A 24-week-old fetus saved using Amnio Patch and Amnio Infusion technique.
About the Patient and condition
The 24 week pregnant woman came to Apollomedics Super Specialty Hospital, Lucknow with her amniotic membrane damaged and all the fluid drained out. Patient previously had two miscarriages and this pregnancy was important for her.
“Amniotic fluid is a pale yellow colored fluid that protects the developing fetus in the womb and also helps it move easily, along with helping the child’s lungs, hands and feet to develop properly. If for some reason the fluid membrane bursts, then the lack of amniotic fluid restricts the growth of lungs, and the hands, feet and mouth of the child start to shrink. In this situation, even if the pregnancy is extended for some time, due to the increased pressure on the lungs of the newborn, he may have lung diseases for life. The biggest challenge in this case was how to prolong the pregnancy and how to restore the fluid for the complete and safe development of the fetus. To save the child, the technique of amnio patch and amnio infusion was used wherein, fluid is injected into the amniotic membrane, but due to damage to the membrane, the fluid does not stop in it. So, we adopted a research base technique where platelet rich plasma and cryoprecipitate were also injected, which seals the hole in the membrane and then fluid is poured from above, stopping the fluid from leaking for a few days. The case was quite complicated due to which an ultrasound guided needle was inserted into pockets of 2-3 millimeters to insert platelet rich plasma.” said Dr Bhumika Bansal, Specialist of Gynecology and Obstetrics and Fetal Medicine at Apollomedics Super Specialty Hospital, Lucknow.
Dr Anubhav, Paediatrician & Neonatologist said, “Prematurely born new-borns face many problems. However, since this pregnancy was extended to 3 to 4 weeks the child had less complications. When the child was born, his lungs were substantially expanded and there was no shrinkage of any kind in his hands, feet and mouth because there was no shortage of water around the baby even after leakage of amniotic fluid. After birth he was kept on a ventilator for only a week. He was given medicines to strengthen the lungs. At our center, the survival rate for children weighing less than one kilo or one and a half kilograms, is up to 90%. And in this case the pregnancy was 29 weeks, in such a case it is 60 to 70 percent.”
Dr. Mayank Somani, CEO and MD, Apollomedics Super Specialty Hospital, Lucknow said, “There are very few centers across the country where the facility of Fetal Medicine is available and where such a high risk pregnancy can be delivered safely. Apollomedics Super Specialty Hospital is a one stop center for high risk pregnancy care and we have a world class NICU. Many premature pregnancies are referred to us from all over the state, which we have been handling quite successfully.”
Expertise at Apollo Hospitals
Apollo Hospital Group is the largest healthcare group in the country which has been providing excellent medical services to the people of the country and abroad for the last 3 decades. Apollomedics Super Specialty Hospital, Lucknow is providing all the super specialty services under one roof to the people of the state and around. Kidney Transplant, Liver Transplant, Brain Stroke Management, complete treatment of all types of cancer as well as world class ICU and 24×7 Emergency & Trauma facilities are in Lucknow. People had to move to big cities like Delhi, Mumbai, for such facilities, but not anymore. Recently, Apollomedics Super Specialty Hospital, Lucknow also started organ transplant surgery by living donor and dead donor (brain dead) method.
Apollo Hospitals – Touching Lives
Apollomedics Super Specialty Hospital, Lucknow has continuously been saving lives with ultra-modern technology since its inception. The experts at Apollomedics Super Specialty Hospital have performed many complex surgeries, which weren’t possible at other hospitals. Some of these surgeries may be considered medical miracles too.
Patient and her family were delighted to see the new born baby and thanked the entire team of Apollo Hospitals.