With infertility treatment catching the fancy of more and more childless couples, the cases of multiple births are also on the rise in the state.
In past few months, several cases of multiple births have come to light in Bhopal and Indore and in most of these cases; the mother had
undergone infertility treatment.
On June 22, Yashoda (35), resident of Narsinghgarh in Bhopal, gave birth to quadruplets in a private nursing home.
However, out of the four infants only three survived and they had to be kept under observation for a long time.
All the four infants were underweight at the time of birth.
Yashoda gave birth to quadruplets after undergoing treatment for infertility.
Another woman gave birth to quadruplets at Sultania Hospital last week.
Few days ago, three women, undergoing infertility treatment, gave birth to twins on the same day at a test tube baby centre in the state capital.
Recently, students of gynaecology department of Gandhi Medical College (GMC) carried out research regarding multiple births.
Out of the 200 women who were part of the study almost 157 had undergone infertility treatment.
In 197 cases, the women had given birth to twins, while in three cases triplets were conceived.
Superintendent of Sultania Hospital, Dr Sudha Chourasia said the students of the gynaecology department of GMC conducted research on rise in number of multiple births under her guidance.
She said the medicines given during infertility treatment increase the production of ovum (eggs), leading to rise in probability of multiple births.
Paediatrician, Dr Prabhakar Tiwari said the medicines given during infertility treatment promote ovulation in woman.
Under natural circumstances, one egg per cycle was stimulated but during infertility treatment, two to three eggs were transplanted into the mother’s body to ensure birth of a child, leading to rise in chances of multiple births, he added.
He said there may be various adverse effects of multiple deliveries on the health of the mother as well as the newborn.
In multiple births, chances of premature delivery increase.
It leads to pressure on uterus leading to complications, most of the babies born are underweight, chances of babies locking up with each other in the womb shoot up and probability of operation rise manifold, Tiwari added.
Dr Monica Singh and Dr Randhir Singh, who run an infertility clinic in Bhopal said more than two babies in the uterus is not good for the health of the mother or the children.
Dr Singh said in metropolitan cities new techniques have been introduced through which one can restrict the birth of the third baby in the womb itself.
“Doctors should not allow their patients to give birth to more than two babies and should monitor them continuously after transplanting embryos in the body.
In advance countries even keeping twins in the womb are considered critical for the mother and multiple births are strictly avoided,” Dr Randhir said. Dr Monica said these days infertility treatment has become popular in small towns too.
But, due to lack of observation of doctors at these places, cases of quadruplets and triplets were on the rise leading to complications.
Infertility specialist of Indore, Dr Asha Baxi said in foreign countries only single embryo was transplanted in the body of the mother during infertility treatment as the procedure is cheaper compared to India and they can afford to take risks.
But, in India people spent large amount of money on the treatment and want early results, so doctors here implant two to three embryos at a time to increase the success rate.
(With inputs from Nida Khan, Indore)
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