Milann Fertility Center successfully managed a high-risk pregnancy and ensured the safe delivery of a healthy baby for a 35-year-old patient with a history of rheumatic heart disease (RHD). The patient, Sohini (name changed), faced numerous challenges due to her heart condition and the need for blood thinners, making her pregnancy extremely delicate.
Rheumatic heart disease, a condition caused by untreated or inadequately treated childhood streptococcal infections, leads to permanent heart valve damage. In pregnant women, the increased blood volume during pregnancy exacerbates the strain on damaged valves, heightening the risk of severe complications, including pre-eclampsia, heart failure, and maternal or fetal death.
Sohini’s medical history included a prosthetic valve placement in 2006 following a valve blockage. Despite life-saving surgery, she required lifelong blood thinners, increasing her risk of clots and bleeding. She initially conceived naturally but experienced a miscarriage at 10 weeks, followed by another valve replacement procedure.
Dr. Varini N, Senior Consultant - Obstetrician and Gynaecologist at Milann Fertility Center, shared, “Due to her cardiac condition and anticoagulant therapy, her pregnancy was classified as high-risk. This required balancing the risks of bleeding and clotting to safeguard both mother and child. At 10 weeks, she was referred to our Maternal-Fetal Medicine department for specialised care.”
Careful planning and multidisciplinary monitoring ensured the successful management of Sohini’s pregnancy. At 37 weeks, an elective C-section was performed to mitigate bleeding risks. Blood thinners were paused 12 hours before the surgery and resumed six hours post-delivery. A healthy baby, weighing 2.8 kg, was delivered, and both mother and child made a complete recovery.
Expressing her gratitude, Sohini said, “Dr. Varini encouraged and explained every step, helping me trust the procedure and stay relaxed.”
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