Live Pregnancy with Chronic Abruption-oligohydramnios Sequence: A Case Report
Correspondence Address :
Dr. Nishtha Jaiswal,
203, Type 4 LHMC Faculty Flats, New Delhi, India.
E-mail: nishtha.amu@gmail.com
Chronic Abruption-Oligohydramnios Sequence (CAOS) is a diagnosis during pregnancy, which is characterised by chronic antepartum haemorrhage and oligohydramnios. The CAOS affects foetal outcome as it is associated with preterm delivery and high chances of foetal mortality. Chronic abruption should be judiciously differentiated from other acute cause of antepartum haemorrhage and bleeding in early trimester. Here, a very rare entity of CAOS was reported, in which a 22-year-old primigravida presented at 29 weeks of gestation with a live pregnancy. Ultrasound was done which showed a live foetus of 27 weeks gestation, with reduced liquor (Amniotic Fluid Index (AFI)=2-3) with intra-placental collection of depth (7cm) and a large retroplacental collection (9.2×6.7 cm). In the present case, timely intervention and decision for termination, lead to favourable foetal and maternal outcomes. As CAOS is related with high foetal mortality, interventions to expedite foetal lung maturity should be planned and weighing upon the maternal and foetal outcomes, termination should be considered.
Live birth, Placenta, Prematurity, Vaginal bleeding
DOI: 10.7860/JCDR/2021/50455.15773
Date of Submission: May 21, 2021
Date of Peer Review: Sep 30, 2021
Date of Acceptance: Oct 28, 2021
Date of Publishing: Dec 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: May 23, 2021
• Manual Googling: Oct 27, 2021
• iThenticate Software: Nov 19, 2021 (12%)
ETYMOLOGY: Author Origin
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase
- EBSCOhost
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)
- www.omnimedicalsearch.com