Although Yafaau's report said he was delivered by Vacuum extraction (Doctors noted as "a difficult extraction" Ref: Resuscitation note) due to prolonged second stage, it was a natural birth. At birth he was cyanosed, had no cardiac or respiratory activity. Oro-Nasal suctioning was done and bag/mask ventilation was started within first minute after birth and cardiac massage was given.

 

Heart rate picked up and remained throughout the remaining period of resuscitation. Within 24hrs after birth seizures and apnea was noted. At sixth day baby went to have a CT Scan which reported

He had involuntary movements and had stiffness in his limbs from birth. His first hours and days were spent in the Nursery(NICU). He was not taking any feeds, there was no sucking present. So from Birth Yafaau required Tube Feeding. Till 2 months he was on Expressed breast milk via tube.

 

Almost after one month at discharge doctor noted his condition also as hypertonia, poor feeding and involuntary movements Ref: Discharge Summary 02-02-2003

 

 

Number of convulsions started to increase from June till August. Went to Apollo, Sri lanka again and found that Yafaau had hypsarrhythmia on EEG's Ref: EEG3,EEG4 Yafaau was given ACTH shots which followed high spikes of fever and had vomit feeling. Stopped ACTH after 14 days. Convulsions reduced noticeably. Yafaau was still was vomiting at the time of discharge. We also showed to Nawaloka Hospital and followed another Pediatricians advice too. On discharge we did note another form of convulsion-like movement which both doctors(Dr P.M, Apollo Hospital and Dr S.D. Silva, Nawaloka Hospital) told that it was not a convulsion. We were advised to give him therapeutic exercises and give stimulation with the anticonvulsants. Clonazepam(Rivotril) 1tb morn. 1tb night and Sodium Valproate(Valparin 200mg) 2.5ml morn 2.5ml night.

 

 

Medicines now on:

1)    Lioresal(Baclofen) 10mg 1/2 tablet a day
2)    Rivotril(Clonazepam) 0.5mg 1 tablet a day
 
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