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Full-term abdominal pregnancy with delivery of a normal living child: Diagnostic and management challenges in resource-limited settings

Full-term abdominal pregnancy with delivery of a normal living child: Diagnostic and management... Abdominal pregnancy is a rare type of ectopic pregnancy where the fetus is implanted within the peritoneal cavity. The condition is extremely rare accounting for about 1% of all ectopic pregnancies. It presents a great threat to the life of the mother and, in most cases, the fetus does not survive. Full-term abdominal pregnancies are even rarer, particularly when a live baby is delivered. It Is this rarity that justifies it being of medical curiosity. This article presents the case of a 30-year-old woman who was referred to Dodoma Regional and Teaching Hospital with a history of ‘labour-like abdominal pains’ for 3 days associated with vaginal spotting. After examination, the tentative diagnosis of early abruption placenta with a live fetus was reached and a decision to deliver by caesarean section was made. After opening the abdomen the amniotic sac was identified within the peritoneal cavity and it was ruptured to deliver a live 2.650 kilogram female baby with an Apgar score of 7–10 at 1 and 5 minutes respectively. The mother recovered uneventfully and was discharged home with her healthy baby 1 week later. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png African Journal of Midwifery and Women's Health Mark Allen Group

Full-term abdominal pregnancy with delivery of a normal living child: Diagnostic and management challenges in resource-limited settings

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Publisher
Mark Allen Group
Copyright
Copyright © 2013 MA Healthcare Limited
ISSN
1759-7374
eISSN
2052-4293
DOI
10.12968/ajmw.2013.7.3.112
Publisher site
See Article on Publisher Site

Abstract

Abdominal pregnancy is a rare type of ectopic pregnancy where the fetus is implanted within the peritoneal cavity. The condition is extremely rare accounting for about 1% of all ectopic pregnancies. It presents a great threat to the life of the mother and, in most cases, the fetus does not survive. Full-term abdominal pregnancies are even rarer, particularly when a live baby is delivered. It Is this rarity that justifies it being of medical curiosity. This article presents the case of a 30-year-old woman who was referred to Dodoma Regional and Teaching Hospital with a history of ‘labour-like abdominal pains’ for 3 days associated with vaginal spotting. After examination, the tentative diagnosis of early abruption placenta with a live fetus was reached and a decision to deliver by caesarean section was made. After opening the abdomen the amniotic sac was identified within the peritoneal cavity and it was ruptured to deliver a live 2.650 kilogram female baby with an Apgar score of 7–10 at 1 and 5 minutes respectively. The mother recovered uneventfully and was discharged home with her healthy baby 1 week later.

Journal

African Journal of Midwifery and Women's HealthMark Allen Group

Published: Jul 1, 2013

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