14-week child removed in rare case of Abdominal Pregnancy in Mumbai
In a rare case of Abdominal Pregnancy, a 14-week grown child, just a three inch in size, was removed from a pregnant woman's abdomen at BSES MG Hospital, Managed by Brahma Kumaris' Global Hospital, Mumbai recently.
Since about 8-10 weeks of pregnancy, the 25-year old patient, a resident of Jogeshwari, was complaining of abdominal pain, on and off. After a detailed history and examination by Dr. Cherry Shah, Consultant Gynaecologist at BSES MG Hospital and a repeated ultrasonography, the diagnosis of an abdominal pregnancy was concluded, a release from the hospital says.
According to Dr. Shah, "sometimes the child can grow till 7-8 months, but if the baby was net removed in this kind of pregnancy, then it is dangerous to the woman since this unusual pregnancy causes continuous bleeding and bleeding can cause death. And in this case, there was clot and bleeding".
Abdominal pregnancy is a rare incident (one in 10,000 live births) but associated with significant morbidity and mortality for the women. The exact pathogenesis is not known but most abdominal pregnancies may result from tubal or ovarian pregnancy.
Mortality risk from abdominal pregnancy is 7.7 fold higher than tubal pregnancy and 90 fold that of intra uterine pregnancy. Maternal risk is also possible because of severe haemorrhage, infection, toxaemia, anaemia, dis-semunated intra-vascular coagulation, pulmonary embolism, or fistula formation between intestine and amniotic sac caused by penetration of foetal bone.