Live Pregnancy with Chronic
Abruption-oligohydramnios
Sequence: A Case Report
QD01-QD02
Correspondence
Dr. Nishtha Jaiswal,
203, Type 4 LHMC Faculty Flats, New Delhi, India.
E-mail: nishtha.amu@gmail.com
Chronic Abruption-Oligohydramnios Sequence (CAOS) is a diagnosis during pregnancy, which is characterised by chronic antepartum haemorrhage and oligohydramnios. The CAOS affects foetal outcome as it is associated with preterm delivery and high chances of foetal mortality. Chronic abruption should be judiciously differentiated from other acute cause of antepartum haemorrhage and bleeding in early trimester. Here, a very rare entity of CAOS was reported, in which a 22-year-old primigravida presented at 29 weeks of gestation with a live pregnancy. Ultrasound was done which showed a live foetus of 27 weeks gestation, with reduced liquor (Amniotic Fluid Index (AFI)=2-3) with intra-placental collection of depth (7cm) and a large retroplacental collection (9.2×6.7 cm). In the present case, timely intervention and decision for termination, lead to favourable foetal and maternal outcomes. As CAOS is related with high foetal mortality, interventions to expedite foetal lung maturity should be planned and weighing upon the maternal and foetal outcomes, termination should be considered.