April 7th 2023 begun like a normal day until 2.30pm when Mr. Kasaija brought his 1 month old baby boy known as James. James had staphylococci skin infection, malnourished, high temperatures, peeling skin, anemic discharging pus, oral candidiasis and couldn’t breast feed. James was diagnosed with congenital syphilis. We ran syphilis tests on the parents of James and both turned out positive. We believe James’ mother had syphilis and was not treated while pregnant and the disease was transmitted to the unborn baby. As we continued to treat the baby, we counseled the couple and advised them to be treated too.
While admitted, James was started on treatment which included; blood transfusion, feeding by Nasal Gastric Tube for some days, antibiotics among other recommended interventions. We ensured a very hygienic environment for the baby including ironing his clothes, bedding and dressing the wounds.
By 18th April 2023, we had achieved great success because James was able to breastfeed well, had gained weight by 1kg, his skin was responding well to medication and wounds had dried up. The Doctor reviewed him and advised the parents to bring James back after one week for another review.The parents of James appreciated the health workers for all the work done and committing themselves to save a life.
I advised the couple to always take Antenatal as a very serious medical process whenever James’ mother is pregnant to avoid such life scares.
Story by Natamba Doreen
Registered Midwife-KIDA Hospital