On the head grow together: UK Doctors, conjoined twins Safa and Marwa separate

Zainab Bibi knew that she was expecting twins and that the children likely had a malformation. But what was missing the children just didn’t have the seven-fold mother from Pakistan. The family lived through a difficult time: Two months before the birth of Zainab Bibi’s husband and children’s father died of a heart attack.

Safa and Marwa arrived at 7. January 2017 in a Pakistani hospital by caesarean section on the world. The mother saw the girl first, she had to recover from the procedure. Five days later, they got shown a photo of their children in order to prepare it gently to the malformation. Zainab Bibi remembers this Moment and says, you have immediately fallen in love with the girl. “They looked very nice and had pretty hair and a light skin” she is quoted as saying by the BBC. “I have not even thought about, that they were grown together. They are given by God.”

British Doctors offer help

The girls will be released after a month from the hospital. The family agrees to allow the children to operatively separate from each other, if possible. A military hospital is offering the family assistance, but stresses that one of the girls would die in the surgery, perhaps. The mother rejects the offer.

The British neurosurgeon, Noor Ul Owase Jeelani, and finally gets the trust of the family. He works at the renowned children’s hospital “Great Ormond Street” in London, and is sure to have the children separated, after he has evaluated the CT Scans of the girl. Safa and Marwa have a fully formed brain, but they share veins certain blood. This makes the procedure so risky.

Safa and Marwa before the Operation. An interdisciplinary team of experts supervised by the family – including neurologists, psychologists, radiologists and physiotherapists.

In the fall of 2018, the four-month treatment process in London. The costs are borne by a private donor. The team of Doctors focuses, firstly, to separate the brains and blood vessels of the girls from each other. A plastic plate ensures that the separated areas to grow back together. In a next step, the head is stretched skin of the girls, to prepare them for the final Operation. The last Operation is to separate the children from each other and close the wound with the body’s own bone and skin tissue. The hospital has published on YouTube a Video in which it explains the course of treatment.


Complications in the OP

During an intervention, there is a complication, according to “the Guardian”: In Safas neck vein a blood clot, which also brings Marwa blood circulation mess, and your heart rate drop is formed. The Doctors give Marwa a vein, which shared both of the children before and can rescue the girl. But this has, in turn, impact on Safa: Twelve hours after the procedure, she has a stroke as a result of the lost vein.

In spite of all the complications the Doctors to continue the treatment and be able to separate the girls successfully from each other. On 1. July Zainab Bibi leaves the hospital with her daughters. The family now needs two strollers. A Zainab Bibi, the other the grandfather of Mohammad Sadat pushes. The family will stay in London to recover from the rigors of operations. Safa and Marwa are in physiotherapy treatment, to be able to at some point, a largely independent life.

Grateful Family

“The hospital and staff have done us a great service and we would like to thank you for everything you have done. We are very excited about the future,” says Zainab Bibi, compared to the “Guardian”.

In a communication from the medical team for Noor Ul Owase Jeelani, how proud you were on the girls, said: “We are pleased that we were able to help Safa and Marwa and her family. It was a long and difficult road for you…” Not least of all, the Faith and determination of the family have helped to come through this difficult time.

In the case of Siamese twins are identical twins that remain in the course of their development in the mother’s womb, connected to each other. The malformation is extremely rare and occurs approximately in one out of a Million live births.

Sources: Great Ormond Street Hospital for Children (GOSH) / Guardian / BBC

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