A “miracle” pregnancy outcome of severe placental abruption
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Joyce Chin Sing Ting
und
Marcus Kang
Abstract
Severe placental abruption is associated with high maternal and perinatal morbidity and mortality. Prompt delivery is usually mandatory in this situation. We report a case of a 33-year-old woman, gravida 5, para 3 + 1, at 26 weeks + 3 days’ gestation who had severe placental abruption involving 40% of the placental surface complicated with maternal moderate anaemia and thrombocytopenia. In view of the extreme foetal prematurity and stable condition of both mother and foetus, expectant management was undertaken. The pregnancy was further complicated by foetal growth restriction detected 2 weeks later. At 30 weeks of gestation, an emergency caesarean section was performed for foetal distress. The surgery was uneventful and she delivered a live baby with good Apgar scores. This case report illustrates an atypically satisfactory pregnancy outcome of severe placental abruption. Conservative management of severe placental abruption is possible in rare cases, taking into consideration the gestational week as well as the maternal haemodynamic condition and foetal well-being. When severe placental abruption is confounded by severe prematurity, a decision on whether to prolong the pregnancy to improve the perinatal outcome and neonatal survival needs to be carefully weighed against the usual management option of immediate delivery.
Acknowledgements
The authors would like to thank the Director General of Health Malaysia for the permission to publish this case report, Prof Datu Dr Andrew Kiyu MBBS, MPH, Dr PH, FACE, AM for critically reviewing this paper, Dr Zhong-Wei Ong for assisting in the preparation of the image, Dr Teck-Hock Toh, Head of Clinical Research Centre of Sibu Hospital, Sibu, Sarawak, Malaysia for encouragement and support.
Author Statement
Research funding: Authors state no funding involved.
Conflict of interest: Authors state no conflict of interest.
Informed consent: Informed consent has been obtained from the patient.
Ethical approval: The conducted research is not related to either human or animals use. This case report had been registered to National Medical Research Register (under Ministry of Health Malaysia) and Institutional Review Board (IRB) approval was obtained. The Research Identification Number given was NMRR-17-2526-38867.
References
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Artikel in diesem Heft
- Original Articles
- Vitamin D status and its relationship with systemic lupus erythematosus as a determinant and outcome of disease activity
- The physical activity level and aerobic capacity estimation (VO2max) among the administrative staff of the Pars Special Economic Energy Zone (Assaluyeh, Iran) with different BMIs
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- Case Report
- A “miracle” pregnancy outcome of severe placental abruption
