Date Published: 27 September 2005
Baltimore woman gives birth to quintuplets
30-Member Medical Team Assembled to Deliver
Four Girls and One Boy
A Baltimore woman delivered quintuplets by Caesarean section on September 21 at the University of Maryland Medical Center in Baltimore. Jennell Dickens, 22, was able to carry the four girls and one boy into her 31st week of pregnancy, longer than average for quintuplets. At birth, the babies ranged in weight from 1 pound, 12 ounces to 2 pounds, 13 ounces.
" It is truly remarkable for a woman to carry quintuplets past 30 weeks, and the fact that Ms. Dickens was able to do that enabled the babies to grow bigger and has improved their chances of survival," said Hugh Mighty, M.D, chief of obstetrics, gynecology and reproductive services, who led the delivery team.
Dr. Mighty is a specialist in high-risk pregnancy and associate professor and chairman of obstetrics, gynecology and reproductive sciences at the University of Maryland School of Medicine.
" We had a comprehensive plan in place to deliver these infants, which included assembling a team of 30 specialists from Labor and Delivery and the Neonatal Intensive Care Unit. Each baby had a dedicated team of doctors and nurses to provide individual care at the moment of delivery," added Dr. Mighty.
The five babies were born within a two-and-a half-minute time span shortly after 9 a.m. on September 21. They arrived in the following order:
- JaMir Amare (boy) 2 pounds 6 ounces
- Si'ani Ritay (girl) 2 pounds 10 ounces
- NaRae Dimetria (girl) 1 pound 12 ounces
- Jade (girl) 2 pounds 13 ounces
- Rayne Anye (girl) 2 pounds 5 ounces
" The delivery went very smoothly and Ms. Dickens was comfortable and awake so that she could see each baby being born,"
says Andrew Malinow, M.D., professor of anesthesiology and obstetrics and gynecology at the University of Maryland School of Medicine and director of obstetrical anesthesia at the University of Maryland Medical Center.
Along with its expertise in high-risk pregnancies, the medical center also has a Neonatal Intensive Care Unit (NICU) that provides the highest level of care available. It is the largest NICU in the state and is part of the University of Maryland Hospital for Children.
" The babies are doing well in spite of their prematurity. All premature babies face health risks, so we will be monitoring them very closely,"
explained Renee Fox, M.D., director of the NICU at the University of Maryland Medical Center and an associate professor of pediatrics at the University of Maryland School of Medicine. Dr. Fox added,
" Preparing to admit five infants at once to the NICU required a lot of advanced planning and teamwork."
According to medical center neonatologist Rose Viscardi, M.D., the infants may be able to go home within the next two months, provided that they continue to do well.
" We tell parents to expect their premature infants to stay in the NICU until close to the original due date? the date they would have been born if the pregnancy had gone full term. Infants from multiple births often can go home when they are 4-5 pounds, usually at about 35 weeks, but each case is unique,"
said Dr. Viscardi, who is an associate professor of pediatrics at the University of Maryland School of Medicine and director of the NICU Follow- Up Program.
Ms. Dickens had been hospitalized at the University of Maryland Medical Center since July 12 so that she and the babies could be closely monitored. Dr. Mighty says,
" Both Ms. Dickens and the nurses who cared for her since admission to the hospital deserve credit for enabling the pregnancy to go into the 31st week."
This is the first set of quintuplets born at the University of Maryland Medical Center in more than 30 years. According the Maryland Department of Health and Mental Hygiene, only one other set of quintuplets has been born in Maryland since 2000.
Source(s): University of Maryland Medical Center, MD (USA)