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


Authors : Dr. Juma Wafula; Dr. Joan Kimani

Volume/Issue : Volume 9 - 2024, Issue 12 - December

Google Scholar : https://tinyurl.com/5af54ck6

Scribd : https://tinyurl.com/y8th6av4

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

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.

References :

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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.

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