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Homearrow News and Events Year 2010 Doctors Pull off Caesarean Delivery of Syphilis Patient

Doctors Pull off Caesarean Delivery of Syphilis Patient

1 April 2010
Ahmedabad, India

Pavitra Jain Pavitra Jain Chowdhary with her son
In their native place Udaipur, doctors had told the family that the child could not be saved and the mother’s life was in danger. Chances that both would survive were negligible. But, this mother and son duo beat all the odds.

Thanks to destiny with a little help from a team of doctors at Rajasthan Hospital, Pavitra Jain Chowdhary, 22, went home with her little son, who had to be delivered through surgery at 28 weeks as the mother became critical enough to endanger both lives.

Pavitra was brought to the hospital from Chittorgarh in Rajasthan after the local doctors gave up on her. When she was admitted, the petite girl was bloated multiple sizes due to severe oedema. She was having severe trouble breathing and her blood pressure shot through the roof. What compounded matters was that she was seven months pregnant.

The team of doctors led by nephrologist KS Iyer, physician Dr Vimal Ranka and gynaecologist Dr Hetal Chowdhary diagnosed that Pavitra was suffering from nephrotic syndrome, a disease of the kidney where patient passes protein in the urine, suffering severe water retention in the body. This, doctors say, may have been triggered by syphilis, a sexually transmitted disease, for which she tested positive.

“To aggressively treat nephrotic syndrome, one needs to use steroid and immunosuppression drugs which are contra–indicated in pregnancy as they may harm the child. This posed a big dilemma, as both the lives of the mother and child were precious,” said physician Dr Ranka.

Gynaecologist Dr Chowdhary said that while they tried to prolong the pregnancy as much as possible, they decided to risk a caesarean section, instead of termination of pregnancy. “This is Pavitra’s first child. Moreover, with a history of nephrotic syndrome and syphilis, there is a possibility that she might encounter difficulty in conception again. So, we wanted to give her a good chance at motherhood,” said Dr Chowdhary.

The child delivered weighed 1.3 kg and had to be admitted in the ICU for three weeks. “The child had to be put on a ventilator as his lungs were not fully developed. He also tested positive for syphilis and has been treated,” said paediatrician Dr Gautam Jain.

Doctors say Pavitra’s greatest asset are her loving inlaws. “Unlike many patients from Rajasthan, Pavitra’s inlaws pulled out all stops to ensure that she got the best treatment. They gave her the strength to cope with the illness and a premature child,” said Dr Chowdhary.

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Source: Times of India

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