Abdominal pregnancy is a rare form of pregnancy but presents a very high risk of both morbidity and mortality for the fetus and mother. This situation is one of the most serious forms of ectopic pregnancy. The incidence of abdominal pregnancy varies, Rahman et al, get an incidence of 1 in 130,200 births. In the United States between 1970-1983 there were 10.9 abdominal pregnancies / 100,000 live births and 9.2 abdominal pregnancies / 1000 ectopic pregnancies. In laparotomy, placental management is the most difficult challenge, because it must be well prepared and planned. In this case report a 36-year-old woman with a diagnosis of gravid G2P1A0H1 27-28 weeks + Abdominal Pregnancy + Dead Fetus + Mild Anemia. Laparotomy is performed to deliver the baby, Durante surgery is carried out exploration of the placental attachment. Obtained the placenta embedded in the douglas cavum by attaching to the Ascendent Colon, Rectum, descending colon, intestine and peritoneum. It appears that some of the placenta has detached from its implantation, accompanied by a pile of stout cells. Removal of the placenta was carried out throughout the attachment site. The rest of the placenta is cleaned one by one by clamping with the clam punster slowly. Keywords: Abdominal Pregnancy, Dead Fetus, Laparotomy
Abdominal pregnancy is a rare form of pregnancy but presents a very high risk of both morbidity and mortality for the fetus and mother. This situation is one of the most serious forms of ectopic pregnancy. The incidence of abdominal pregnancy varies, Rahman et al, get an incidence of 1 in 130,200 births. In the United States between 1970-1983 there were 10.9 abdominal pregnancies / 100,000 live births and 9.2 abdominal pregnancies / 1000 ectopic pregnancies. In laparotomy, placental management is the most difficult challenge, because it must be well prepared and planned. In this case report a 36year-old woman with a diagnosis of gravid G2P1A0H1 27-28 weeks + Abdominal Pregnancy + Dead Fetus + Mild Anemia. Laparotomy is performed to deliver the baby, Durante surgery is carried out exploration of the placental attachment. Obtained the placenta embedded in the douglas cavum by attaching to the Ascendent Colon, Rectum, descending colon, intestine and peritoneum. It appears that some of the placenta has detached from its implantation, accompanied by a pile of stout cells. Removal of the placenta was carried out throughout the attachment site. The rest of the placenta is cleaned one by one by clamping with the clam punster slowly.
Kehamilan abdominal adalah bentuk kehamilan yang jarang terjadi namun memberi risiko yang sangat tinggi baik morbiditas dan mortalitas terhadap janin maupun ibu. Keadaan ini merupakan salah satu bentuk yang paling serius dari kehamilan ektopik. Angka kejadian kehamilan abdominal berbeda-beda, Rahman dkk, mendapatkan angka kejadian 1 diantara 130.200 kelahiran. Di Amerika Serikat antara tahun 1970-1983 terdapat 10,9 kehamilan abdominal/100.000 kelahiran hidup dan 9,2 kehamilan abdominal /1000 kehamilan ektopik. Pada tindakan laparotomi, manajemen plasenta merupakan tantangan terberat, karena harus dipersiapkan dan direncanakan secara baik. Pada Laporan kasus ini wanita 36 tahun dengan diagnosis G2P1A0H1 gravid 27-28 minggu + Kehamilan Abdominal + Janin Mati + Anemia Ringan. Dilakukan Laparotomi untuk melahirkan bayi , Durante operasi dilakukan eksplorasi tempat perlekatan plasenta. Di dapatkan plasenta tertanam di cavum douglas dengan melekat pada Colon Ascenden, Rectum, colon desenden, usus dan peritoneum. Tampak sebagian plasenta sudah terlepas dari penanaman nya, disertai tumpukan stout cell. Dilakukan pelepasan plasenta di seluruh tempat perlekatan. Sisa plasenta di bersihkan satu persatu dengan penjepitan dengan punster clem secara perlahan Kata kunci:Kehamilan Abdominal, Janin Mati, Laparotomi
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