Quadruplet babies born to Kasargod couple, one dies after month long battle

April 3, 2012

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Mangalore, April 3: A very rare case of four babies of same sex in a single birth (quadruplets) succeeded nearly a month of life by the team effort of highly qualified doctors and medical personals led by Dr Ali kumble in tertiary centre, lndiana Hospital, Mangalore.

However, one among the four babies died on Monday, April 2.

Dr Yusuf kumble Managing Director of the Hospital told media persons that with this Indiana Hospital and Heart Institute's medical team achieved a new milestone in Indian pediatric healthcare.

Aysha Tahira and Latheef hailing from kasargod were not blessed with offspring's for many years. After a prolonged period of waiting they were quite happy to come to know that Aysha has conceived. But the happiness did not last for long time as she delivered prematurely four babies in a single birth. Gynecologist Dr Veena Manjunath was surprised to see new babies one after the other.

The parents were informed that the chance of survival of these babies were extremely rare. Quadruplet incidences occur once in 70 lakh births. These babies survival for more than one week is extremely rare especially if they are very premature. Also it is very expensive and life saving support is required in a high tech care center to make them survive.

Dr Yousuf Kumble said that the four babies got admitted at Indiana hospital's NICU on March 11, this year. Team of doctors led by Dr Ali Kumble took it as a challenge and with their effort babies survived since their admission. Financial support was offered by the hospital management as the father was not in a position to support all the four babies.

“What makes our case still more fascinating is that babies being treated here are identical quadruplet which occurs once in every 13 million births. There are only 60 such cases on record worldwide and it is extremely challenging to ensure they survive into infancy especially if they are born premature at 26 weeks of pregnancy and weigh between 500 to 900 grams”, he said.

He said multiple pregnancies are high risk pregnancies and are associated with increased neonatal morbidity and mortality. The frequency of multiple pregnancies has increased in the past 2 decades, mostly as a result of assisted reproductive techniques for infertile couples.

The average period of gestation in quadruplet pregnancy is 31.2 weeks and the average weight is 1.362 kg as per the literature available. In this case the period of gestation was only 26 weeks and the weights being 900 grams for the first two and 580 grams for the other two offspring, the average weight being only 740 grams, perhaps the first such case of preterm identical quadruplets that goes on record in India, he said.

Dr Kumble said the babies pose serious challenges to both the pediatricians and the family, right from ensuring their survival to the many complications they may develop during their course of hospital stay. “We need to ensure they maintain a normal breathing pattern and tolerate the feed given ok them. Strict hygiene and sanitation to avoid sepsis is a benchmark for ensuring survival of such extremely low birth weight babies. That is why handling and care is undertaken by skilled and experienced nurses assigned specifically for this role”, he said.

“We have taken utmost caution in providing only the mother's milk to the newborns. They have now entered the fourth week of life when chances of intolerance to feeds are high. Survival of such babies beyond the first four weeks of life greatly improves the clinical outcome”, he said.

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Kusuma Kumari G
 - 
Monday, 14 Mar 2016

A VERY GOOD NEWS FOR PARENTS BECAUSE GOD HAS BLESSED THEM WITH FOUR WONDEFUL KIDS.

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News Network
April 9,2020

Bengaluru, Apr 9: 10 new positive cases have been confirmed in Karnataka, apart from the recent fatality of an 80-year-old woman from Gadag district, the health department said on Thursday.

The fresh cases have been reported in the state from last evening to Thursday noon.

Till date, 191 COVID-19 positive cases have been confirmed, which includes 6 deaths and 28 discharges, the update said.

Among the 10 positive cases, eight are contacts of patients who have already tested positive- one each from Belagavi, Mandya and Chikkaballapura, two from Mysuru, and three from Bagalkote; while two from Bengaluru city are with a travel history to Delhi.

Three cases from Bagalkote are children- two boys of 4 and 13 years of age, and one girl of 9 years old.

The elderly woman died on April 8 in Gadag, the department said in its mid-day situation update.

Confirming that her reports tested positive on April 7, officials had said, she had a history of Severe Acute Respiratory Infection (SARI).

