Case Report
Volume 10 Issue 6 - 2021
Intrapartum Challenges in a Term Fetus with Anencephaly: Case Report
Giya Mathew1*, Shalini Malhotra2 and Faiz Zaman2
1Specialist, Department of Obstetrics and Gynecology, AL Qassimi Women’s and Children’s Hospital, Sharjah, United Arab Emirates
2Consultant, Department of Obstetrics and Gynecology, AL Qassimi Women’s and Children’s Hospital, Sharjah, United Arab Emirates
*Corresponding Author: Giya Mathew, Specialist, Department of Obstetrics and Gynecology, AL Qassimi Women’s and Children’s Hospital, Sharjah, United Arab Emirates.
Received: February 26, 2021; Published: May 28, 2021


Introduction: Anencephaly is a lethal congenital defect due to the failure of closure of the cranial end of the embryologic neural tube. Termination of pregnancy is offered for all prenatally diagnosed cases, but some parents choose to continue with pregnancy with full obstetric intervention.

Case Report: I describe the case of a 36 year old woman who had five pregnancies with anencephalic babies terminated before 5 months and in current pregnancy pre-natal ultrasonography at 12 weeks revealed an intrauterine anencephalic live gestation. She refused pregnancy termination and developed Gestational diabetes and polyhydramnios in the course of pregnancy and delivery was complicated by intrapartum shoulder dystocia, obstructed labour and delivered a full term anencephalic female baby who was still born.

Conclusion: Anencephaly is a severe neural tube defect resulting in postdated pregnancy and prolonged labour. This can result in shoulder dystocia which may have adverse consequences for mother. Overall, the incidence of obstetric complication is less however, there is a tendency towards delivery via repeated caesarean section in women with a previous uterine scar and anencephaly. Management of pregnancies reaching term with anencephaly is not based on any standard protocols and thus there are dilamatous situations that need consensus for patient safety. This case raises important practical questions: Management strategies of recurrent pregnancies with anencephaly includes best supportive care during and after birth and counseling the expectant parents.

Keywords: Ultrasonography; Anencephaly; Shoulder Dystocia; Obstructed Labour; Gestational Diabetes; Polyhydramnios; Recurrent Anencephaly


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Citation: Giya Mathew., et al. “Intrapartum Challenges in a Term Fetus with Anencephaly: Case Report”. EC Gynaecology 10.6 (2021): 125-129.

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