Born weighing just around 600 grams, the tale of survival of these twin girls is quite extraordinary. Born to Chinta Devi, the twins were born premature at just 24 weeks (five and half months) of pregnancy. They fought for four months to survive at a Hospital in Udaipur, and are among the smallest twins to have ever survived in India.
Chinta Devi and Chandeshwar Ram from Motihari, Bihar, were married for 21 years and Chinta Devi conceived through IVF technique. "She had uncontrolled blood pressure, pregnancy diabetes, and started bleeding at 24 weeks of her pregnancy. For the survival of the babies, we had to opt for an emergency cesarean section operation," Dr Simi Sood at Neelkanth Fertility Centre, Udaipur, told DNA.
The twin babies were born on October 25, 2017, and were transferred to the neonatal ICU ward as they required artificial support to regularise their breathing. "The babies had infection in their blood, and heart functions and pumping was poor," said Dr Sunil Janged, Neonatologist at Jivanta Neonatal ICU.
"Their gut was immature and could not be fed, so they were put on TPN which means supplying all essential nutrients such as proteins and carbohydrates through blood," he added.
"Such babies lose water very quickly through their parchment like skin that leads to a further drop in their weight. Due to brain immaturity, the babies used to forget to breathe, too. They required ventilation for 80 days and also multiple blood transfusions. In all, they were in the NICU for 115 days. On discharge their weight was roughly 2 kg. By far, their progress in the NICU has been satisfactory. The brain is structurally normal now and the eyes are developing normally, too," said Dr Janged.
"Both of our babies were barely larger than my palms and were very precious and the only hope for our family. The hospital waived 50 per cent of the treatment's fee to send a 'pro-girl tolerance' message to the society," Chandeshwar Ram said.
- "The existing record for smallest twins to survive in India is from Kerala — twin girls weighing 452 gm and 500 gm. Organs of babies born this small function extremely poor usuallu, and need support for survival. This is where skill is required, as the margin of error is close to zero. Problems related to any single system can singularly kill the baby and only 5-10 per cent survive without brain damage," Dr Pradeep Suryawanshi, Senior Neonatologist, Pune. said.