Dr Girija Wagh, Gynecologist, Kothrud, Pune

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Azad nagar, near Gujarat Colony, Kothrud, Pune

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Success Story : A will to live > triumph of motherhood

Home » Delivery » Success Story : A will to live > triumph of motherhood

By Dr. Girija Wagh • July 1, 2018 • No Comments

The case of Mrs SB(39) : a will to live > triumph of motherhood with timely medical assistance !

This is a story of SB a woman who wanted a baby despite all odds and was ready to go an extra mile for the same. SB had several miscarriages and was diagnosed to have SLE (systemic lupus erythematosus) a serious autoimmune disorder which affects the blood vessels and other tissues, consequently major organs. Pregnancy is associated with grave complications to the mother and miscarriages in SLE.

She conceived the fourth time and at 12 weeks was advised termination by her obstetrician as there were intrauterine bands seen and with the presumption that the baby will suffer growth restriction and eventually land in problems. She came for second opinion to me and on careful evaluation, we confirmed that the baby had no chromosomal abnormalities. However, there was a possibility of CTEV (bent ankles) and placenta revealed several sinusoids ( lakes ) making the sonologist suspect a placental developmental abnormality. We discussed the pros and the cons with SB and she with her husband, decided to continue the pregnancy “doc finally it’s my baby …however it is”. The somewhat torrid course continued with SB suffering from gastritis sometimes severe food intolerance with all the pregnancy supporting medications, SLE medications. She had 3 episodes of brisk bleeding during the entire course for which she was hospitalised and given supportive treatments. Finally, at 34 weeks with lung protective and neuroprotective medications for the baby, she was posted for planned caesarean delivery with estimated baby weight of 1200 g.

With due preparation and checklists in place, the caesarean delivery began. The baby was delivered and handed over to the neonatology team and the actual weight was estimated to be 1050 g. SB suffered a massive haemorrhage (post partum haemorrhage : PPH ) to the tune of 3000 ml ( 4/5th of her entire blood volume ). Immediate quick actions by the obstetrics team, the anaesthesiology team and the nursing support massive transfusion protocol ensued. The uterus had to be removed ( obstetric hysterectomy ) as the entire wall was pathologically invaded by the placental tissue and she was pouring blood from the uterus as well as the incision. Quick clamping of major blood vessels, continuous aggressive fluid and blood component therapy helped medicine win the battle of massive post-partum haemorrhage and helped us grant SB her ultimate wish of being a mother. The entire infrastructure of the facility had pitched into, every other medical personnel offered help and we could achieve what we have. Finally SB is now home with her baby girl who is thriving well.

What helped ? retrospective analysis

1.Extremely cooperative patient and her husband amenable to counselling and compliant with a lot of trust in my treatment. ‘madam you are my godsend angel and I trust you. I know you will be successful. I feel nice and confident when I see you and hear you’. Even on the operation table my eyes swelled with tears looking at her trust and she just said “I know you are the best and doing the best for me’ with such a trust comes a huge responsibility !!
2.Fantastic team work : quick decisions by the obstetrician and the anaesthesiologist and the nursing assistance and continuous support from the blood bank and swift initiation of transfusion and resuscitative protocols
3.Prenatal counselling sessions with the entire team of obstetricians, neonatologist , anaesthesiologist and the radiologist
4.Infrastructure: with all the necessary monitoring and supportive gadgets
5.Availability of round the clock support staff, continuous vigilance by duty doctors and guidance and timely interventions by the intensivist

LESSONS LEARNT: SLE and previous uterine surgeries and not only cesarean deliveries predispose the mother to morbidly adherent placenta (MAP ) where a hysterectomy may be necessary and massive blood transfusion and good infrastructure is necessary for delivery

Careful antenatal risk assessment, radiological evaluation can help suspect MAP or adverse outcomes and help to be on guard

All pregnancies are at risk of sudden turn of events and proper evaluation, vigilance and proper patient cooperation help to achieve good results despite all odds.

I wish to thank god for giving me an opportunity to deliver through all challenges and Cloudnine for helping me in doing so . . .

unsplash-logoTanja Heffner

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Categories:Delivery SUCCESS-STORY
Tags:Caesarean Delivery Hemorrhage Hysterectomy PostPartum Pregnancy

Dr. Girija Wagh

Dr. Girija Wagh, MD (Obstetrics & Gynaecology), FICOG, FICP, Diploma (Endoscopy, Infertility), Fellowship of Indian College of Ob-Gynec, Women health care specialist, Academician, Acclaimed Orator & Researcher, B. J. Medical 1990-1992, Topper University Of Pune 1992

