UDAIPUR : The frightening dream transformed to reality for couple Shobha Kunwar and Ganpat Singh , when their twin baby boys , born weighing just 475 grams and 617 grams, fought for four months to survive a stormy course in the neonatal ICU of Jivanta Children’s Hospital , Udaipur. These ultra micro-preemies are among the smallest twins ever survived in India.
Born to couple Shobha Kunwar and Ganpat Singh from Jalore , Rajasthan married for 27 years and conceived after IVF technique. “ She started premature labour pains at 26 weeks of her pregnancy .As the survival of babies was getting compromised was taken up for emergency caesarean section” . Twin babies were born weighing just 475 grams and 617 gms at birth on 20th January 2018. These twins were barely larger than a human hand and were very precious and the only hope for the family .They required artificial breathing support to regularize her breathing and then quickly transferred to Jivanta neonatal ICU.
Sheltered in a closed incubator and in the midst of tubes, circuits, central lines, probes, dressings, eye pads,etc. Babies were virtually invisible in the initial days.These tiny twins were managed & looked after at Jivanta Neonatal ICU under precise care of Neonatologist Dr. Sunil Janged, Dr. Nikhilesh Nain, Dr Kapil Shrimali & trained nursing staff. At beginning babies were struggling to breathe , so were put on ventilator & given surfactant to expand tiny immature lungs. Babies had infection in blood, heart functions and pumping was poor. Their gut was immature & could not be fed, so babies were put on TPN which means giving all essential nutrients such as protein, carbohydrate by blood. Regular screening of heart & brain were performed to rule out any bleeding in brain. Due to brain immaturity baby used to forget to breathe , we call it as apnea of prematurity. Babies required ventilatory support for 70 days and multiple blood transfusions.
In all he was in NICU for 126 days, on discharge their weight was 1.7 Kg and 1.95kg . By far their progress in NICU is satisfactory, Brain is structurally normal, eyes are developing normally.
It was long & tough journey for me & my team . At the best of centres, only 10-20% of such babies born this weight. Most doctors do not even attempt to save such babies, as the possibility of healthy survival is low. It is the latest technology, high end expertise of our NICU team, which has pulled this off ” said Dr. Sunil Janged , Chief Neonatologist at Jivanta Children Hospital.
Father Ganpat Singh said “ We are greatful for everything the team Jivanta did for our tiny twins. We had full faith on Doctors and our babies have survived even with all troubles where chances of survival were very less.”
Dr Pradeep Suryawanshi [ Senior Neonatologist from Pune] added, “ This story highlights the fact that ultra micro preemie born in developing countries not only have a chance , but also the right to survive and live a normal life. Sophisticated neonatal care and teamwork could make that happen. Intact survival of such micro preemies may be a daunting task, but not impossible.”