Question: My hubby has just been diagnosed as having very high blood sugar.Do you
think it can be traced as a possible cause for the recurrent miscarriages iv had
in the past (though,i had a child previously). O. (Nigeria)
Question: I suffered preterm rupture of membranes when my twins were 28weeks old.
What caused it? My twins passed away at 4 days and 9 days old respectively after
successful delivery and while under intensive care in an incubator. What could have
happened? A.N. (Uganda)
Answer: This is a really tragic story. It is difficult for me to know what might have led to the pre-term membrane rupture and subsequent delivery. Difficult not least because I have too little information here to go on. In any case, prematurity is one of the commonest complications of twin pregnancy. If these were identical twins sharing a placenta (monochorionic twins), that does carry a risk of twin to twin transfusion syndrome (TTTS) which can be deadly and increases the risk of pre-term rupture of membranes and labour.
Regarding the subsequent tragic loss of your twins, that would also depend on the facilities you had available in the special care baby unit they were looked after. While nursing in an incubator is an essential part of their care, it is far from the only one and is probably not even the most important. These babies born at 28 weeks are certain to have inadequate lung function and respiratory distress is the biggest problem. Whether there were adequate facilities to address this is an important question. In addition, these babies are at high risk of developing intra-cerebral haemorrhage and measures to prevent this are essential. Other potential complications which can be life-threatening involve the bowel. This is a situation where your babies’ doctor is best placed to explain what might have happened.
I do hope you will be able to get that information to allow you to come to terms with the loss and move on from this very sad chapter in your life.
Question: Sir please advice me now I am 30 weeks pregnant.(now in Bahrain). I need
to go to Mangalure October 8 to 10 dates ( not fixed ). Can I go ? Pls give me valuable
advice. D.R. (Bahrain)
Answer: I take it you are planning to travel to the city of Mangalore in Karnataka, South-Western India. From Bahrain, that will be an almost 3,000 kilometre flight. Even at the best of times, that is a fairly long flight. Your proposed flight dates mean you will be around 32-33 weeks. You may find that most international airlines do not allow flights at such a late stage of pregnancy. This restriction is really in your interest and that of your baby in the womb. Pregnancy is unpredictable and were you to suddenly go into labour mid-flight, hours from anywhere, it could be a potentially serious problem. Unless the journey is absolutely necessary, my view is that you should cancel it.
Question: I have about 4 weeks pregnancy. I had a blood test to analyse the age
of the baby since there was nothing detected during ultrasound . I had some bleeding
for two days. It was far less than half of the menstrual bleeding. Doctor has suggested
I have a scanning only after 5 weeks completion. Will there be any complication with
this bleeding? A. (Oman)
Question: Is it normal for a sickle cell patient to have small breast that to even
remove your bra in front of friends u feel ashamed of yourself. can such a person
breast feed? Is it good for an SCD patient to go for a normal delivery or Caesarean
Section? F (Nigeria)
Severely preterm babies tend to need much more than the warmth of the incubator.