Baby girl weighing 520 grams becomes first to undergo major surgery

The baby born only 520 grams was just 12 days old who underwent a critical abdominal surgery at Jivanta Children’s Hospital, Udaipur. Her name is Jhanvi and she is the smallest baby ever operated and survived not just in India but in the whole South Asia, as claimed by the hospital

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Jhanvi, was born to proud parents Umesh and Madanlal Arya, hailing from  Nijampur Magrouni , Madhya Pradesh.

She was conceived after 29 years of marriage through IVF technique. Her pregnancy was carried up to 26 weeks when her blood pressure was uncontrollable and the ultrasonography revealed severe growth restriction and reversal of blood flow to foetus. Because the blood flow to the baby was decreasing, she was taken up for emergency caesarean section.

Jhanvi was born premature just at 26 weeks of pregnancy (Normal pregnancy duration 40 weeks) on Feb 13, 2018. At birth, she was just  about the size of your palm. This baby was very precious and the only hope for the family.

The baby was handled and looked after in the Jivanta Children’s Hospital- Neonatal ICU with precise care under Chief Neonatologist Dr Sunil Janged ,Dr Nikhilesh Nain, Dr Kapil Shrimali and trained nursing team. She was struggling to breathe, so was immediately put on ventilator and given medicines to expand his tiny, immature lungs.

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Dr Sunil Janged told “There was progressive distention of her abdomen along with greenish aspirates and we were not able to start feeds. We tried all sorts of medical therapy, on day 12 of life baby deteriorated so badly, developed tense abdominal distention, skin of abdomen was turning bluish, heart beats and blood pressure started dropping.

Investigations showed grossly dilated intestines with infection. Her body system was shutting down. We knew that baby won’t give us much time, so operation was the only resort left to us.

Major surgery on such a tiny baby with such poor condition was very much difficult and challenging scenario for our team. But this baby was the only hope for the family.

Paediatric surgeon Dr Praveen Jhanwar, anaesthetic Dr Suresh  and OT staff  carried out emergency abdominal surgery under general anaesthesia which lasted for one and a half hours.

Dr Sunil Janged informed that post-operative course uncertain. During this period, baby had a tube passed through his nose to drain off the contents of intestines. Baby kept nil by mouth for 10 days.

We had to start the baby on total parenteral nutrition, which basically means giving all the essential nutrients such as amino acids, lipids, carbohydrates, minerals, multivitamins and trace elements directly into blood circulation. There have been lot of hurdles, infections, blood transfusions along the way. Regular screening of heart & brain were performed to rule out any bleeding in brain.

The nurses gradually started with few drops of milk through tube and slowly feeds increased. This small baby required respiratory support for a period of about 54 days. She was able digest milk after 1 month and   started drinking from spoon only after about three and a half months of birth.

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In all, she was in the NICU for almost 117 days and today her weight was close to 2,110 grams.  By far the progress and clinical course in the NICU was very satisfactory .Her brain is structurally normal and eyes are also developing normal.

Expressing her joy, Jhanvi’s mother, Umesh  exclaimed, “We had completely lost hope until we met the doctors at Jivanta Hospital.But we had full faith on the team as previously Jivanta Hospital had saved baby weighing just 400 grams. After going through so many odds, she finally is coming home. I am extremely thankful to the team of experts at Jivanta Hospital who took immense care of her.”