Sharing the story of an interesting case
Today, at 4 AM, I was woken by a patient's husband's distress call about her having severe pain in abdomen and period bleeding after one year of Lactational amenorrhea (No menstruation because of feeding the baby). He requested me to prescribe some medication for pain, for which I dispensed a prescription.
About 4 hours later, I recieved a call from the on-duty Hospital's RMO about the same patient having gotten admitted with a full-term pregnancy and a fully-dilated cervix with bulging membranes (The baby's head could be seen popping out)!!!
I instructed the hospital staff to conduct the preliminary tests and attach an IV line . After corroborating with the nurse's findings, I elicited that she was G3 (3rd-time pregnant) with previous 2 deliveries being Cesarean. Furthermore, she was mildly hypertensive and had delievered twins just one year back.
So why is this scenario different that any other pregnancy?

She had no prior tests done, no ANC (anti-natal checkups) and both the husband and the wife had absolutely NO. IDEA. ABOUT. THE. PREGNANCY.
So what did the patient have to say about this finding?
Expecting lactational amenorrhea was a given and being of big built, neither the husband nor the wife suspected of a pregnancy as the cause of her big belly. The patient, being fairly educated, often heard cryptic remarks from inlaws about not having taken proper care after delivery
मालीश नाही केळ्या मुळे पोट सुटलेल्या आहे 😅
How did my team and I deal with the situation?
Being short of time and out of options, I delivered this 3rd-time pregnant patient having previous 2 C-Sections, with a healthy, 3.3 kg baby, normally with an episiotomy.
Never could a child come so secretively in this world !!
GOD IS GREAT🙏😃
Dr. Nupur Mital MS OBGY
Director & Consultant Obstetrician & Gynaecologist
Medicare Hospital
Thane West
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