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 12,2020

Belagavi, Apr 12: Karnataka police have filed cases against seven people for hiding their visit to Delhi for attending a religious congregation at Nizamuddin Mosque, last month, police said on Sunday.

The Commissioner office here, in a statement said that Hirebagewadi police filed cases against seven persons including one participant and his family members and Tablighi leader for hiding information regarding participation in the religious meeting 'Tablighi Jamaat ' at Nizamuddin in New Delhi in March.

A youth from the Hirebagewadi village had visited New Delhi and hidden information about his visit and misguiding the Task Force officials when they visited his house. COVID-19 Task Force and Model officials informed the matter to Hirebagewadi police.

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Agencies
February 23,2020

Bengaluru, Feb 23: Bolstered by the Supreme Court's interim nod for the gazette notification of the Mahadayi Water Dispute Tribunal award by the Central government, Karnataka decided to allot funds for the drinking water project in the state's northwest region, an official said on Saturday.

"Funds will be allotted in the state budget for fiscal 2020-21 to complete the Kalasa-Banduri project across the Mahadayi river for supplying drinking water to the four drought-prone northern districts in the state," the official of the water resources department told media on anonymity.

As Chief Minister B.S. Yediyurappa also holds the finance portfolio, he has agreed to allocate funds for the project, held up for years in the legal battle with the neighbouring Goa and Maharashtra over the sharing of the river water among the three coastal states.

Yediyurappa is slated to present the state budget for the ensuing fiscal in the legislative assembly on March 2.

"We will resume the project work once the Centre notifies the award though it will be binding on the final outcome of the apex court's hearing the review petitions of Goa and Maharashtra against the Tribunal award," the official noted.

A division bench of Justice D.Y. Chandrachud and Justice Hemant Gupta on Thursday passed an interim order on the Tribunal award, allowing the central water resources ministry to notify it for implementation and posted the case for final hearing in July.

The Tribunal on August 14, 2018 allocated 13.42 thousand million cubic feet (tmcft) of the river water to the southern state for irrigation and drinking water supply to towns and villages across Bagalkot, Belagavi, Dharwad and Gadag districts, which are in the arid region of the Deccan plateau.

The four districts are about 400-550 km northwest of Bengaluru in the southern state.

Of the 13.42 tmcft water, 5.5 tmcft will be used in the river basin and for diversion into the depleted Malaprabha reservoir while the balance 7.92 tmcft will be utilized for hydel power generation instead of allowing the water to go into the Arabian Sea on the state's west coast through Goa.

Goa, which opposed Karnataka's demand for 36.66 tmcft, was allocated 24 tmcft, while Maharashtra got 1.3 tmcft.

The Tribunal assessed that 188.06 tmc feet water is available at 75 per cent dependability.

The three-member Tribunal is headed by Chairman Justice J.M. Panchal, Justice Viney Mittal and Justice P.S. Naayana.

The Union government had set up the inter-state Tribunal on November 16, 2010 for the djudication of the Mahadayi basin water allocation among the three riparian and contiguous states.

Goa and Maharashtra claimed 122.6 tmc feet and 6.35 tmc feet of the river water respectively.

The Tribunal, which commenced sittings on September 6, 2012, held 1,209 sittings for over 6 years.

Supreme Court senior counsel F.S. Nariman represented the state before the Tribunal to present its case.

The Tribunal's chairman and two members inspected the river basin area across the three coastal states from December 12-24, 2013.

The 77km-long Mahadayi or Mandovi river originates at Bhimgad in the Western Ghats in Belagavi district and flows into the neighbouring Goa through Maharashtra and joins the Arabian Sea off the west coast.

Though the river flows 29 km in Karnataka and 52 km in Goa, its catchment area is spread over 2,032 km in the southern state as against 1,580 km in the western state (Goa).

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News Network
April 22,2020

Bengaluru, Apr 22: The Karnataka government has announced partial relaxation of COVID-19 lockdown norms in the state allowing certain construction activities, manufacturing of packaging materials, courier services, among others, from April 23.

The activities will be permitted only outside the COVID-19 containment zones identified by the government.

Service provided by self-employed people like electrician, IT repair, plumbers, motor mechanics, and carpenters in local areas have also been given exemption.

Tea, coffee and rubber plantation have been allowed to work with 50 per cent workforce, and a similar exemption have been given to processing, packaging, sale and marketing of these produce.

“To mitigate hardship to the public, select additional activities have been allowed,which will come into effect from 00.00 hours of April 23,” Chief Secretary TM Vijay Bhaskar said in an order on Wednesday.

However, these additional activities will be operationalised by District Administrations and BBMP (city corporation in the case of Bengaluru city) based on strict compliance to the guidelines on lockdown measures, it said.

Before operating these relaxations, district administrations and BBMP (city corporation) shall ensure that all the preparatory arrangements on social distancing in offices, work place establishments as also sectoral requirements are in place, it said, adding that relaxations will not apply in containment zones.

Facing a financial crunch, the state government has been eager to kick-start economic activities in the state that had come to halt due to the coronavirus lockdown.

While hospitality services, bars, malls, theatres, shopping complexes, religious and places of worship among others will continue to remain shut, relaxation of norms has been for activities that are linked to essential services such as health, infrastructure and agriculture.

As per the order, while, public transportation will continue to remain suspended till May 3,private vehicles with passes for emergency services and personnel commuting with passes to places of work and back will be allowed.

Activities permitted include construction of roads, irrigation projects, buildings and all kinds of industrial projects, including MSMEs, in rural areas and all kinds of projects in industrial estates, where workers are available on site and no one is required to be brought in from outside.

Also permitted to function are manufacturing units of essential goods – drugs, pharmaceuticals, medical devices, their raw materials and intermediates;

food processing industries in rural areas, coal production (mines and mineral production and activities incidental to mining) besides manufacturing units of packaging materials.

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