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At 495 gm birth weight, Sayalee is perhaps the smallest baby that survived, in the country. Shaila Pawar, 36, a resident of Kasare village in Parner taluk, who delivered after 13 unsuccessful pregnancies, finally took her four-month-old baby home.

“She weighs 2.4 kg now... Earlier, I had three abortions besides three intra-uterine deaths,” says Pawar who suffered severe pregnancy-induced hypertension during the earlier pregnancies. Born premature at 27 weeks of pregnancy (against the normal duration of 40 weeks) on October 2, Sayalee required artificial breathing support to regularise her breathing. “We stay in a remote location and it is still a distance to travel to the Narayangaon hospital,” says Laxman Pawar, the father is a teacher in the village.

Dr Sandeep and Dr. Smita Dole, medical practitioners in Narayangaon, managed the pregnancy initially. Pawar was rushed to ONP Tulip Hospital when the Doles identified a sudden elevation in blood pressure. Dr Avinash Phadnis, director of Obstetrics and Gynaecology at ONP Tulip Hospital, took her for an emergency Caesarian section while neonatologist Dr Tushar Parikh initiated a specialised baby care.

Hospital director Amita Phadnis says there has been no reported survival of a baby weighing this small in India. The last reported survival is of a baby weighing 540 gm. “Babies born this small have extremely poor function of all body organs, say lungs, heart, brain, kidneys, intestine, skin and adrenals, and all of them need support for survival of the child. Problems related to any one system can kill the baby; it is the commonest outcome in such cases.”

http://www.indianexpress.com

 
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