Manushi’s journey from 400 gms to 2,400 gms

Baby Manushi is the smallest baby ever to survive not in India but also in South Asia, claimed Jivanta Children’s Hospital, Udaypur. Doctors call her a ‘miracle baby’ and said, "She’s fought, fought and fought against all the odds. But she’s made it." Today, Manushi was discharged and she weighed close to 2,400 grams

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Baby Manushi weighed 400 grams and measured just 8.6 inches when she was born, her minuscule feet only slightly bigger than a fingernail. She was not breathing when she was born. But the couple decided to fight to keep her alive. She was born to a couple after 35 years of their marriage.

Manushi’s mother’s blood pressure was uncontrollable halfway through her pregnancy and the ultrasonography revealed fetoplacental insufficiency (absent blood flow to foetus). So she was taken up for emergency caesarean section on June 15, 2017.

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The baby required artificial breathing support to regularise her breathing and then she was quickly transferred to Jivanta neonatal ICU. The baby was managed and looked after at Jivanta Neonatal ICU under precise care of  Dr Sunil Janged, Neonatologist, Dr Nikhilesh Nain and the nursing staff.

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“When the baby was born, she struggled to breathe and was immediately put on advanced respiratory support (ventilator) to expand her tiny and immature lungs. We had put her on total parenteral nutrition, which basically means giving all the essential nutrients, carbohydrates, minerals and multivitamins directly into blood circulation,” said Dr Janged.

He added, “Initial days were difficult for her as her birth weight dropped. She was able to digest milk after 7 weeks and was able to drink from spoon after four-and-a-half months. The biggest challenge for our team was to prevent any infection to the baby. Also, she required multiple blood transfusions during her stay at the NICU.”

She was in the NICU for almost 210 days. Today, she was discharged and she weighed her close to 2,400 grams.

“Babies born this small have extremely poor function of all body organs which include lungs, heart, brain, kidneys, intestine, skin, etc. All of them need support for survival of the baby. Problems related to any one system can singularly kill the baby and is the commonest outcome in these cases. The babies that small have less than 0.5 per cent chance of survival without brain damage.” said Dr Pradeep Suryawanshi, Senior Professor Neonatology at Bharti University Pune.

“We are grateful to the family and we appreciate them for setting a new example for the community,” said Dr Ajay Gambhir, Past National President NNF India.

Dr SK Tak, Head of the Department of paediatrics, Ananta Medical College said, “It is the latest technology, high end equipments and expertise of NICU team, which has given this phenomenal result. Jivanta is now routinely having more than 95 per cent chances of survival of extremely low birth babies.”