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Pan African Medical Journal

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Management of aplastic anaemia in pregnancy in a resource poor centre

Celestine Osita John, Kaladada Korubo, Rosemary Ogu, Chigozirim Faith Mmom, Alpheus Gogo Mba, Ezenwa-Ahanene Chidiadi, Chris Akani

Abstract


Aplastic anaemia occurring in pregnancy is a rare event with life threatening challenges for both mother and child. We present a successful fetomaternal outcome despite the challenges in the management of this rare condition in a tertiary but resource poor centre. This is case of a 37 year old Nigerian woman G6P0+5managed with repeated blood transfusions from 28 weeks of gestation for bone marrow biopsy confirmed aplastic anaemia following presentation with weakness and gingival bleeds. She had a cesarean section at 37 weeks for pre-eclampsia and oligohydraminous with good feto-maternal outcome. She was managed entirely with fresh whole blood and received 21 units. Aplastic Anaemia in Pregnancy is a rare event with poor feto maternal prognosis. Successful management is possible with good multi-disciplinary approach and availability of supportive comprehensive obstetric care.

Pan African Medical Journal 2016; 24



http://dx.doi.org/10.11604/pamj.2016.24.277.9880
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