A high-risk triplet pregnancy of a 34-year-old woman was very well managed by a team consisting of Dr Rohini Khera Bhatt, Consultant Gynaecologist, Dr Swapnil Patil, Consultant Paediatrician & Neonatologist, Dr Vrukshal Shamkuwar, Consultant Paediatrician, and Dr Jayashree, Consultant Anaesthetist at Medicover Hospitals, Navi Mumbai
Rita Kumar (name changed), a resident of Vashi, and a homemaker was able to achieve her first pregnancy through IVF and was carrying triplets. The couple had been trying natural pregnancy for a long time but with no results. Such triplet pregnancy is rare and high-risk because the body changes that are expected in the mother carrying a single baby are multiplied in this case. Also in this pregnancy, two out of three babies were sharing one placenta.
At 28 weeks of her pregnancy, she presented to Dr Rohini Khera Bhatt at Medicover Hospital with complaints of abdominal pain which she had been experiencing for the last 2 weeks and was not getting relieved. An ultrasound was done which revealed that her cervix was too short and beginning to open despite the cervical stitch which was done as a preventive procedure at her IVF Centre in Navi Mumbai.
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It was decided to prolong the pregnancy as much as possible by bed rest, medications to prevent contractions, corticosteroids to help the babies’ lungs mature, antibiotics to prevent any infection because of decreasing cervical length, and regular monitoring of both the mother and the babies. The pregnancy was extended to 34 weeks. The best outcome for such triplet pregnancies is expected to be at around 34 weeks because the risks of prematurity complications in babies are significantly decreased and the risks of prolonging pregnancies in babies sharing a common placenta are also taken care of. A Caesarean section was performed because of the complexity of the case. The woman delivered healthy babies, that is a baby girl weighing 1.59 kg and Identical Twin Boys weighing 1.75 kg and 1.43 kg.
All three babies were admitted to the NICU under the care of Dr Swapnil Patil for close monitoring. The second baby had breathing difficulty for which he was kept on respiratory support for 4 days. Kangaroo mother Care was started for the babies by both parents from day three onwards. The babies were discharged after 2 weeks. All three infants were active, had stable vital signs, and were discharged on exclusive breastfeeding. Regular paediatric check-ups were scheduled to monitor the growth and development of the infants. The first follow-up visit has been done and the babies are doing well.
With close monitoring, timely medical intervention, and supportive care, the mother and her triplets had a positive outcome. “At Medicover Hospital, the cutting-edge technology available for handling complex triplet deliveries sets a new standard in maternal care. The skilled team works in perfect harmony to ensure the safe arrival of these precious bundles of joy. From state-of-the-art monitoring systems to specialised neonatal intensive care units (NICUs), every aspect is meticulously designed to cater to the unique needs of mothers. With such successful triplet delivery, Medicover Hospital proves that extraordinary care coupled with modern technology can truly make miracles happen,” said Dr. Rohini Khera Bhatt.
“We are over the moon after successfully giving birth to our triplets despite a complicated pregnancy. We are forever indebted to the team of doctors at Medicover Hospital who made our dream come true. Our babies are healthy and achieving developmental milestones of their age,” concluded Ravindra Kumar (name changed), father of the triplets.
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