32 years old lady from Parbat visited our clinic on 2078/09/18 along with her 33 years old husband who came from abroad (Kuwait). The couple was not able to conceive a child since 4 years of their marriage and diagnosed as primary sub fertility. After examination, USG as well as lab investigations showed Bicornuate uterus and hyperthyroidism (7.5 mlU/ml), AMH value as 0.02 ng/ml. Thyronorm was started since then. After one month they attended our clinic and were planned IVF for poor ovarian reserve. ET was done on 2079/01/01. Luteal phase support medications were started and after two weeks B- hCG came significantly positive. USG confirmed twin pregnancy. Antenatal period was uneventful. At 31 plus weeks of gestation she had history of P/V leakage with sudden onset of abdominal pain intermittently followed by hardening of uterus. On examination, USG showed 8cm of Amniotic Fluid Index with ongoing P/V leakage alarming risk to the babies. LSCS was done with the outcome of 1.4 kg male baby and 1.6 kg female baby. Both babies were shifted to NICU for additional support and feeding was started. We wish speedy recovery of mother as well as both her babies. We are extremely happy to be part of their parenthood journey.
