A Case Report : Cesarean Section of in Vitro Fertilization with Sickle Cell Anemia, Post–op Myomectomy, Gestational Diabetes & Preclampsia. Management

Dr. Swati Singh; Dr. Jayshree Narshetty; Dr. B. G. Boricha; Dr. Vijay Bhola

Volume : III, Issue : VII, July - 2014

A Case Report : Cesarean Section of in Vitro Fertilization with Sickle Cell Anemia, Post–op Myomectomy, Gestational Diabetes & Preclampsia. Management

Dr. Swati Singh, Dr. Jayshree Narshetty, Dr. B. G. Boricha, Dr. Vijay Bhola

Abstract :

We report a case of in vitro fertilization of a 36 year old female gravida 2, abortion 1, with five months of amenorrhea, who came for a regular ANC registration and checkup. As per the history given by the patient, she was a known case of Sickle cell anemia since 15 years of age on penicillin prophylaxis, she even received swine and influenza flu vaccines as recommended. Patient had a history of myomectomy 3 years back in view of posterior wall uterine fioid. Besides all these patient also had a negative history of in vitro fertilization with a donor egg last year which ended in a spontaneous abortion at three months of gestation. From our experience of managing one of the most interesting cases in view of precious pregnancy and multiple co-morbidities, we concluded that appropriate monitoring and management of these patients is essential. As so many co-morbidities can rapidly turn the most routine surgery into a deleterious situation. Surgeons and anaesthesiologists should co-ordinate and manage the patient as per protocols and guidelines for the best of outcomes.