A 38 Week and 2 Day G1P0A0 Primigravida in the First Stage of Labor with Thalassemia: A Case Report

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Published: Jan 16, 2024
DOI: https://doi.org/10.47191/ijmscrs/v4-i01-14
Keywords:
primigravida thalassemia labor anemia transfusion

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Radya Putra Pratama
Medical Faculty of Jenderal Soedirman University, Jl. Dr. Gumbreg No.1, Mersi, East Purwokerto
Irham
Dept. of Obstetrics and Gynecology, General Hospital R. Goeteng Teroenadibrata, Jl. Tentara Pelajar No.23, Purbalingga

Abstract

Thalassemia is one of the most prevalent inherited blood disorders worldwide. We reported a case of 20-year-old G1P0A0 pregnant woman diagnosed with thalassemia intermedia since childhood based on chronic anemia, facies Cooley, and family history. She had 6 times red blood cell transfusion throughout current pregnancy. On 38 week 2 day gestation, she was admitted with chief complaint of painful regular uterine contractions and bloody show. Physical and laboratory findings were low hemoglobin, hematocrit, MCV, and MCH. Thalassemia can be alpha or beta type, depending on the affected globin chain. Clinical severity varies. The main therapies are repeated blood transfusions and iron chelation. During pregnancy, optimal evaluation and management are crucial to prevent maternal and fetal complications. This patient will undergo cesarean section and needs thorough high-risk antenatal care.

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How to Cite
Pratama, R. P., & Irham. (2024). A 38 Week and 2 Day G1P0A0 Primigravida in the First Stage of Labor with Thalassemia: A Case Report. International Journal of Medical Science and Clinical Research Studies, 4(01), 63–64. https://doi.org/10.47191/ijmscrs/v4-i01-14
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Vol. 4 No. 01 (2024): Volume 04 Issue 01 January 2024
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Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

References

I. Apidechkul T, Yeemard F, Chomchoei C, Upala P, Tamornpark R. Epidemiology of Thalassemia Among The Hill Tribe Population in Thailand. PloS One. 2022;16(2):e261769.

II. Andalas M, Mumtaz M, Aulia N, Arytha RM. Talasemia Dalam Kehamilan : Sebuah Tinjauan Kasus. Jurnal Kedokteran Syiah Kuala. 2016;16(1):20-5.

III. Petrakos G, Andriopoulos P, Tsironi M. Pregnancy in Women With Thalassemia: Challenges and Solutions. International Journal of Women's Health. 2016;8:441-51.

IV. Origa R, Comitini F. Pregnancy in Thalassemia. Mediterranean Journal of Hematology and Infectious Diseases. 2019;11:e2019061

V. Prchal JT, Lichtman MA. Williams Hematology: The Red Cell and Its Diseases. New York: McGraw Hill; 2022.

VI. Cunningham FG, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM. Williams Obstetrics 26th edition. New York: McGraw Hill; 2022.

VII. Saxena L, Banerjee T, Aniyery RB. Thalassemia and Its Management During Pregnancy. World Journal of Anemia. 2017;1(1):5-17.

VIII. Pavord S, Hunt B. The Obstetric Hematology Manual 2nd Edition. Cambridge: Cambridge University Press; 2018.