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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UP: Misled by GPS navigation, car falls into river from partially constructed bridge, 3 dead
Bareilly (UP), Nov 24: Three people died when their car fell into the Ramganga river from a partially constructed bridge here on Sunday, police said, adding that they suspect the driver was misled by its navigation system into taking the unsafe route.
The accident occurred around 10 am on the Khalpur-Dataganj road when the victims were travelling from Bareilly to Dataganj in the Badaun district, they said.
"Earlier this year, floods had caused the front portion of the bridge to collapse into the river, but this change had not been updated in the system," Circle Officer Ashutosh Shivam said.
The driver was using a navigation system and did not realise that the bridge was unsafe, driving the car off the damaged section, the police said.
There were no safety barriers or warning signs on the approach to the damaged bridge, leading to the fatal accident, Shivam said.
Upon receiving information, police teams from Faridpur, Bareilly and Dataganj police station rushed to the spot. They recovered the vehicle and the bodies from the river, Shivam added.
The circle officer said that bodies had been sent for post-mortem. Further investigation into the matter is underway.
— Bareilly Police (@bareillypolice) November 24, 2024
