Somali Twins Rahma Ramla Remain Stable Four Days After Successful Separation

Dr. Abdullah Al Rabeeah confirmed that the overall condition of the Somali conjoined twins "Rahma and Ramla" remains stable, four days after separation surgery, and described their situation as reassuring, with no medical signs that currently raise concern for the specialist team.

Al Rabeeah explained that the twins underwent the separation operation at King Abdullah Specialized Children’s Hospital in King Abdulaziz Medical City, which is affiliated with the Ministry of the National Guard in Riyadh, under the supervision of the Saudi Conjoined Twins Programme.

Regarding Rahma, Al Rabeeah stated that breathing has returned to normal levels, allowing doctors to remove artificial ventilation and feeding tubes, while vital signs are now stable, and natural breastfeeding is expected to start within two days, with a possible transfer from intensive care soon.

Al Rabeeah noted that Ramla’s situation is more complex because of incomplete urinary system development and kidney atrophy, which require hemodialysis to clear excess body fluids, so Ramla remains on a ventilator, although the medical and surgical teams still describe the condition as stable and reassuring.

The ventilator for Ramla is expected to be removed on the following day if stability continues, after which intermittent hemodialysis will proceed when necessary, and gradual oral feeding will begin in stages, following a plan similar to the approach used for Rahma’s post-surgery care.

Al Rabeeah, who serves as Advisor at the Royal Court and Supervisor General of the King Salman Humanitarian Aid and Relief Center, said the twins may stay in intensive care for three to five days before moving to the paediatric ward to start gradual medical rehabilitation.

With inputs from SPA