Mina Nepali was a young Nepalese mother, and her son was born prematurely at 28 weeks of gestational age at the Gandaki Medical College in Pokhara. Since she was very poor and she could not afford treatment for her baby in a private structure, her son was urgently transferred to our hospital, the WesternRegional Hospital of Pokhara, which is the public referral facility in the region. Luckily for Mina Nepali and her son, our hospital is now equipped since a few years with a complete suite of MTTS medical machines (CPAP for respiratory distress, phototherapy machines for Jaundice, Infant Warmers) that allow us to care even for the most premature children with a very high standard of care. We also received training and continuous support from the Day One Health team. On the day of the admission, the baby was weighting just 700 grams. He
was diagnosed as preterm with low birth weight, suspected sepsis and hypoglycemia. The infant was treated with a CPAP machine for more than 8 days, and in between there were many episodes of apnea and we had to do several cycles of bag and mask ventilation. At the same time, while the baby was in our NICU, his mother had to undergo a delicate surgery as well. The baby was so precious for his parents: luckily, he was strong and he was discharged from the NICU after almost 40 days, with a weight of 1.3 kg. The technique of Kangaroo Mother Care was taught to both parents. After 2 weeks, the baby had another health problem: he was cyanosed and not breathing well, so we had to immediately start bag and mask ventilation, and we initiated CPAP treatment once again. After 20 days, he was finally discharged and from that moment on he continued to grow strong and healthy. Now the child is fine, and he is already 7 months old. The smile on the face of his parents tells us everything we need to know about this miracle at the Western Regional Hospital.
Miss Ayasha Humagai, Staff Nurse, Western Regional Hospital, Pokhara.