OUTCOME OF PREGNANCY IN A CASE OF ISOLATED FETAL ASCITES WITH MATERNAL HYPOTHYROIDISM AND GESTATIONAL DIABETES - A CASE REPORT

*Dr. Manoj S. Patil, Dr. Shilpa Gaidhane, Dr. Abhay Gaidhane, Dr. Arpita Jaiswal, Dr. Sachin Damake, Dr. S. Z. Quazi

ABSTRACT

Pregnancies complicated with gestational diabetes and hypothyroidism usually has unpredictable outcomes and guarded prognosis of the foetal conditions. Even after diagnosing and starting treatments of the complicating conditions well in time, the outcomes of pregnancy are mostly poor. This is a case study of a nulliparous 30year old female who was found hypothyroid and diabetic during her second pregnancy and initiated appropriate treatments well on time. Even then, the foetus developed gross Ascites during 6th month of pregnancy; the pregnancy got abruptly terminated by abruptio placenta at the end of 29th week and the neonate succumbed to death after 10 days of struggle with respiratory support and combat with Klebsiella infection.

Keywords: Foetal Ascites, Gestational Diabetes, Hypothyroidism, Outcome of pregnancy.