Volume 7, Issue 3, May 2019, Page: 81-84
Challenge in the Management of Twin Pregnancy with Anencephaly of One Fetus in a Low- Income Country: A Case Presentation
Romaric Joel Momo, Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon
Julius Dohbit Sama, Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon
Esther Meka, Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon
Mazou Ngou Temgoua, Public Health Department, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon
Pascal Foumane, Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon
Received: Mar. 11, 2019;       Accepted: Apr. 23, 2019;       Published: Jun. 11, 2019
DOI: 10.11648/j.jgo.20190703.15      View  8      Downloads  4
Abstract
Anencephaly of one twin is a frequent congenital abnormality in a twin pregnancy and it’s associated with a poor prognosis of this pregnancy. In developed countries, the goal standard management calls for an interventional fetal medicine either by injection of a cardiotoxic or by intervention on the umbilical cord. Another option is an expectative management with strict follow-up of pregnant women and delivery organized in a level 3 maternity. There is still a challenge in the management of such high risk pregnancy in low income countries. A 37 years-old female, G3P2002, referred from a clinic for the better management of a 28 weeks and 4 days twin pregnancy in labor. Obstetrical ultrasonography realized in the second trimester revealed dichorionic-diamniotic pregnancy and the presence of anencephaly with hydramnios of one twin. The expectative approach was adopted for the management of this high risk pregnancy, unfortunately the death of the fetus occurred despite all the care provided. This case brings to lamp light the difficulties encountered in providing standard obstetrical care for high risk pregnancies in resource limited settings.
Keywords
Anencephaly, Twin Pregnancy, Low Income Country
To cite this article
Romaric Joel Momo, Julius Dohbit Sama, Esther Meka, Mazou Ngou Temgoua, Pascal Foumane, Challenge in the Management of Twin Pregnancy with Anencephaly of One Fetus in a Low- Income Country: A Case Presentation, Journal of Gynecology and Obstetrics. Vol. 7, No. 3, 2019, pp. 81-84. doi: 10.11648/j.jgo.20190703.15
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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