The Hindu : Tamil Nadu / Chennai News : Baby born out of secondary abdominal pregnancy

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Thursday, Oct 30, 2008
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Tamil Nadu

Tamil Nadu - Chennai

Baby born out of secondary abdominal pregnancy

Staff Reporter

This is one in 10,000 cases, say doctors

Photo: K.V. Srinivasan

Precious moment: Meena with her baby at the Kasturba Gandhi Government Hospital in Chennai on Wednesday. Surgeon M.K.Kaleel Rehuman looks on. —

CHENNAI: In a rare case, doctors at the Kasturba Gandhi Government Hospital in the city recently delivered a full-term male baby born out of a secondary abdominal pregnancy, technically known as Ectopic pregnancy, where the baby develops outside the uterus.

This particular case was a non-tubal Ectopic pregnancy where the baby did not grow within the fallopian tube but outside, attaching itself to the sigmoid colon. Doctors feel the egg had escaped through a ruptured left fallopian tube.

Thirty-year-old K. Meena from Perumal Thangal village near Cheyyar and her baby, weighing 2.25 kg at birth, were fine, said Director of Social Obstetrics Vasantha N Subbiah.

Talking to presspersons here, Dr. Vasantha N Subbiah said what was surprising in the case was that the amount of water inside the amniotic sac had not reduced, there was good movement in the baby and it had developed completely.

The mother, who came to the hospital on October 12, had no complaints and was kept under observation for two days. In the scans images taken at the Cheyyar hospital in the 12th week of pregnancy, and at Kasturba Gandhi Government Hospital, it appeared as if the child was inside the uterus, because the uterus was concealed behind the amniotic sac.

Two days later, she complained of severe stomach ache after which doctors operated upon her. They found it was a secondary abdominal pregnancy, a rare case.

The baby took the blood supply and nourishment from the colon. The surgery, which they had intended to be just for half an hour, took three hours to complete. The baby had been kept under observation for two days.

Dr. Subbiah said the incidence of secondary abdominal pregnancy was one in 10,000 cases and several babies would not survive because of insufficient nutrition. A team consisting of surgeon M. K. Kaleel Rehuman and gynaecologist J. Sarala performed the critical surgery. Three units of blood were given to the mother during the procedure. This is Ms. Meena’s second child, the first being a girl, who is 14-years-old. The father, Munusamy, is a weaver in Cheyyar.

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