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Eli et al

Greener Journal of Medical Sciences

Vol. 11(1), pp. 106-108 2021

ISSN: 2276-7797

Copyright ©2021, the copyright of this article is retained by the author(s)

https://gjournals.org/GJMS

 

 

 

 

 

 

‘Abdominal Massage’, Abruptio Placenta, Intra-Uterine Fetal Death at Term in an Unbooked Mother: A Case Report.

 

 

Eli S1, Kalio DGB2, Briggs NCT3, Owhonda G3, Omodu JO4

 

 

Mother and Baby Care Global Foundation.1

Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital.2

Department of Community Medicine, Rivers State University.3

Department of Surgery, Rivers State University Teaching Hospital.4

 

 

ARTICLE INFO

ABSTRACT

 

Article No.: 070821063

Type: Case Report

 

 

This case report is that of Mrs N.P 28-year old unbooked Gravida 3Para2 (all alive) at 37 weeks of gestation. She was married to a plumber with primary level of education with no steady income. Her previous deliveries were in the home of a traditional birth attendant. She presented with complaints of severe abdominal pains, bleeding par vaginam and absence of fetal kicks all of 6 hours duration following ‘abdominal massage’ from the home of a TBA who attempted to turn to breech presenting fetus to cephalic. On examination she had an enlarged abdomen compatible with term pregnancy, woody hard and tender, the lie and presentations were difficult to ascertain. A clinical diagnosis of Ante-partum haemorrhage was made secondary to abruption placenta. Obstetric ultra-sound revealed an intra-uterine fetal death at term, with features of abruption placenta. She was resuscitated, counselled for an emergency caesarean section. She was resuscitated with 2 units of blood. Finding at surgery was a fresh still born female baby birth weight 3.0 kg. The estimated blood loss was 1.2 Litres. She had 2 unit s of blood transfused intra-operatively and 2 units post-operatively. Her post-operative period was uneventful. Abdominal massage is common in this part of the world with its adverse effect to the mother and baby. Most patients with this occurrence present late. Prompt diagnosis of the associated morbidities should be referred early to prevent maternal and perinatal mortality.

 

 

Accepted:  08/07/2021

Published: 12/07/2021

 

*Corresponding Author

Dr Kalio DGB MBBS, FWACS, FICS

E-mail: kaliodango@yahoo.com

 

Keywords:

abdominal; massage; abruption; placenta; fetal death.

 

 

 

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REFERENCES

 

1.      Addah AO, Ibrahim IA, Ifeanyi EM. Prevalence and predictions of abdominal massage among pregnant women attending antenatal care at the Niger Delta University Teaching Hospital, Okolobiri, Nigeria. The Nigeria Health Journal 2021; 21(1). Https://www.tnhjph.com>tnhj>pdf_1 (accessed 4/7/2021)

2.      Ugboma HAA, Akani CI. Abdominal massage; another cause of maternal mortality. Journal of the National Association of Resident Doctors of Nigeria 2014;3(3): 253-262.

3.      Ekine ES, Adhize JI. Influence of Culturally-based Abdominal Massage and Antenatal Uptake in a Tertiary Hospital in Southern Nigeria. BMMJR 2016; 18(6): 1-9.

4.      Tadase NT, Tadase HT. Cultural malpractice during pregnancy, childbirth and postnatal period among women of child bearing age in LunnaGenret town South Ethiopia. Science Journal of Public Health 2015; 3(5): 752-756.

5.      Solomon MM, Rogo KO. A needs Assessment study of traditional birth attendants in rural Kenya, IntGynecol Obstet. 1989/doi:10.1016/0020-7292(89)9000829-9. 

6.      Shehu CE, Ibrahim MTO, Oche MO, Nwobodo EI. Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria. Academic Journals 2016; 8(6): 91-101.

7.      Okafor SU, Arinze O, Uguru EO. Audith of Childbirth emergency referrals by trained traditional birth attendants in Enugu, Nigeria. J American Med Health Sciences 2015; 4: 305-310.

8.      Reeve M, Onyo P, Nyangero J, Morgan A, Nduba J, Kermonds M et al. Knowledge, attitude and practices of traditional birth attendance in pastoralist communities of Loikipia and Saman. Afr J 2016; 25(2):13.

9.      Kasaye HB et al. Home delivery among antenatal care booked women in their last pregnancy and associated factors: Community-based cross-sectional study in Debredmarkos town, North West Ehiopia.BMC Pregnancy and Childbirth 2017; 17:225.

10.   Envuladu EA, Agbo HA, Lassa S, Kigbu JH, Zoakah AI. Factors determining the choice of place of delivery among pregnant women in Russia village of Jos pregnant North, Nigeria: achieving the MDGs 4 and 5. Int J Med Biomed Res 2013;2(1): 23-27.

 

 

Cite this Article: Eli S; Kalio DGB; Briggs, NCT, Owhonda, G; Omodu, JO (2021). ‘Abdominal Massage’, Abruptio Placenta, Intra-Uterine Fetal Death at Term in an Unbooked Mother: A Case Report. Greener Journal of Medical Sciences, 11(1): 106-108.

 

 


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