Successful Outcome of Pregnancy in β-thalassemia Major Individual
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 1
Abstract
Thalassemia major also called as Cooley’s anemia, it has a codominant inheritance and pathology lies in decreased synthesis of beta chains resulting in increased production of alpha chains, which subsequently leads to red cell destructions, ineffective erythropoiesis, and anemia. A 23-year-old primigravida, married life 1 year (height 158 cm, weight 61 kg) with thalassemia major presented in the antenatal care outpatient department at Santokba Durlabhji Memorial Hospital with 6 weeks gestation. The patient had severe form β0/β+ thalassemia major, and her thalassemia was identified at the age of 2 years. Both parents were thalassemia trait, and her sibling had normal hemoglobin pattern. Her antenatal period was managed well, with blood transfusion almost every week. She presented to labor room with 35+6 weeks of gestation in labor at 11 pm and not willing for normal delivery therefore under general anesthesia cesarean section was done and an alive female baby with birth weight 2.6 kg was delivered at 11:50 pm with Apgar 8 at 1 min and 10 at 5 min. Surgery was uneventful, and blood loss was minimal. This case report aims to highlight important issues associated with pregnancy in β-thalassemia major patient and obstetric management.
Authors and Affiliations
Poonam Yadav
Keywords
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