He­mas Wat­tala of­fers top level care against dengue for high risk preg­nan­cies

Daily Mirror (Sri Lanka) - - HEALTHCARE -

Among the 2,000 plus dengue pa­tients treated at He­mas Hospi­tal Wat­tala in the past three months, sev­eral crit­i­cal cases were high risk preg­nan­cies that got even more com­plex as the pa­tients ad­vanced in their preg­nan­cies hav­ing con­tracted the dengue virus.

One such case was of a preg­nant fe­male who had aban­doned the idea that she would one day be­come a mother. Her past health his­tory of three mis­car­riages, preg­nancy in­duced hy­per­ten­sion and di­a­betes, hypo thy­roidism plus a rare blood dis­or­der called ‘Fac­tor Eight’, con­trib­uted to her be­ing warned med­i­cally that the like­li­hood of her ever car­ry­ing a baby to term - was slim. At 35 years of age, con­sid­ered ‘el­derly pri­mal’ was not in her favour, how­ever desperate she was to have a child. So when she dis­cov­ered she was preg­nant for the fourth time, she was anx­ious that this should be a vi­able preg­nancy.

Dr. In­dra Wad­i­nam­biarachchi at the Out Pa­tient Depart­ment (OPD) at He­mas Hos­pi­tals, im­me­di­ately sus­pected dengue and pre­scribed the dengue anti­gen test, on a rou­tine visit of another pa­tient who at 36 weeks preg­nancy com­plained of a mild sore throat and fever. She was sur­prised when di­ag­nosed as hav­ing dengue, par­tic­u­larly since a test done a few days prior at a neigh­bor­hood lab­o­ra­tory had told her other-wise.

Both preg­nan­cies, con­sid­ered very high-risk, highly com­pli­cated and very rare, be­came the re­spon­si­bil­ity of the team of med­i­cal and health­care spe­cial­ists at He­mas Hospi­tal in Wat­tala.

Dengue plus at the ad­vanced stage of eight months of preg­nancy and a preg­nant woman with acute blood dis­or­der plus other com­pli­ca­tions who had con­tracted dengue, was the chal­lenge that the team had to man­age - the health of the mother and her baby.

As the moth­ers re­cov­ered from their de­liv­ery, Dr. Rasika Herath, Con­sul­tant Gy­nae­col­o­gist dis­cussed how se­ri­ous their con­di­tions were. All nec­es­sary in­ves­ti­ga­tions were car­ried out with­out any de­lays, with Con­sul­tant Hae­mo­tol­o­gist, Dr. Visakha Rat­na­malala also part of the team that su­per­vised the de­liv­ery. “From the ward doc­tor to the Con­sul­tants – Gy­nae, Heamo­tolgy, Paediatric were present at the times of de­liv­ery, given that one pa­tient had a legacy of acute blood dis­or­der and the other hav­ing a low platelet count, high pulse rate and fluid leak­age caused by acute dengue. Both sit­u­a­tions were near fa­tal.

Dr. Su­nil Fer­nando, Con­sul­tant Ob­ste­tri­cian and Gyne­col­o­gist also worked tire­lessly and metic­u­lously in plan­ning the care of a num­ber of preg­nant women who were di­ag­nosed with dengue, over the past few months.

“Our ex­pe­ri­enced team of ma­ter­nal-fe­tal health­care spe­cial­ists, in col­lab­o­ra­tion and with di­rec­tion from the con­sul­tants, en­sured safe and ef­fec­tive peri­na­tal and post na­tal care” ex­plained He­mas Hospi­tal Wat­tala Med­i­cal Ser­vices Man­ager Dr. Upul Ilan­gas­inghe.

“Of­ten, pa­tients are sim­ply mon­i­tored more care­fully while their preg­nancy pro­ceeds nor­mally,” he con­tin­ued. “How­ever, in these two crit­i­cal cases and in most times, our team was able to quickly di­ag­nose, pre­scribe the spe­cific tests, treat­ments and cour­ses of ac­tion and de­vel­oped an ef­fec­tive care plan that suited the mother’s spe­cific needs, and of­fered the best chance of a suc­cess­ful out­come”.

Dr. Ilan­gas­inghe con­cluded that timely di­ag­no­sis is an at­tribute of ex­pe­ri­ence which is the key driver to the suc­cesses at He­mas Hos­pi­tals. “From the OPD to the ward doc­tors, the re­spec­tive con­sul­tants, from the pool of over 200 con­sul­tants that see pa­tients at He­mas Hos­pi­tals, to the teams of nurses, paramedics and all hospi­tal staff, stay com­mit­ted to the most suc­cess­ful health­care prac­tices and out­comes,” he summed up.

He­mas Wat­tala Di­rec­tor/gen­eral Manger Dr. Las­an­tha Karunasekara stated: “This am­ply demon­strates the com­mit­ment, ded­i­ca­tion, skill and passion of the en­tire hospi­tal team, from con­sul­tants down, to­wards the pa­tients vis­it­ing He­mas Hos­pi­tals. Man­ag­ing high risk pa­tients across all spe­cial­ties with great out­comes have be­come a rou­tine to our staff now. As the only hos­pi­tals in the re­gion with in­ter­na­tional ac­cred­i­ta­tion fol­low­ing strin­gent pa­tient cen­tric pro­cesses, in­clud­ing a world stan­dard cen­tral sup­ply ster­il­iz­ing unit, con­tribut­ing to al­most zero in­fec­tion rates to surgery, has all con­trib­uted to the our suc­cess jour­ney.”

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