By Pratibha Masand
Mumbai, India
A pregnant woman, who was admitted to JJ Hospital in Byculla on Wednesday night for delivery, not only had to undergo a hysterectomy, but also a repair surgery on her urinary bladder after complications developed in the pregnancy.
Najma Abdulkarim (27), a resident of Dongri, was pregnant with her second child and registered with the JJ Hospital. She was admitted on Wednesdayevening asshe had completed 40th week of her pregnancy. However, as the doctors waited for her to deliver normally, they realized that the head of the baby was stuck in her pelvis. The doctors then decided to conduct a Caesarean section.
"She had suffered a deep transverse arrest," said Dr Ayesha Ansari, whose team operatedon Najma. "After the delivery, we realized that there were minor injuries in her urinary bladder. While we had to remove her uterus asithad ruptured,wecalled a surgeon from the urology departmenttosutureher urinary bladder," shesaid.
Obstetricians say that in pregnancies which have a chance of having deep transverse arrest, there should be good primary monitoring. "It is a difficultcondition,butthe child’s head can be rotated back in the position using forceps or vacuum. While conducting a surgery in such a case, injuries to areas surrounding theuterus may happen, but unless the woman suffers post-partum haemorrhage, there is no reason for the uterus to suffer any injury," said Dr Nozer Sheriar, president of Mumbai ObstetricsGynaecological Society.
"Generally, a baby’s back is on the left side of the mother’s womb. But in 20% of cases, it is on the right. Of this, around7%have a chance of having a deep transverse arrest if the mother has a flat pelvis or the baby’s weight is more," said Dr Y S Nandanwar, head of gynaecology departmentin Sion Hospital.He added that even after the condition is found out, the surrounding area of the uterus can still be protected by making an invertedTincision.
Najma and her baby boy, however, are fine. While the baby weighs 3.6 kg–one of the reason for her condition Najma is still in the critical careunit.
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