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Dt dt
Dt dt
09:17 05 Dec 19
We started consulting Dr Girija only in the third trimester of my pregnancy as we had to move cities at the time. Naturally, we were a little anxious about being able to find a good doctor. The first consultation itself revealed the Dr to be extremely thorough and meticulous - based on the way she asked us various questions on my case history. We knew we were in safe hands right then. Dr Girija and her assistant Dr Sonal explain various medical points in detail and in layman terms so that we are well informed.The Doctor's personalized approach made us feel like we were being treated by someone who has known us for ages and who really cares about us. Never once did we feel like just another number or another patient. Dr. Girija has a very positive approach and ensures you leave every meeting in high spirits and with increased confidence. A big thank you to Dr Girija and Dr Sonal for all the hand holding during my pregnancy journey and ensuring I had a safe delivery.
Minal Patil
Minal Patil
13:34 30 Nov 19
Girija madam is an amazing doctor. She has so much of experience and she is so loving which makes every interaction with her comfortable. She always gives full time and explains the steps which should be taken as part of her treatment and gives confidence. She shares many diet tips and other points so that medicines can be avoided as much as possible. She made my pregnancy journey very easy and smooth. I highly recommend Girija madam for gynec and pregnancy related things.
Harsha Gonnade
Harsha Gonnade
19:17 25 Nov 19
Dr. Girija and Dr. Sonal both are very polite and listen to patient very carefully. We got very good guidance and treatment from them.
Kamini Bankar
Kamini Bankar
09:02 24 Nov 19
I met with Dr Girija Wagh. She is very sweet kind of doctor who cares for her patients so much. Always she gives proper advices & Consultation to the patients. haven't seen such a lovely doctor.
Manav Verma
Manav Verma
09:41 02 Jul 19
Dr. Girija is not only an exceptional surgeon but a very nice person. She performed a hysterectomy on my mother and right from the OPD to the surgery, she kept us well informed and made us so comfortable that the whole process went through like a breeze. My mom also became friends with her and they chat post the surgery every now and then. God bless such exceptional doctors!! Thank you Ma'am.
Dipti Hapase Nakhle
Dipti Hapase Nakhle
07:22 02 Jul 19
Happy Doctor's day dear! My appointments with you 11 years ago are still fresh in my heart. I remember you could read my mind the moment I stepped in your room. Thank you for all you have done in my time of medical emergencies and being there all upright and ready to go. The wonderful words you had said about my baby as you handed her to me.. I always cherish and keeps me motivated. Thank you for being there and wish you tons of satisfaction and happiness in your good work.
Anushree Jain
Anushree Jain
17:10 01 Jul 19
Happy doctor's day ma'am. Your good care and guidance made the nine months of pregnancy the most wonderful phase of our life. And not just that, the postnatal care that I received from you has filled us with deep regard for you. You are a truly remarkable doctor who we have faith in and an incredible person whom we trust and respect.
Sanjana Vaidya
Sanjana Vaidya
16:51 01 Jul 19
Happy Doctor's day, Dr Wagh! It was pleasure to have known you and understand from you how simple and basic things can help anyone to give birth to a child naturally and nurture it.. thanks for sharing wealth of knowledge you have on this subject!
Pratibha Nair
Pratibha Nair
16:08 28 Jun 19
There are two special people in everyone's life who are next to God ,one is the mother and other is Doctor Who guides like a mother through the journey of pregnancy. You have been that second most important person in my babies life. Thank you mam for all the effort you put in and all the advice that you give into it to make it a normal delivery . You kept us updated about all the progress and test we have done during the whole pregnancy period. The most beautiful part of the delivery was when you kept the baby over mother to feel the warmth ( special touch), that moment was the most special moment of my life.
Shobha B
Shobha B
13:50 02 Jan 18
Was suffering from a chronic disease due to which had many unsuccessful pregnancies. Many senior doctors who we reached out were not competent enough to treat and sustain pregnancy and deliver baby. We finally got to meet Girija mam. She took all precautions to ensure that pregnancy progressed very well and gave us the life's most beautiful gift for which we waited for a long long time. Girija mam not just takes good care of her patients by taking all medical precautions but she also keeps filling in positive thoughts throughout pregnancy. She takes care of her every patient like a mother. For us she is second to god as my case very complicated and she handled very well pre and post delivery complications. She not just saved our baby she also saved me and I'm very thankful to her.
Apala Sen
Apala Sen
12:49 29 Dec 17
My experience with Dr. Girija Wagh is overwhelming. She is an excellent gynecologist. She is cheerful and always tries to create a positive environment whenever I visited her as a patient. I feel very easy to communicate my problem with her and she is always available for help even on whatApp if immediately needed. My experience with her so far is very smooth and satisfying.
Jayashree Jadhav
Jayashree Jadhav
10:31 11 Nov 17
Girija is a great gynaecologist and with great academic knowledge. She is my best friend. Important thing is that she is good human being. She is very much concerned about her patients. Very much caring and lovely doc.very much encouraging and enthusiastic lady.
shailesh yende
shailesh yende
10:35 02 Nov 17
Going through childbirth is a mix of immense pain followed by immense happiness for both the parents. Its not only mother who is under pressure or tense. Specially when there is history involved. In this journey, the presence of a wonderful doctor is simply priceless. A doctor with a lovely, caring and constructive heart is cherry on the icing. She is a great doctor, really does her best to rule out all options before anything major is assumed. I feel Medicines are just instrument to heal a person, but the comforting words of a doctor do a great job in healing one’s spirit. Without a doctor like you, We couldn’t have sailed through the rough days!!! Thank you. PS: We both meant each and every word stated above from the bottom of out heart.
Bharti Goyal
Bharti Goyal
13:19 28 Jul 17
Going through childbirth is a mix of immense pain followed by immense happiness. In this journey, the presence of a wonderful doctor is simply priceless. Thanks doctor, for comforting me and taking away all my stress . Thank you so much for the difference you make in the lives of your patients! Your kindness, sincere caring, and concern make everything better and are a great encouragement. Every day of my life will be better because of you. Thank you is not nearly enough. You take the time to listen and to make your patients feel valued and respected, treating others as you would want to be treated. Before saying that you are an extraordinary doctor, I want to tell you that you are an extraordinary human being.
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