Lucknow, May 29: In a remarkable case that underscores the evolving capabilities of assisted reproductive technology and high–risk obstetric care, a 44-year-old menopausal patient successfully delivered a healthy baby following treatment at Indira IVF Lucknow.
The patient, who had a significantly small uterus and a history of four failed IVF attempts at another centre, conceived successfully in the very first attempt at Indira IVF following a carefully designed, personalised treatment approach.
A double embryo transfer (DET) was performed with a planned fetal reduction. However, at seven weeks of gestation, the patient presented with a rare and critical complication—heterotopic twin pregnancy with cornual uterine rupture.
Dr. Pawan Yadav, Zonal Business Director, Lucknow, Uttar Pradesh, Indira IVF Hospital Limited, added, “This case involved multiple high–risk factors, including advanced maternal age, menopausal status, a structurally small uterus, and a history of repeated IVF failures. The development of a rare complication early in the pregnancy required timely intervention and careful clinical judgment to ensure continuity of care. Such cases highlight the importance of personalised treatment approaches supported by strong clinical expertise and infrastructure. At Indira IVF, the focus remains on delivering integrated, patient-centric care while managing even the most challenging fertility journeys with precision and responsibility.”
Following diagnosis, an emergency uterine repair was performed to manage the rupture. With meticulous care and close monitoring, the medical team was able to stabilise the patient and continue the pregnancy with a single live fetus.
The pregnancy was thereafter managed under close supervision as a high–risk case. At 34 weeks, a planned lower segment caesarean section (LSCS) was carried out, resulting in the safe delivery of both mother and baby. Both have since been discharged in good health.
This case underscores the importance of timely intervention, continuous monitoring, and individualised care in managing rare and high–risk complications in assisted reproductive treatments.