Authors :
Dr. Shakir Rasool Khan; Dr. NAHIDA Zahoor; Dr. Hanzilla Ashraf; Dr. Angraz Singh; Dr. Irtika Aziz
Volume/Issue :
Volume 8 - 2023, Issue 3 - March
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://bit.ly/40RFcxk
DOI :
https://doi.org/10.5281/zenodo.7787546
Abstract :
Pregnancy outcomes of patients with systemic
sclerosis includes abortion, miscarriage, preterm birth,
preeclampsia, iugr, oligohydramnios and perinatal death.
Besides these poor outcomes, women with systemic
sclerosis can safely have healthy pregnancy. The aim of
this study is to evaluate a pregnant women with systemic
sclerosis. A year old G2A1 women with a history of
systemic sclerosis for last 12 years was admitted At
Government Medical College Srinagar, with 37 weeks 6
days of pregnancy. On admission she fad severe degree of
hypertension with proteinuria. She also had restricted
mouth opening, salt pepper pigmentation, barnett sign,
sclerodactyly, thickening of skin. She was given antihypertensive. Her all routine blood investigations
including antitopoisomerase, Ab SCL70 and
ultrasonography for fetoplacental profile sent. After
stabilization of blood pressure she was prepared for
emergency caesarean section as USG showed 37 weeks 6
days foetus, Oligohydramnios with breech presentation.
She underwent emergency LSCS and delivered a healthy
girl baby of weight 3.351kg. Her postoperative period was
uneventful. Rheumatologist, dermatologist consultation
taken for her further management in the postpartum
period. She was discharged after 1 week. In conclusion
many women with systemic sclerosis may have successful
pregnancy, but pregnant women with systemic sclerosis
should be followed up by a interdisciplinary medical team
to control the disease activity and avoid complications.
Keywords-systemic sclerosis, pregnancy, preeclampsia.
Pregnancy outcomes of patients with systemic
sclerosis includes abortion, miscarriage, preterm birth,
preeclampsia, iugr, oligohydramnios and perinatal death.
Besides these poor outcomes, women with systemic
sclerosis can safely have healthy pregnancy. The aim of
this study is to evaluate a pregnant women with systemic
sclerosis. A year old G2A1 women with a history of
systemic sclerosis for last 12 years was admitted At
Government Medical College Srinagar, with 37 weeks 6
days of pregnancy. On admission she fad severe degree of
hypertension with proteinuria. She also had restricted
mouth opening, salt pepper pigmentation, barnett sign,
sclerodactyly, thickening of skin. She was given antihypertensive. Her all routine blood investigations
including antitopoisomerase, Ab SCL70 and
ultrasonography for fetoplacental profile sent. After
stabilization of blood pressure she was prepared for
emergency caesarean section as USG showed 37 weeks 6
days foetus, Oligohydramnios with breech presentation.
She underwent emergency LSCS and delivered a healthy
girl baby of weight 3.351kg. Her postoperative period was
uneventful. Rheumatologist, dermatologist consultation
taken for her further management in the postpartum
period. She was discharged after 1 week. In conclusion
many women with systemic sclerosis may have successful
pregnancy, but pregnant women with systemic sclerosis
should be followed up by a interdisciplinary medical team
to control the disease activity and avoid complications.
Keywords-systemic sclerosis, pregnancy, preeclampsia.
