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Tuesday, May 31, 2011

Arizona baby who grew outside the uterus delivered safely

This is Medicine's first.

A 27-year-old woman from Arizona gave birth to a 1,143-gram (2-pound-14-ounce) baby boy at 32 weeks gestational age last Monday at the Maternal Fetal Medicine Center at Banner Good Samaritan Medical Center.
What is so special about this case other than the baby being born prematurely?
Well, the fetus developed outside his mother's womb.
In fact, Nicolette Soto, who has been trying to conceive for nearly five years, learned at 18 weeks of her pregnancy that she has been carrying a baby who was situated at one of the horns of her uterus known as cornual pregnancy, NY Daily News said.
This type of ectopic pregnancy is feared by most obstetricians like me. It is a high-risk pregnancy where the growing baby attached himself in a narrow and unyielding area between the mother's womb and the fallopian tube.
One of the problems encountered with ectopic pregnancy is that the growing baby and the placenta will cause the tubes to rupture and may risk the life of both the mother and the fetus.
Soto told FOX 10, "It was really scary. Just because we didn't know where the baby was and what he was attached to and what could happen."
Also known as interstitial pregnancy, they occur in 2-4 percent of all tubal pregnancies or 1 in 2,500 to 5,000 live births. In general, women with this kind of pregnancy are seven times more at risk than other ectopic pregnancies. They usually rupture between 12 and 16 weeks gestational age.
Dr. Rodney Edwards said, "For some reason, hers did not (rupture)."
According to Gamut News, the intraoperative period was unremarkable. Soto delivered baby Azelan Cruz Perfecto easier than expected. The surgical team did not face problems in delivering the placenta.
Dr. Edwards said, "This is just a case that proves that nothing in medicine happens always or never."
Details of this report here

Thanks to Kate McIntyre of for sharing the video.

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