Darshi Wewalage, her husband Rukshan Don Wijesinghe, their baby Joel and daughter Hailey, 6, are a family thanks to Auckland City Hospital's medical team. Photo / Dean Purcell
Darshi Wewalage, her husband Rukshan Don Wijesinghe, their baby Joel and daughter Hailey, 6, are a family thanks to Auckland City Hospital's medical team. Photo / Dean Purcell
As an "absolute last resort", a pregnant woman's throat was sliced open by a doctor who had never before performed the life-saving medical procedure. The thankful mum and her baby boy survived and are now doing well.
The day after Darshi Wewalage's 40th birthday, she lay unconscious on an Auckland operating table with her unborn baby boy trapped inside her. Both hearts were minutes away from death.
"I remember there being a calmness in the room... we had to act quick or she and her baby would die," Auckland District Health Board consultant anaesthetist Dr Jack Hill told the Herald.
It was July 4 and Wewalage - who was 29 weeks' pregnant - had developed a rare and life-threatening pregnancy complication called HELLP (haemolysis, elevated liver enzymes, low platelet count) syndrome, affecting her ability to get oxygen to her and her baby's lungs.
The Auckland banker's condition worsened when doctors were unable to get a breathing tube through her mouth due to her swollen throat, Hill said.
Instead, close to 20 Auckland DHB staff - including surgeons, anaesthetists, junior doctors, nurses and orderlies - had less than five minutes to complete a task no one in the operating room had ever performed.
"It was a team effort, everyone played their part," Hill said.
Another anaesthetist had to make a cut across the Wewalage's throat and insert a breathing tube into her lungs.
It's called an emergency surgical cricothyrotomy and is only used in life-threatening situations when the patient's airway is blocked.
Hill, whose career spans more than 20 years, said it was a crisis procedure a doctor might only see "once in a lifetime, if that".
"As an anaesthetist, you train for it but you never think you will actually have to do it. It was an absolute last resort and no one knew if it would work," he said.
"But the patient would die otherwise so it had to be done."
Wewalage's husband Rukshan Don Wijesinghe and their 6-year-old daughter Hailey sat in the waiting room, anxiously awaiting their loved ones' fate.
Auckland DHB consultant anaesthetist Dr Jack Hill meets baby Joel Don Wijesinghe and his mother Darshi Wewalage for the first time after helping save their lives. Photo / Dean Purcell
Wewalage had been admitted to Auckland City Hospital on July 1 with high blood pressure and a concerning heart rate.
Four days later, she had just finished her birthday dinner at the hospital and said goodbye to her husband who was returning to a pub where he works as head chef.
That's when doctors felt Wewalage's unborn baby was not moving.
Baby Joel Don Wijesinghe is a miracle who fought for survival. Photo / Dean Purcell
Without being able to kiss her husband goodbye, Wewalage was rushed into surgery.
Hill said the crisis procedure they performed on Wewalage was so rare it only happens in 3.4 out of every 100,000 caesarean sections.
"It's a task we can only practise on artificial models."
Within seconds of the anaesthetist inserting a tube into her neck, the beep of the heart monitor returned to a steady pace and whole room let out a big sigh of relief, Hill said.
"It was an incredible moment."
But the medical team was "not out of the woods yet", Hill said.
The baby, who was not due until September 20, then had to be delivered by caesarean section. The infant was taken to the Neonatal Intensive Care Unit (NICU) where he spent eight weeks.
Obstetrician and gynaecologist Sarah Corbett, who was not involved in Wewalage's surgery, said she had been working as a specialist at Middlemore Hospital and never seen the crisis procedure done before.
