Maternal and Perinatal outcome in Mumps complicating pregnancy

P. Dasari
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引用次数: 1

Abstract

Background: Mumps during pregnancy is associated with high morbidity and mortality especially during the perinatal period. Case: A 30 year old primigravida at term with premature rupture of membranes was referred to us as a case of acute renal failure with sepsis and PROM. On detailed history and examination, she was clinically diagnosed as mumps. Obstetric examination revealed a term live fetus in cephalic presentation with oligohydramnios with thick meconium stained liquor. She was delivered by emergency LSCS because of fetal distress and the neonate expired in the neonatal period. Her blood urea was 120 mg% and serum creatinine was 4.2 mg% prior to LSCS. She was treated with diuretics and corticosteroids in the perioperative and immediate postoperative period with which she recovered. Conclusion : Mumps during the perinatal period results in adverse fetal and maternal outcome and vigilant management is necessary to save both lives.
腮腺炎合并妊娠的孕产妇和围产期结局
背景:妊娠期流行性腮腺炎具有较高的发病率和死亡率,特别是在围产期。病例:一个30岁的初产妇足月与胎膜早破被提到我们的情况下,急性肾功能衰竭与败血症和胎膜早破。经详细病史和检查,临床诊断为腮腺炎。产科检查发现一个足月活胎,头位表现为羊水过少,胎粪染色浓液。由于胎儿窘迫,她通过紧急LSCS分娩,新生儿在新生儿期死亡。LSCS前血尿素为120 mg%,血清肌酐为4.2 mg%。患者在围手术期和术后立即接受利尿剂和皮质类固醇治疗并恢复。结论:围产期流行性腮腺炎可导致胎儿和母亲的不良结局,警惕管理是挽救双方生命的必要措施。
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