Alive News/ Faridabad:
Fortis Escorts Hospital Faridabad helped a patient with a transplanted kidney and other medical challenges deliver a healthy baby weighing 2.6 kilograms. The woman had surmounted medical challenges with fortitude and courage to undergo a pregnancy that many women in her condition would have been apprehensive to go through with. The delivery was handled by Dr. Indu Taneja, Senior Consultant, Obstetrics & Gynaecology, the Hospital.
Anita Gupta, aged 27 years, was presented to Dr. Indu Taneja with a kidney transplant that she had undergone three years ago. She wished to have a child and wanted to know the medical repercussions of the medicines she was consuming following her transplant, on the fetus. She was on Immunosuppressant to prevent graft rejection and as advised by Dr. Suresh Chandra, Senior Consultant, Department of Nephrology, post a pre-conception counselling, she could plan her pregnancy now.
A month later, when she was presented to Dr. Taneja once again, she was detected with an early pregnancy. Her early pregnancy scan showed single viable fetus of 6-7 weeks with normal decidual reaction. Her first two trimesters were uneventful with just a few deviations typical to a pregnant condition which were controlled through medication. In the third trimester when the patient’s blood pressure rose, it posed a challenge for the doctors. An ultrasound report showed decreased liquor with intra-uterine growth restriction. She then had to be managed with constant surveillance done with weekly liquor check-up, Doppler, growth monitoring and biophysical every two weeks. Her Kidney Function Tests, done every two weeks were normal throughout pregnancy.
Dr. Indu Taneja, Senior Consultant- Obstetrics & Gynaecology, Fortis Escorts Hospital said, “Successful pregnancy is dependent on the transplanted organ working well and the medication doses stable prior to pregnancy. Other factors like the personal health factor, stabilized medication regimen and the health and functioning of the transplanted organ are of maximum importance. With risks being high, it was a challenge for me and my team to be able to monitor the patient’s health an the pregnancy closely and help her deliver a healthy baby without any birth abnormalities.”
Dr. Suresh Chandra, Senior Consultant, Department of Nephrology, Fortis Escorts Hospital Faridabad said, “A close follow-up of the immunosuppressant drug levels during pregnancy is of utmost importance. The medications might have to be adjusted during this period. Mr Rajeev Bhandari, Facility Director, Fortis Escorts Hospital Faridabad, said, “The doctors at Fortis Escorts Hospital Faridabad are very skilled and have the expertise to deliver advanced, excellent, patient centric care. This surgery shows the great effort put together by our clinicians.
