High risk pregnancy – Successful delivery in Israel: A patient’s story and testimonial
As told by Vera, iMER medical curator
In the time that I have worked as a medical curator for iMER, I have had the chance to meet many patients and hear many stories. There is always something special and beautiful about the birth of a new person, I feel blessed that my work gives me a chance to help babies come into this world and help mothers maintain hope…
In Uzbekistan, Marina was amazed to receive a diagnosis of “early menopause” which was then followed by another surprise – Marina became pregnant. From the very beginning the pregnancy was regarded as high risk: not only due to the surprise diagnosis, but also because Marina had a serious autoimmune condition.
Marina and her husband assessed their options, packed their bags and travelled to Jerusalem to see us, iMER’s logistics and medical team. Marina had previously sought treatment for her condition here, and now she was totally confident as she knew she could trust the doctors of the Hadassah MC. Her husband was a little nervous , as any dad-to-be , but all of his questions were answered. Marina (with the help of our medical coordinators) had maintained correspondence with Dr. David Mankuta, the Head of labor and delivery unit in the Department of Obstetrics and Gynecology, for many months and he gave her a good prognosis in regards to the delivery, in spite of the high risk pregnancy. He told her that the fetus was developing without any signs of a pathology. The entire medical file, needed for the consultations and delivery had been prepared, thanks to our coordinators and medical consultants.
Three weeks later, during a routine examination, Marina mentioned that although she felt fine in general, her legs were developing severe edema. Dr Mankuta himself took her blood pressure and saw that it was elevated. He recommended monitoring the fetal heart rate (nonstress test). He ordered Marina to stay for 1.5 hours of monitoring. I remained with her, of course: it would be unthinkable to leave a patient alone in a foreign country where she doesn’t speak the language, even if assisted by such a great doctor!…The hour and a half had passed, but I wouldn’t leave until my replacement arrived and stayed by Marina’s side…And the next day I came to work with a festive balloon and congratulations!
Marina had caesarian section and gave birth to a wonderful healthy baby girl – a long-awaited daughter, whose birth could not have been possible if the original diagnosis by doctors from Uzbekistan had been correct…