Term Abdominal Pregnancy; Management Approach of a Term Abdominal Pregnancy Case Report at Mama Lucy Kibaki Hospital, Nairobi Kenya

Dr. Juma Wafula; Dr. Joan Kimani1

1

Publication Date: 2024/12/24

Abstract: Background: Abdominal pregnancy is an exceptional type of pregnancy, happening in 1:10,000 to 1:30,000 pregnancies culminating to 1.4% of all pregnancies outside the uterus in Kenya. Diagnosis is often challenging to in acute situations, causing an increased percentage of feto- maternal morbidity and mortality.  Case: In this case report, a 32yr old para 2+0 gravid 3, presenting with a 1-day history of low abdominal pains characteristic of labor. Unsure of her dates, not attended any ANC visits, and was on HAART. History of C/S previous deliveries. Upon examination, fetal movements easily palpable, fundal height at term and the cervical OS was closed. A Diagnosis of uterine rupture was made. Obstetric ultrasound revealed an Intra –abdominal pregnancy with uterine rupture as a differential diagnosis.

Keywords: No Keywords Available

DOI: https://doi.org/10.5281/zenodo.14551496

PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT24DEC257.pdf

REFERENCES

  1. Atrash, H. K., Friede, A., & Hogue, C. J. (1987). Abdominal pregnancy in the United States: frequency and maternal mortality. Obstetrics and gynecology69(3 Pt 1), 333–337.
  2. Bouyer, J., Coste, J., Fernandez, H., Pouly, J. L., & Job-Spira, N. (2002). Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Human reproduction (Oxford, England)17(12), 3224–3230. https://doi.org/10.1093/humrep/17.12.3224
  3. Dahab, A. A., Aburass, R., Shawkat, W., Babgi, R., Essa, O., & Mujallid, R. H. (2011). Full-term extrauterine abdominal pregnancy: a case report. Journal of medical case reports5, 531. https://doi.org/10.1186/1752-1947-5-531
  4. Poole, A., & Haas, D. (2018). Abdominal pregnancy. In StatPearls. StatPearls Publishing. Retrieved from https://www.statpearls.com/ArticleLibrary/viewarticle/133
  5. Nemat AbdulRahman AbdulJabbar, Saquib, S., & Mohammed Talha, W. E. (2018). Successful Management of Abdominal Pregnancy: Two Case Reports. Oman medical journal33(2), 171–175. https://doi.org/10.5001/omj.2018.32
  6. Siati, A., Berrada, T., Baidada, A., & Kharbach, A. (2019). Abdominal pregnancy with a healthy newborn: a new case. The Pan African medical journal34, 35. https://doi.org/10.11604/pamj.2019.34.35.20169