Pregnancy in patients with thalassemia intermedia: A rare case report
Journal Title: Obs Gyne Review: Journal of Obstetric and Gynecology - Year 2016, Vol 2, Issue 2
Abstract
Background: Annual incidence of -thalassemia is 1/100,000 throughout world. Asian countries like India, Pakistan, and Bangladesh account for 79% thalassemia births. -thalassemia is inherited as an autosomal recessive disorder. It is most common single gene disorder, considered as most widespread genetic disease in the world. -thalassemia intermedia is the most common cause of chronic hemolytic anemia and accounts for one-fourth of -thalassemia cases. Case Report: Here we report a case of 22 year old woman presented to ANC clinic at our hospital, referred from private in view of primigravida with 37+3 weeks of gestation with fetal growth restriction(FGR) with known case of hypothyroidism; there was history of splenectomy in childhood. Labor was induced in view of severe FGR and patient underwent cesarean section for non-progress of labor with fetal distress, delivered a male child of 1.6 kg. Her postoperative period was uneventful. She received thromboprophylaxis postoperatively and discharged in satisfactory condition. Patient was advised to review after 6 months for evaluation of baby in pediatric OPD. A multidisciplinary approach is required to manage these patients. Conclusion: Multidisciplinary team approach is required for in pregnancy with thalassemia. Strict monitoring and early management of complications can lead to optimal fetomaternal outcomes.
Authors and Affiliations
Pragati Meena, Sandhya Jain, Vikas Lakha, Shalini Rajaram, Neerja Goel
Keywords
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