A Case Report | Open Access
Volume 2025 - 4 | Article ID 255 | http://dx.doi.org/10.51521/WJCRCI.2025.41.308
Academic Editor: John Bose
Vaishnavi Dongare1, Shalini
Moon2, Manjusha Mahakalkar3
1MSC nursing, Department of obstetrics and gynecological
nursing, Datta Meghe Institute of Medical Sciences (Deemed to be University)
and Smt. Radhikabai Meghe Memorial College of Nursing Sawangi (Meghe), wardha,
Maharashtra, India
2Assistent Professor, Department of obstetrics and
gynecological nursing, Datta Meghe Institute of Medical Sciences (Deemed to be
University) and Smt. Radhikabai Meghe Memorial College of Nursing Sawangi
(Meghe), wardha, Maharashtra, India
3Associate
professor, Department of obstetrics
and gynecological nursing, Datta Meghe Institute of Medical Sciences (Deemed to
be University) and Smt. Radhikabai Meghe Memorial College of Nursing Sawangi
(Meghe), wardha, Maharashtra, India
Corresponding author: Ms.
Vaishnavi Dongare, Msc Nursing, Final Year Student, Smt. Radhikabai Meghe
College of Nursing, Sawangi (Meghe) Wardha, Datta Meghe Institute of Medical
Science (Deemed to be University) Maharashtra, India, Email ID- vaishnavidongare2169@gmail.com
Citation:
Vaishnavi Dongare, Shalini Moon, Manjusha
Mahakalkar (2025) G4P2L2A1 Case at 21+5 Weeks with Multiple Comorbidities
Undergoing LSCS and Hysterectomy for Fetal Anomalies. World J Case Rep Clin
Imag. 2025 March; 4(1)1-5.
Copyrights © 2025, Vaishnavi Dongare, et al. This article is
licensed under the Creative Commons Attribution-NonCommercial-4.0-International-License-(CCBY-NC)
(https://worldjournalofcasereports.org/blogpage/copyright-policy). Usage and
distribution for commercial purposes require written permission.
Abstract
We report a case of a 32-year-old admitted in Acharya vinoba bhave rural
hospital, sawangi, meghe, wardha, india, multigravida woman (G4P2L2A1) at 21+5
weeks of gestation with a complex medical history, including previous two LSCS,
epilepsy, insulin-dependent diabetes mellitus, hypothyroidism, and left
transverse ligament internal jugular vein thrombosis. Routine antenatal care
and anomaly scan revealed multiple severe congenital anomalies incompatible
with life. After multidisciplinary consultation and counseling, pregnancy
termination was performed via LSCS followed by hysterectomy due to a thin
uterine scar and significant adhesion risks. A male fetus weighing 480 grams
was delivered at 12:20 PM, classified as abortus with no signs of life. This
case highlights the importance of a comprehensive, multidisciplinary approach
in managing high-risk pregnancies complicated by maternal comorbidities and
congenital anomalies, emphasizing the need for individualized patient care and
thorough prenatal counseling.
Keywords: Congenital anomaly, Epilepsy, Diabetes mellitus, LSCS with hysterectomy, Abortus delivery, High-risk pregnancy