Two heads are better than one — so goes the popular saying. But there are times when two heads are a big problem, such as with a new born baby delivered on Tuesday at a hospital in Ogudu on the outskirts of Lagos. “
It has two heads wit h oxygen tube strapped on each, a neck, chest, two legs and two hands
Doctors at Med-In Specialist Hospital, Osogbo Street, who took the
delivery, said the baby was born around 6:30pm on Tuesday through an
elective caesarean section. Its mother, surgeon and nurses entered the
theatre prepared to take delivery of a set of twins as indicated by the
various scans she underwent in the course of the pregnancy.
But what they saw were two heads sharing a body.
At the hospital yesterday, it was gathered that the baby was
resuscitated and transferred to the Lagos University Teaching Hospital
(LUTH) for advance care.

According to one of the nurses who was in the delivery room, they had
prepared two cots for each of the twins but were shocked when they saw
that they were conjoined.
“This is the first time I am seeing
anything like this. I have watched it in movies but seeing it in real
life was such an experience for me. Thankfully, the surgeon ensured that
they survived.
“As I speak to you, the mother
doesn’t know the condition of the babies. She still believes and expects
to carry her twins. We haven’t told her yet. Only her husband was
brought into the theatre to see his children and he was the one who went
with the doctors to LUTH,” said the nurse.
In medical parlance, the condition is known as Parapagus. It is a rare
form of partial twinning where there are two heads and two necks side by
side on one torso.
Such cases are rampant in India and doctors say they cannot be separated
since they have only one pair of arms and one pair of legs and one
heart. This disorder is different from conjoined twins as the baby has
only one set of internal organs. The extremely rare case is thought to
be brought on during the early stages of pregnancy as a result of
genetic mutation.
Med-In Hospital Manager Dare Moses said the baby was taken to LUTH so
that tests can be conducted to ascertain if they share also vital organs
like hearts and lungs.
He said: “There is need to find out
if they share major organs together. They may have to be flown abroad
for separation if they have separate hearts and other vital organs. It
is possible for them to survive. I have seen cases of twins like this in
movie surviving and living normal lives.
“Normally, when we have cases of
pregnant woman expecting twins, we usually go for elective caesarean,
which was what the mother opted for.
“But when the doctor was trying to
extract one of the babies (first one), it got stuck and when he examined
further, he discovered that there were two heads in one body. We are
happy that the baby was delivered alive and placed on oxygen. Both heads
were alive.
“It was really amazing. I am proud
and thankful that we delivered the baby alive. Yes, several scans were
done by the mother in the course of pregnancy at different places, but
none discovered any abnormality. We are thankful that the operation was
successful.”
According to a doctor, who refused to be named, the babies were meant to
come as identical twins and must have shared the same sac and placenta.
She said: “Nobody can specifically
say the reason for the condition. At different stages during
pregnancies. Twins divide but these ones didn’t divide fully. We can’t
really say if they have only two pairs of legs and hands, there’s a
possibility the other pairs are inside. But we don’t know yet.
“There are so many things we can’t
really determine physically. That’s why several scans would be
conducted, including CT Scans, to know their exact condition and the
best option.
“It is a situation that would be
best managed abroad because it requires the putting together of a team
of paediatric surgeons who must have the best facilities, which we do
not have presently on Nigeria.
“We have good doctors but the
materials are not there. Specialists in different fields would be
working on them at the same time if they are to be separated. Chances of
their survival in Nigeria are very poor giving the realities of our
society.
“If they can’t be separated and are
left to survive, people might ridicule them or see them as curses, which
isn’t good. But in other climes, some conjoined twins have survived to
adulthood and they are doing fine.
“You should also know that it would
be very expensive to foot the bills, and it isn’t what any parent can
handle alone. The government and good spirited individuals would have to
assist them so that the kids stay alive. All we want is to give them as
much chances as they can possibly get to survive.
“Our medical system in Nigeria is in
poor shape. Even at the teaching hospitals, chances are that they may
not even have those necessary equipment to support survival of children
like this. There is need for a multi-specialist team, drawn from various
teaching hospitals, to handle cases like this and they should be
provided the right equipment.”
The Ministry of Health has been notified of the development. The hospital plans to inform the baby’s mother.
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