Advanced Abdominal Pregnancy in a Diabetic Multipara- is Delivery of the Placenta Always a Problem? A Case Report

Abstract

Introduction: Abdominal pregnancy is a comparatively rare type of ectopic gestation with a high fetal and maternal morbidity and mortality. Although this entity had been well documented, it still remains a serious dilemma for most obstetricians in practice because of the difficulties in early diagnosis and proper management. The occurrence in a diabetic woman could make management even more complex.
Objective: This is to report a case of advanced abdominal pregnancy occurring in a diabetic multipara.
Method: A case report of abdominal pregnancy in a diabetic multipara who was referred to the Nnamdi Azikiwe University Teaching Hospital, Nnewi and relevant review of literature.
Result: Following a laparotomy, the baby was delivered, and placenta completely removed.
Conclusion: The delivery of the placenta following an abdominal pregnancy may not pose a problem in some patients. Appropriate pre-operative diagnosis and timed intervention is recommended.