Survival of the 'Fittest'

The city has recently welcomed the youngest child in India, was born just 27 weeks of pregnancy, it is very difficult for these children to survive and lead a normal life. She is the beneficiary of advances in neonatal and perinatal sciences, which help children with life-threatening conditions to survive.

"Birth is the most difficult phase of their lives, a day of highest risk," said Dr. Tushar Parikh, neonatologist and ln-charge of the Neonatal Intensive Care Unit at Tulip ONP in which it was delivered Sayali child, the youngest child surviving in the country. A 495 Gms, Sayali Pawar is said to be the youngest survivor in the country. E 'was born premature at only 27 weeks of pregnancy Shaila & Laxman Pawar who belongs to a middle-class family from parner, Ahemadnagar. Shaila is an example of progress in medical science has done today. Shaila Pawar, 36 had a history of 13 unsuccessful pregnancies with abortions and three intrauterine deaths 3. The doctor couple, Sandeep Deol & Smita Narayangaon who ran from the pregnancy that would get identified in its sudden and sharp increases in blood pressure during pregnancy is called pregnancy-induced hypertension (PIH).

Dr. Parikh says that an extensive survey conducted in Mumbai shows that out of 13,900 cases; 7:00 to 8:00 per cent of pregnant women suffering from PIH. He says that the source of PIH can be traced back to the placenta. "PIH can be described as a 'placenta disorder' that affects the mother and fetus. Placenta is the interface between mother and fetus and is a temporary organ that transfers oxygen and nutrients from mother to fetus. It will also release carbon dioxide and waste products from the fetus. placenta is 2 / 3 of the fetus and 1 / 3 of maternal tissues. "

What may be a possible solution to overcome PIH? In the opinion of Dr. Parikh, the only solution is to regularly check the blood pressure of the mother and fetal growth. "This is a global problem and there is no full proof answer to prevent or treat. In the case of PIH, what doctors can do is to control blood pressure with medications and monitor the growth of the fetus, if something is abnormal then the doc needs to intervene, states that the problem arises if the pregnancy is usually too early or too late and if this problem arises again, it is likely to appear later as well. Both the maternal and fetal side is affected in PIH. on the fetus, there is malnutrition, growth is slower, the weight is lower and the oxygen supply is also very least, these conditions may cause death. The maternal side is suffering from dysfunction of the brain, liver problems and retina as well. He says, "Shaila was beginning to show symptoms of dysfunction of the retina, and therefore we had to work as soon as possible. "

Premature babies face a lot of problems after birth. Dr. Amita Phadnis, Director of ONP Tulip Hospital & Department of Pediatrics and Neonatology says: "Children born small have this feature extremely low in all organs of the body including heart, brain, kidneys, intestines, skin, adrenals, etc. and they all need support in the child's survival. "

The first question that will remain the most important thing is what are the chances of leading a normal life for these children in the future. Dr. Parikh says: "Compared to normal children, these children are less likely to lead a normal and healthy life. But this does not mean that all children can not lead a normal life. There is no guarantee that the child will be completely healthy in the future. This is a situation of 50-50. If there are any abnormalities or anomalies can be detected in the first weeks after the birth itself. "

"Asphyxia, infections and premature birth are the three main reasons that cause death in premature infants. There is great potential in human life and we must give the best chance of survival," he concludes.

Posted in: women