Here’s the story of a lady who had lost a young baby years back.

She was a 41 year old lady. 10 years back she conceived after infertility treatment and delivered a male baby, in a different hospital. It was a premature delivery as patient had preterm labour pains at 6^th month of pregnancy. The baby was under NICU care for 3 months in view of prematurity and was discharged after 2 months of NICU care. At home ,following discharge baby died due to a suspected infection!

After this patient tried for conception for a good long 9 years, but was in vain. Then she consulted Dr Vinay Chandra shenoy , a renowned infertologist at Payyanur. Following a successful treatment under him patient conceived. Patient came to us for further ANC and was managed by Dr Muralikirshnan nambiar and Dr Shyamala mukundan.

We were curious to find out the reason for her previous premature delivery . On evaluation she was found to have chronic urinary tract infection (infections are notorious in causing preterm deliveries) which was resistant to treatment. So we started the patient on what we call “suppressive prophylaxis for UTI” to which she responded well and this prevented any further UTIs. To prevent a second premature delivery , we put a cervical encerclage at 14 weeks.

Next thing we were curious about was the reason behind her previous new born death. We evaluated her and found her to be positive for toxoplasmosis. We started her on Spiramycin and continued through pregnancy.

We also excluded probability of Downs syndrome in the baby after doing relevant tests. Pregnancy was followed with strict vigil as she had marginally raised sugars and BP was on the higher side.

Finally we come to the happy ending. After Patient delivered a healthy male baby weighing 3.2kgs. Both mother and baby was discharged and sent home in healthy condition. Now the baby is 6 months old and doing fine. Never lose hope, believe in destiny.