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Shodhan Prasad
May 14,2020

Dubai: The father of a 16-year old girl who came on a visit visa to the UAE to visit him is desperate for help as she has been hospitalised, even as he has been rendered jobless.

On February 6, Amber D’Couto flew into Dubai from Mangaluru, India, along with her older sister, Alison, 19. The girls wanted to visit their dad Vivian D’Couto who was working in an automobile company at Jebel Ali.

The father was overjoyed to meet his girls until things took an ugly turn.

Two months into her stay, Amber fell seriously ill, even as D’Couto was served a termination letter by his company.

D’Couto said his daughter, a Grade 10 student, was perfectly healthly but suddenly developed high fever and began vomiting. She was rushed to a private hospital in Qusais which could not accommodate her because of the ongoing COVID-19 situation.

On April 30, she was admitted to another private hospital in the same area. After testing negative for COVID-19 thrice, she was diagnosed with acute pancreatis and Rheumatoid fever.

While the girl remains in hospital, the bill has spiralled to over Dh50,000, D’Couto said, adding that without a job now, he had no means to pay the huge amount.

“Amber is a very sweet child and a very bright student. She was living a very healthy life prior to coming to Dubai. But she is so ill now and under round-the-clock vigil in the ICU. The treatment for her condition is very specific and costly.”

A worried man, he said: “My daughter was on a visit visa and she had no insurance. We appeal to compassionate people to help us out in this difficult hour. Due to the current situation, I have lost my job and I am unable to pay for her medical expenses. Her condition has not stabilised yet and I am taking each day as it comes. I trust the doctors to help her recover, and we hope to be repatriated to India at the earliest so she can get further medical care.”

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News Network
July 12,2020

Thiruvananthapuram, Jul 12: At least 66 children have ended their lives in Kerala since the Covid-19 lockdown began on March 25 with youngsters facing stress unable to bear the unprecedented situation where schools are shut and friends are out of reach to share their woes.

According to Chief Minister Pinarayi Vijayan, there has been an increasing instance of suicidal tendencies among children in the state due to various reasons, including parents scolding them over mobile phone use and failure to attend online classes.

This has prompted the government to launch a teleconsultation facility for children facing stress and also cautioning parents against hurting their sentiments while being concerned about welfare of their wards. It has also ordered a study into the issue. "Among the children an increasing instance of suicidal tendency is being witnessed which will become an extremely serious social issue.

Since March 25, when the national lockdown was imposed, 66 children, below 18 years of age, have ended their lives due to various reasons", Vijayan said. A mother scolding her child for not attending the ongoing online classes, or a parent questioning a child for downloading a sleazy video on the smartphone or the constant rift between the parents were among the reasons which triggered the suicidal tendency, he said on Saturday.

As the schools have not yet re-opened due to the lockdown, the children are unable to meet their friends and share their problems. Vijayan said though the parents were intervening keeping in mind their child's welfare, it was essential to ensure that the young minds were not hurt in the process. To helpthe children facing issues relating to mental pressures, 'Chiri'atele-counselling initiative has been started by the government under its Our Responsibility to Children Programme (ORC), a planned community intervention that connects with people between the age of 12-18 years. The state health department has also launched "Ottakalla Oppamundu" (You are not alone,we are with you) programmeto help children facing any kind of mental distress and to prevent the suicidal tendencies among them.

Health Minister K K Shailaja said under the psychosocial support assistance, her department has so far reached out to 68,814 children and 10,890 children have been given counselling. The changes in the behaviour of their children should be noted by the family members and if they find something amiss, the district psychosocial help desk should be informed, she said. A 15-member team of Students Police Cadets will be constituted in each of the 14 districts to help the children needing any assistance,police sources said. Education should not be a competition, but a means to gain knowledge, Vijayan said.

A society's future lies with the children and it is the duty of the society and the government to ensure their physical and mental well being. Taking a serious view of the situation, the state government has constituteda committee headed byFire and Rescue Services DGP R Sreelekha to conduct a study on child suicides in the state. The aim of the ORC was also to create a multi collaborative platform for government and professional agencies, parents and teachers to equip youth with appropriate know-how to face challenges, officials said. 

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