Mangaluru: In a breakthrough for fetal medicine, Father Muller Medical College Hospital successfully treated a rare and high-risk condition—non-immune hydrops fetalis (NIHF)—using a complex in-utero procedure, showcasing excellence in advanced obstetric and fetal care.
NIHF is a severe fetal disorder where fluid accumulates in two or more compartments, like the scalp, abdomen, pleura, or heart sac. Unlike immune hydrops, which stems from blood group incompatibility, NIHF can result from fetal anemia, infections, heart defects, or genetic abnormalities. Immediate diagnosis and intervention are critical.
A 24-week pregnant woman was referred to the hospital’s High-Risk Pregnancy and Fetal Medicine Unit due to reduced fetal movements. An ultrasound confirmed severe fetal anemia with hydrops, including swelling in the scalp and abdomen.
A multidisciplinary team promptly decided on an emergency intrauterine transfusion (IUT)—a delicate, life-saving procedure. The standard cord insertion site was inaccessible due to fetal positioning and placenta placement. Innovatively, the team transfused blood via the fetal portal vein, guided by real-time ultrasound. Fetal paralysis was induced to ensure safety and precision.
The team included Dr Prathima Prabhu, Dr Muralidhar G K, Dr Lenon D’Souza, and Dr Mandeep Sagar. After the transfusion, the mother received intensive antenatal monitoring and eventually delivered a healthy baby vaginally at term. Postnatal care was overseen by Dr Praveen Nayak K.
The hospital leadership praised the feat, calling it a testament to clinical skill, teamwork, and compassionate care.