World Journal of Case Reports

A Case Report | Open Access

Volume 2025 - 4 | Article ID 255 | http://dx.doi.org/10.51521/WJCRCI.2025.41.308

G4P2L2A1 Case at 21+5 Weeks with Multiple Comorbidities Undergoing LSCS and Hysterectomy for Fetal Anomalies

Academic Editor: John Bose

  • Received 2025-03-09
  • Revised 2025-03-21
  • Accepted 2025-03-27
  • Published 2025-04-05

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

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