Pune: In a reminder that high-risk pregnancies may not always show warning signs, the routine check-up of a 46-year-old woman who had conceived through IVF became risky after doctors detected a symptomless pregnancy complication, pushing them to perform an emergency C-section at 32 weeks.The procedure highlights the importance of regular monitoring and timely medical intervention.On Feb 4, the woman had gone for a routine evaluation, with no complaints of any pain, bleeding or discomfort. However, tests revealed a serious combination of conditions — including pre-eclampsia (high blood pressure), intrauterine growth restriction, anaemia and abnormal blood flow to the baby (Doppler changes). Additionally, the IVF mode of conception and previous history of a caesarean, placed the woman and baby in a high-risk category.The doctors said the asymptomatic condition of the foetus was disturbing. “It was a silent, but critical case. There were no external warning signs. However, internally, the baby was under severe stress due to compromised blood flow. In such cases, intervention timing is crucial,” said Dr Varshali Mali, consultant obstetrician at Surya Mother and Childcare Hospital.She said, “Our team performed an emergency caesarean section at 32 weeks and two days on the very day the patient had walked in. The baby weighed just 840 grams when delivered in a breech position (buttocks or feet first) and required immediate neonatal care. The baby cried immediately after birth, indicating a positive initial response.”Doctors said delaying intervention could have resulted in uteroplacental insufficiency — a condition that can lead to severe foetal complications or even loss of life.Dr Mohini Thengne, who assisted in the surgery, said, “Managing such cases requires rapid clinical assessment, seamless coordination between departments and readiness for immediate surgical intervention. The case underscores the importance of not relying solely on symptoms in high-risk pregnancies.”The procedure was carried out under spinal anaesthesia by a multidisciplinary team led by Dr Jyotsna Thaval. The mother and child recovered well post-surgery and were discharged in a stable condition after three days.
