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High risk Pregnancy case successfull delivery done

Case Study | High risk Pregnancy - VishwaRaj Hospital
Case Scenario
A case of 31 years female G3A2L0 with 34 weeks of gestation on 01/12/2020 with bad obstetric history and cervical incompetence. She is a registered case of VRH (OBSTETRIC AND GYNAECOLOGY DEPARTMENT) She presented to VRH casualty with complains of leaking per vaginum and threatened pre term labour Obstetric history- G3A2L0 A1- was 2 and a half month spontaneous abortion D & E done. A2- was 5 month PPROM abortion induced and delivered. G3- present pregnancy of 34 weeks of gestation
Great Efforts

Management during delivery – 

  • Prophylactic Os tightening was done at 16 weeks in view of bad obstetric history and cervical incompetence.
  • Patient again presented at 22 weeks with funneling of cervix and bulging of fetal membranes upto the internal Os.
  • This emergency was managed with Emergency Os tightening and was later kept on complete bedrest and supportive management with progesterone and tocolytics.
  • Strict watch kept on her Antenatal care.
  • She again presented with leaking per vaginum and thretend pre term labour at 34 weeks of gestation.
  • Pt monitoring done very closely.
  • Fetal monitoring done continuously
  • In view of pre term baby and bad obstetric history, decision of delivering the patient by cesarean section taken.
  • Procedure was uneventful.
  • Baby cried immediately after birth and shifted to NICU for further care.
Interventions that made the difference

1. Timely management of emergencies
2. Timely intervention for delivery.
3. Speciality for mother and baby care.
4. Speciality in handling the high risk cases.

Mother and baby discharged after 5 days.
About Surgeon –
Dr P N Shinde
MBBS, DGO Head of Department Obstetrics & Gynaecology
dr sushma kunjir
Dr Sushma Kunjir
MBBS, MD, MRCOG Consultant Obstetrics & Gynaecology
Dr Yogini Patil
MBBS, DGO Consultant Obstetrics & Gynaecology
Our Anesthesia Team –

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    About Writter
    Department Of Obstetrics & Gynecology
    The Department of Obstetrics & Gynecology Care makes sure that a pregnant mother and her baby are treated and taken care of with utmost priority. We follow a comprehensive approach towards women’s care during pre-pregnancy, pregnancy, and post-pregnancy phases, to ensure complete health and well-being of the mother and the child./span>
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