UAB's OBGYN program proves why its #5 in the nation after delivering rare set of quadruplets

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Mom, Hannah delivered two sets of identical twins on March 14. Doctors say this happens to 1 in 70 million

UAB's OBGYN program proves why it's #5 in the nation after delivering two sets of twins

Mom, Hannah delivered two sets of identical twins on March 14. Doctors say this happens to 1 in 70 million

IT IS 853 UAB HOSPITAL’S OBGYN DEPARTMENT IS RANKED AMONG THE BEST IN THE NATION BY US NEWS AND WORLD REPORT. THE STORY YOU SAW FIRST HERE ON WVTM 13 IS A PRIME EXAMPLE OF THIS. THE CARMACK FAMILY RECENTLY WELCOMED QUADRUPLETS AT UAB. WELL, I SPOKE WITH DOCTORS ABOUT THEIR UNIQUE SITUATION. UAB HOSPITAL MAY SEE 1 OR 2 QUADRUPLE PREGNANCIES A YEAR, BUT WHAT MAKES IT MORE SURPRISING IS WHEN THE CONCEPTION IS SPONTANEOUS AND NATURAL. SO I THINK THERE’S A LITTLE BIT OF SHOCK THERE THAT THIS WAS NATURAL. UM, SO AND THAT’S PRETTY ATYPICAL. USUALLY WE SEE THESE MULTIPLES WITH IVF AND CERTAIN THINGS LIKE THAT. AKILA SUBRAMANIAM WAS ONE OF THE MANY DOCTORS TASKED WITH MAKING SURE HANNAH AND MICHAEL CARMACK’S QUADRUPLETS SUCCESSFULLY ENTERED THE WORLD. THE BOAZ COUPLE’S DOCTOR REFERRED THEM TO UAB BECAUSE THEY ARE THE REGIONAL EXPERTS ON HIGH RISK PREGNANCIES. WE HAVE A LOT OF REALLY RICH HISTORY AND EXPERIENCE AND VERY COMPLEX MATERNAL AND AND FETAL DISEASES. AND SO WE’RE ABLE TO BRING THAT TO A TO A FAMILY SUCH AS THE CARMAX WITH THEIR COMPLICATED SET PREGNANCY, A COMPLICATION THAT TESTED THE FIFTH BEST OB GYN DEPARTMENT IN THE NATION. DR. SAY THEY HAD TO CAREFULLY WATCH THE CARMACK QUADS BECAUSE THE TWO SETS OF TWINS SHARED PLACENTAS IN TWO SACKS AND SOMETIMES THEY DON’T REALLY SHARE WELL OR THEY SHARE BLOOD VESSELS IN THAT PLACENTA AND IT CAN CAUSE CERTAIN DERANGEMENTS IN THAT TYPE OF TWINS. THIS MEANT LONG VISITS FOR THE MOM, HANNAH IT TAKES A LONG TIME TO DO THEIR ULTRASOUNDS. AND IN A SET LIKE THIS, THAT’S THAT’S QUITE COMPLICATED. IT TAKES, YOU KNOW, SHE HAD HOUR TO HOUR AND A HALF LONG VISITS EVERY TIME SHE CAME TO SEE ME FOR ULTRASOUND. DR. SILBERMAN SAYS THE TWINS COMING OUT HEALTHY WAS A TEAM EFFORT THAT INCLUDES THE NICU STAFF WHO ARE NURTURING THE BABIES TO GREAT HEALTH. I THINK THEY HAD A GREAT OUTCOME AND THEY’RE ALL DOING WELL AND I THINK IT’S THE BEST. IT’S THE BEST OUTCOME WE COULD HAVE HOPED FOR. SO I’M REALLY PLEASED THAT THAT WE WERE ABLE TO GET THEM A HEALTHY OUTCOME. AND WE ARE PLEASED TO HEAR THAT THE QUADRUPLETS

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UAB's OBGYN program proves why it's #5 in the nation after delivering two sets of twins

Mom, Hannah delivered two sets of identical twins on March 14. Doctors say this happens to 1 in 70 million

The University of Alabama at Birmingham Hospital is ranked among the best in the nation by U.S. News and World Report.The hospital may see one or two quadruplet pregnancies a year, but what makes it more surprising is when the conception is spontaneous and natural. “I think there was a little bit of shock there that this was natural. That’s pretty atypical because we see these kinds of births with IVF and stuff like that,” Dr. Akila Subramaniam, an associate professor in maternal-fetal medicine for UAB, said.Akila Subramaniam was one of the many doctors tasked with making sure Hannah and Michael Carmack’s quadruplets successfully entered the world. The Boaz couple’s doctor referred them to UAB because they are the regional experts on high-risk pregnancies. “So we have a lot of really rich history and very complex maternal and fetal disease and so we’re able to bring that to a family such as the Carmacks such as a complicated pregnancy,” Subramaniam said.A complication that tested the fifth-best OBGYN department in the nation. Doctors say they had to carefully watch the Carmack quads because the two sets of twins shared placentas in two sacks.“Sometimes they don’t really share well or they share blood vessels in that placenta and it can cause derangements in that type of twins,” Subramaniam said.This meant long visits for the mom, Hannah.“It takes a long time to do their ultrasound, in a set like this that’s quite complicated. She had hour to hour and half long visits every time she came to see me for ultrasounds,” Subramaniam said.Dr. Subramaniam says the twins coming out healthy was a team effort that includes the Neonatal Intensive Care Unit staff who are nurturing the babies to great health.“I think they had a great outcome. They’re all doing well. It’s the best outcome we could have hoped for. I’m really pleased we were able to get them a healthy outcome,” Subramaniam said.

BIRMINGHAM, Ala. —

The University of Alabama at Birmingham Hospital is ranked among the best in the nation by U.S. News and World Report.

The hospital may see one or two quadruplet pregnancies a year, but what makes it more surprising is when the conception is spontaneous and natural.

“I think there was a little bit of shock there that this was natural. That’s pretty atypical because we see these kinds of births with IVF and stuff like that,” Dr. Akila Subramaniam, an associate professor in maternal-fetal medicine for UAB, said.

Akila Subramaniam was one of the many doctors tasked with making sure Hannah and Michael Carmack’s quadruplets successfully entered the world. The Boaz couple’s doctor referred them to UAB because they are the regional experts on high-risk pregnancies.

“So we have a lot of really rich history and very complex maternal and fetal disease and so we’re able to bring that to a family such as the Carmacks such as a complicated pregnancy,” Subramaniam said.

A complication that tested the fifth-best OBGYN department in the nation.
Doctors say they had to carefully watch the Carmack quads because the two sets of twins shared placentas in two sacks.

“Sometimes they don’t really share well or they share blood vessels in that placenta and it can cause derangements in that type of twins,” Subramaniam said.

This meant long visits for the mom, Hannah.

“It takes a long time to do their ultrasound, in a set like this that’s quite complicated. She had hour to hour and half long visits every time she came to see me for ultrasounds,” Subramaniam said.

Dr. Subramaniam says the twins coming out healthy was a team effort that includes the Neonatal Intensive Care Unit staff who are nurturing the babies to great health.

“I think they had a great outcome. They’re all doing well. It’s the best outcome we could have hoped for. I’m really pleased we were able to get them a healthy outcome,” Subramaniam said.

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