A Case Report On Rare Case of Systemic Sclerosis In Pregnancy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Pregnancy Outcomes Of Patients With Systemic Sclerosis Includes1 abortion, Miscarriage,Preterm Birth , Preeclampsia , Iugr, Oligohydramnios And Perinatal Death. Besides These Poor Outcomes , Women With Systemic Sclerosis Can Safely Have Healthy Pregnancy. The Aim Of This Study Is To Evaluate A Pregnant Women With Systemic Sclerosis. A 24 Year Old Primigravida Women With A History Of Systemic Sclerosis For Last 5 Years Was Admitted At Esi, New Delhi , With 36 Weeks Of Pregnancy . On Admission She Fad Severe Degree Of Hypertension With Proteinuria . She Also Had Restricted Mouth Opening, Salt Pepper Pigmentation, Barnett Sign, Sclerodactyly, Thickening Of Skin. She Was Given Antihypertensives And Steroids For Lung Maturity Of The Foetus .Her All Routine Blood Investigations Including Antitopoisomerase, Ab Scl70 And Ultrasonography For Fetoplacental Profile Sent . After Stabilization Of Blood Pressure She Was Prepared For Emergency Caesarean Section As Usg Showed 34 Weeks Foetus, Oligohydramnios With Breech Presentation. She Underwent Emergency Lucs And Delivered A Healthy Girl Baby Of Weight 3.367kg. Her Postoperative Period Was Uneventful. Rheumatologist , Dermatologist Consultation Taken For Her Further Management In The Postpartum Period.She Was Discharged After 1week .In Conclusion Many Women With Systemic Sclerosis May Have Successful Pregnancy , But Pregnant Women With Systemic Sclerosis Should Be Followed Up By A Interdisciplinary Medical Team To Control The Disease Activity And Avoid Complications.
Authors and Affiliations
Dr. Kumari Anita, Dr. Lata Kanak
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