Maryland’s Health Matters - St. Joseph - Spring 2017 - 5

Double Delivery,
Double Blessing
Sarina Shrestha
got her wish
of a natural
birth of twin
boys with the
expertise of
a certified
nurse midwife
and a leading
maternalfetal medicine
specialist
experienced in
breech births

wins are not as rare as they once were. In the U.S., the twin
birth rate increased 76 percent from 1980 to 2009, according to the Centers for Disease Control and Prevention.
The most recent statistics, from 2014, show a record high

of 33.9 twins born for every 1,000 births, with 135,336 twins born
that year. Although the increase in twin births is closely connected
to the success of advanced fertility treatments, Towson resident Sarina
Shrestha conceived her fraternal twin boys without fertility treatments.
She and her husband were ecstatic since they already had two
girls, ages 8 and 5, and hoped for a boy. On July 20, 2016, the
certified nurse midwives of Women's Health Associates at
University of Maryland St. Joseph Medical Center worked closely
with maternal-fetal medicine specialist Judith Rossiter, MD, to ensure
the safe and natural delivery of two healthy boys. Dr. Rossiter is
head of UM SJMC's Perinatal Center and the Department of
Obstetrics and Gynecology.

SPECIAL NURSE MIDWIFE CARE
FOR THREE PREGNANCIES
A number of things made Shrestha's twin pregnancy and
delivery special: Although Shrestha developed gestational
diabetes with all three of her pregnancies, she had the best of
both worlds for her care. She continued the personalized care
that she loved with certified nurse midwife Monique Klapka,
CNM, who delivered Shrestha's daughters.
Shrestha's gestational diabetes, which made her pregnancy high
risk, was also carefully monitored and treated under the watchful
eye of the doctors at the Perinatal Center in partnership with Klapka.
Dr. Rossiter, who is board-certified in both maternal fetal medicine and medical genetics, is an expert in high-risk pregnancies and
highly experienced in the delivery of twins-both naturally
and by cesarean section (c-section).

stjosephtowson.com | Spring 2017 5

http://www.stjosephtowson.com

Table of Contents for the Digital Edition of Maryland’s Health Matters - St. Joseph - Spring 2017