Pregnancy is always a special journey, but sometimes it comes with medical challenges that require not only expertise but also patience and compassion. Such was the case of a 27-year-old mother who approached Sutika Gruha Multispeciality Hospital for her third delivery. She had already undergone two previous Lower Segment Caesarean Sections (LSCS), making it clear that this pregnancy too would require a planned caesarean delivery. From the very beginning, our medical team understood that this case could be complicated due to the high possibility of internal adhesions — scar tissues that commonly form after repeated surgeries.Blood was reserved in order to compensate blood loss if any.

Keeping this in mind, our doctors and nursing staff closely monitored the patient throughout her treatment. Repeated caesarean sections often create dense adhesions inside the abdomen, which can make surgery technically challenging and time-consuming. Our experienced team prepared carefully, anticipating these difficulties and ensuring that all safety measures were in place for both the mother and the baby.

The surgery was scheduled and performed in the evening. As expected, the operation presented significant challenges. In a routine caesarean section, surgeons usually pass through about seven layers of tissue to reach the baby. However, in this case, due to adhesions from previous surgeries, these layers were stuck together, making the procedure more complex and requiring meticulous dissection. The surgical team proceeded patiently and precisely, carefully separating the adhesions to avoid any injury to surrounding structures. Though the process took longer than usual, the expertise and coordination of our surgeons ensured that the surgery progressed safely.

Finally, the most awaited moment arrived — the baby was delivered safely. A healthy newborn weighing 2.45 kilograms entered the world, bringing immense relief and joy to everyone in the operation theatre. Immediately after birth, our pediatrician carried out the routine newborn assessment. During evaluation, there was a concern regarding the baby’s blood sugar level. A quick test revealed that the baby’s blood sugar was 57 mg/dL, slightly lower than the normal expected level of above 70 mg/dL.

Without wasting any time, our trained nursing staff initiated early feeding for the baby to stabilize the blood sugar level. Prompt action and close monitoring ensured that the baby’s condition improved steadily. Meanwhile, as the family had opted for permanent contraception, tubal ligation was safely performed for the mother during the same surgery by our expert surgeon.

After the operation, the medical team focused on two important aspects of care. The first was careful monitoring and stabilization of the newborn’s blood sugar level. The second, and equally important, was effective post-operative pain management for the mother, especially considering the complexity of the surgery and the presence of adhesions. Our multidisciplinary team — including surgeons, anesthetists, pediatricians, resident doctors, and nursing staff — worked together continuously to ensure both mother and baby recovered smoothly.

Over the next few days, the patient received attentive post-operative care. She was counselled about proper wound care, nutrition, and the importance of maintaining a healthy weight for long-term well-being. Our team ensured that she was comfortable, confident, and well-informed before leaving the hospital. On 13th March, the mother was discharged in a stable and healthy condition along with her newborn baby, marking the successful completion of a challenging yet rewarding journey. This case once again highlights how timely planning, skilled surgical expertise, and compassionate teamwork can make even complex deliveries safe and successful.

At Sutika Gruha Multispeciality Hospital, every mother’s journey matters to us. Behind every safe delivery is not just medical science, but dedication, teamwork, and the shared joy of welcoming a new life into the world.