Delivery took place at Mayflower & later babies were transferred to “Arpan newborn care centre” under care of Dr Ashish Mehta.
As reported by “Times of India”, “The twins were born at 23 weeks of gestation, at the Mayflower gynaec hospital. They are the most premature babies to survive in India. There is no reference of any twins born premature at 23 weeks and surviving,” said leading neo-natologist Dr Ashish Mehta. The twins’ case will be discussed as an index case at the National Neo-Natal Forum on World Prematurity Day on November 17. He said that even in western countries, statistics reveal that only one in 10 babies born at 23 weeks had survived with all brain functions intact.
“The American Association of Paediatrics mentions that babies born after spending less than 23 weeks in the mother’s womb are not considered “viable”. In other words,they can have high mortality (death rate) and morbidity (handicap),” Dr Mehta said.
Doctors had to overcome several challenges to save the twins. “The first was to prevent brain hemmorhage as, in infants so young, the bloodbrain barrier is yet to develop. Due to this, even pressure exerted by an injection or extra fluid can lead to bleeding in the brain,” said Dr Mehta, who along with a team of five doctors, attended to the twins. “We would do a brain sonography every second day to check for brain hemorrhage. A hemorrhage can debilitate the child,” the doctor said. “Secondly, these babies had grown only one layer of skin and it would tear under the gentlest of pressures.
For this reason, prevention of infections was a major challege. The Joshi couple has reached home and created a separate environment to protect their twins from infections. They said it was an arduous but fulfilling journey.