child.
Dr. Sameena added that the baby was kept under observation and monitoring in NICU for over a week post-delivery where the child received further transfusions before being discharged subsequently.
Dr. Sameena Haroon expressed gratitude for the collaborative efforts of her colleagues, including Dr. Shami Shastri, Dr. Pundalik Baliga, and Dr Mario J Bukelo, whose expertise and teamwork were instrumental in achieving a successful delivery. Despite the complexities posed by the patient's history of fetal loss, the utilization of modern medical advancements and the dedication of the medical team culminated in a positive outcome, with both mother and child discharged from the hospital in good health.
What is intrauterine blood transfusion?
Intrauterine blood transfusion is a complex medical procedure performed during pregnancy to address severe fetal anemia. Through the procedure, the baby in mother's womb is transfused blood.
Before the procedure, the mother undergoes thorough assessments, including ultrasound scans and blood tests. Continuous ultrasound guidance is used throughout the procedure to visualize the fetus, placenta, and the specific blood vessels involved. A thin, specialized needle is carefully inserted through the mother's abdomen and into the amniotic sac, guided by real-time ultrasound imaging. The goal is to reach the umbilical vein of the fetus.
Once the needle is correctly positioned, compatible blood is slowly transfused into the fetus through the umbilical vein. The amount of blood transfused is carefully controlled to avoid overloading the fetal circulation.
This successful delivery at KMC Hospital in Mangalore also marks a significant milestone in medical advancement within the region. The utilization of the "Intrauterine Transfusion" system, under the adept supervision of Dr. Sameena Haroon, signifies one of the pioneering instances of this rare procedure in Mangalore. Dr. Sameena's leadership and expertise, coupled with the collaborative efforts of her medical team, have not only facilitated a positive outcome for the patient and her child but have also expanded the scope of obstetric care in the region.