A infant born in India with two heads, three limbs, and two hearts has physicians in shock. Shaheen Khan and her husband Sohail were expecting two fully formed twins, but were stunned when, on March 28 in Ratlam, Madhya Pradesh, she gave birth to what appeared to be an infant with two heads.
This condition, known as dicephalic parapagus, is characterized by the union of two neonates into one torso and frequently results in stillbirth.
However, the remarkable conjoined twins have survived thus far and have been admitted to a hospital in the nearby city of Indore to be monitored by physicians. Shaheen remains in the Ratlam district hospital.
The conjoined siblings were born on March 28 in Ratlam, Madhya Pradesh, India. They have three limbs and two chests.
This condition, known as dicephalic parapagus, is characterized by the union of two neonates into one torso and frequently results in stillbirth. (Illustration: an X-ray of conjoined siblings).
The miraculous infants have thus far survived and have been admitted to a hospital in the nearby city of Indore, where physicians will continue to monitor them. India gives birth to a baby with two heads, three limbs, and two hearts.
What is the condition of conjoined twins with dicephalic parapagus?
According to the American Journal of Medical Genetics, the incidence of conjoined twins was formerly estimated to range from one in 50,000 to 100,000 births. Approximately eleven percent of these are dicephalus parapagus twins, according to a review published in the Journal of Pediatric Surgery.
Most conjoined siblings are joined at the thorax or abdomen. Dicephalus parapagus twins are joined at the pelvic, a portion or the entirety of the abdomen, and the thorax, but have separate heads. The twins may have two, three, or four (tribrachius) limbs and two or three legs (tetrabrachius).
A fertilized egg begins to divide into two embryos a few weeks after conception, but the process pauses short of completion, resulting in conjoined twins.
The efficacy of separation surgery depends on where the siblings are joined. After birth, only then can doctors determine which organs siblings share and therefore plan surgery.
75% of the time, at least one twin survives, according to the University of Maryland Medical Center. Dr. Lahoti, one of the physicians, stated: ‘These types of cases are uncommon, and the condition of the infants remains uncertain, particularly in the early days. Due to this, we have been keeping an eye on them.
No surgical procedures are scheduled for the patient. Twins born with two heads but sharing a single body are referred to as dicephalic parapagus – an extremely rare form of conjoining that affects only one in a million births.
In 2019, a 21-year-old mother also in India gave birth to a child with two heads and three limbs. Babita hirwar and her spouse Jaswant Singh hirwar reported that they were stunned when she gave birth on November 23, that year.
Mr. hirwar stated, “We are stunned. It is incredible. Everyone is stunned upon seeing them. We cannot believe that our son has two heads. Mr. and Mrs. hirwar of Basauda village in the Vidisha district of central India’s Madhya Pradesh were initially decimated. The couple had been married for 18 months and were anxiously anticipating the birth of their first child.
Local reports indicated that they should anticipate conjoined twins around the 35th week of pregnancy. However, they welcomed a “baby with two heads” after a C-section.
Mrs. hirwar told a local news agency, ‘I felt conflicted when the nurses presented me the infant. When the nurses removed the towel, I was stunned to see our firstborn child with two heads and three limbs.
All we desired was a normal, thriving infant, but the divine wished to punish us in this manner. I have no idea why.’ In 2019, Babita hirwar and her spouse Jaswant Singh hirwar (pictured together) gave birth to conjoined twins, which they believed was a divine punishment.
Mrs. hirwar stated that all she desired was a thriving infant. The brothers required around-the-clock supervision. Baby born with three limbs and two skulls perplexes physicians in India
They later resolved to provide the finest possible upbringing for the child. It came after two boys born with the same condition in India in 2017 perished within twenty-four hours of birth. They were placed on a ventilator immediately, but physicians informed the parents that their prospects of survival were “hopeless.”
The 3.7kg (8.15Ib) siamese twins shared a liver and a pair of appendages but had separate lungs and hearts. The medical staff revealed that the mother and father implored them to save their children, but they refused, stating that “such children do not survive.”
They also explained that separation surgery would have been impossible had they survived. The director of the gynecology department, Dr. Sanjay Bansode, stated that the twins were delivered healthy, but physicians knew they had no chance of survival.The infants were dicephalic parapagus, or two-headed twins, which are frequently stillborn. Two boys born in India in 2017 with the condition (pictured) perished just 24 hours after birth.
The odds of having dicephalic parapagus twins are approximately 10% for such pregnancies. It is exceedingly rare, occurring only once in a lakh [equal to one hundred thousand]. Their condition was so critical that they were placed on a ventilator. However, they perished a day after delivery.’
Other specialists have estimated that this form of conjoined twin is even more uncommon. The couple, who already had three daughters and a son, were astonished to discover their neonate had two heads, according to the medical staff.
Dr. Sanjay Bansode explained, “They were exceedingly impoverished and anxious following the delivery of their child.” Before the 32nd week of pregnancy, the mother was unaware that she was carrying conjoined twins.
They requested that we do whatever it takes to save the infants, but such infants do not survive. As they share the majority of their bodily components and in this case had only one pair of limbs, surgery is not an option.
The separation of conjoined twins is a high-risk, low-success operation.
The surgical separation of conjoined twins is a delicate and potentially dangerous procedure that requires the utmost precision and care. Therefore, separating twins is a significant decision.
The mortality rates of separated siblings vary based on their type of connection and the organs they share. There are no known survivors in cases where the circulatory chambers of the hearts of siblings are joined.
Although success rates have increased over time, surgical separation remains uncommon. At least one sibling has survived separation approximately 75% of the time since 1950.
Doctors can only use magnetic resonance imaging, ultrasound, and angiography to determine which organs twins share after their birth. In order to determine whether separation is possible, physicians must thoroughly evaluate the function of the twins’ shared organs.
The majority of separated twins require intensive rehabilitation due to the malformation and position of their vertebrae.
Their back muscles are continuously flexed, and they frequently have trouble bending their backs forward and rearward and seating up erect.