Mangaluru: Doctors carry rare blood transfusion to baby inside mother's womb
Mangaluru: In a remarkable medical achievement, an Rh ISO immunised baby was successfully discharged after undergoing multiple blood transfusions , including rare intrauterine blood transfusion.
Dr. Ayshath Safoorah,consultant obstetrician and gynaecologist at Lifeline Health Care plus falnir, recognizing the complications of the case, referred the expectant mother to Dr. Murlidhar( fetal medicine )at Father Muller Hospital for ultrasound evaluation of foetal anemia.
After a thorough evaluation, Dr. Murlidhar carried out the intrauterine blood transfusion when the patient was in her 31st week of pregnancy.
The expectant mother, who came to Dr Ayshath Safoorah at 28th week of her pregnancy, faced complications due to antibodies present in her blood against the fetal blood cells ,along with increased blood pressure.
Three weeks following the intrauterine blood transfusion, the mother was induced at 34 weeks and delivered vaginally a preterm girl baby weighing 2.2 kg at Manglore Nursing home on 29th February .Both the mother's health and the baby's condition were closely monitored by the team of doctors at the hospital.
On Sunday, March 10, the newborn has been discharged.
What does positive Indirect Coombs Test mean?
When an Indirect Coombs Test is positive, it means that antibodies against red blood cells are present in the patient's blood serum. The test detects these antibodies indirectly by mixing the patient's serum with red blood cells of a known blood type. If antibodies in the serum react with the red blood cells, it indicates a positive result.
"In the context of pregnancy, a positive Indirect Coombs Test suggests that a pregnant woman has developed antibodies against the red blood cells of her unborn baby. This situation is often associated with Rh incompatibility, where the mother is Rh-negative, and the baby is Rh-positive.Injection Anti D is given after delivery to all Rh negative mothers to prevent this kind of iso immunisation," Dr. Ayshath Safoorah told Vartha Bharati.
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.
"Prior to the intrauterine blood transfusion,the hemoglobin of the foetus was just 4 g/dl. While this situation presented complications of cardiac failure , our medical team implemented measures to ensure a smooth transfusion ," Dr. Murlidhar who has handled cases of intrauterine blood transfusion during his practice abroad, told Vartha Bharati.
"Once the baby was delivered , she needed 2 exchange transfusions and one blood transfusion to combat the rising bilirubin levels due to hemolysis. Throughout the exchange blood transfusion, our medical team comprising Dr Preetham , faced challenges associated with the fluctuating and rising hemoglobin levels of the baby. The unexpected variations required vigilant monitoring and immediate responses to ensure the baby's stability," Dr. Abdul Bashith said while also adding that the team was overjoyed with the successful procedure and to see the baby and mother healthy.
Dr. Abdul Bashith also added that both mother and baby would require follow up at the hospital with their first visit being scheduled after 1 week .
Dr. Abdul Basith thanked and appreciated other members of the team including Manglore Nursing home NICU staffs and management, for their care and support.
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Karnataka Assembly passes bill on Palace Grounds amid opposition protest
Bengaluru, Mar 6 (PTI): The Karnataka Assembly on Thursday passed the Bangalore Palace (Utilisation and Regulation of Land) Bill, reaffirming state ownership over 472 acres and 16 guntas of land here, amid protests by the opposition BJP.
During the discussion, Karnataka Law and Parliamentary Affairs Minister H K Patil said the state government would have to provide Rs 200 crore worth of Transfer of Development Rights (TDR) for each acre of land, which means that for 15 acres, Rs 3,000 crore worth of TDR would be issued.
“If we accept it, then this 2-km stretch of road will become the costliest road in the world. If we accept it then how are we going to develop the city in later stages? How will you carry out development works?” asked Patil.
He also pointed out that this question was raised not only under the Congress government but also during the previous BJP regime.
However, the BJP-led cabinet has opposed the project.
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“Suppose we agree to it then, what will be the valuation of the 472 acres? It will be lakhs and lakhs of crores of rupees. Can we accept?” Patil wondered.
The Minister said the government had previously exercised its executive powers to issue an ordinance, which was approved by the Governor. Now the government is bringing a bill with two amendments.
“In this bill, we have made provisions either to develop or drop the road development work,” Patil explained.
However, BJP state president B Y Vijayendra and BJP MLA Arvind Bellad opposed the move, alleging that the government was targetting Yaduveer Krishna Datta Chamaraja Wadiyar, the scion of the Mysuru royal family, and the BJP MP from Mysuru-Kodagu constituency out of political vendetta.
“We talk of 472 acres of Mysuru Maharaja but here there are many Maharajas who too own 400 acres, 500 acres and thousands of acres of land, which is known to everyone,” Bellad said.
He slammed the Congress government, saying political power should not be misused for personal vendetta.
“Why (the then Deputy Chief Minister) Siddaramaiah brought the law in 1996 pertaining to the Bangalore Palace? Why are you setting eyes on the Bangalore Palace?” he asked.
Vijayendra charged that Wadiyar won the election on BJP ticket so the state government realised that it should acquire it.
“This bill has been brought for political vengeance. We are not discussing whether Rs 3,000 crore is exorbitant or not but the moment Yaduveer became MP, the state government woke up. You should be ashamed. This house should not be used for political vendetta,” he said.
Intervening, Minister Priyank Kharge said Vijayendra should not have raised it because the intention behind building the road was noble.
According to him, the BJP too had the same plan when it was in power.
He sought to know whether thousands of crores of rupees be spent on a road which should have cost significantly less.
In response, BJP MLA B A Basavaraj (Byrathi) said issuing TDR will not be a burden on the state government and appealed to the ruling Congress to reconsider its stance.
Minister Ramalinga Reddy too explained that the Karnataka government acquired the entire land way back in 1996.
The Mysuru royal family went to the High Court, which gave ruling in favour of the state government. The royal family then approached the Supreme Court, where the case is still going on, the Minister pointed out.
“The final judgment is pending in the SC to decide whether the acquisition was right or wrong. If the SC says it’s the royal family’s property then let it be so. If the order is in the state government’s favour then we can take a decision. The bill is only about it,” Reddy explained.
Speaker U T Khader then called for a voice vote and the bill was passed by the Assembly amidst opposition BJP’s discontent.
