Nagpur: A high-risk triplet pregnancy was successfully managed at Lloyds Kali Ammal Memorial Hospital (LKAMH), Hedri, in remote Etapalli taluka of Gadchiroli district, where three premature babies — two girls and a boy — were delivered through an emergency Caesarean section at 32 weeks and five days.The babies were delivered within just three minutes on Aug 21 after doctors detected signs of possible fetal distress. The first girl, weighing 1.360kg, was delivered at 9.25pm, followed by the second girl weighing 1.186kg at 9.26pm. A boy weighing 1.530kg was delivered at 9.27pm.All the three newborns, who had low birth weights, were immediately shifted to the hospital’s special newborn care unit and are currently doing well under the supervision of the neonatal team. The 32-year-old mother from Manger village is also clinically stable following the surgery.The woman had first visited LKAMH in March and remained under regular antenatal care after an ultrasound confirmed a triplet pregnancy. She was admitted on Aug 11 after complaining of mild abdominal and lower-back pain.Given the risks associated with a multiple pregnancy, doctors kept her under close observation, conducting regular ultrasound scans and fetal heart-rate monitoring. Medicines were administered to help support the babies’ lung development in anticipation of a possible premature delivery, while blood was also arranged in advance in case an emergency surgery became necessary.On Aug 21, doctors observed concerning changes in the babies’ blood circulation and heart rates. With the possibility of distress inside the womb and the risks of delaying delivery, the team decided to perform an emergency Caesarean section.The procedure was carried out by a multidisciplinary team comprising two obstetricians, two anaesthesiologists and two paediatricians, supported by the operation theatre, nursing and newborn-care teams.The case highlights the importance of regular antenatal care and continuous monitoring in managing high-risk pregnancies, especially in remote regions where access to specialised maternal and newborn healthcare can often be limited.B Prabhakaran, managing director of Lloyds Metals and Energy Ltd, congratulated the medical team for their timely intervention. He said the hospital remained committed to extending quality healthcare services to people in Gadchiroli, particularly those living in remote and tribal areas.
