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Year : 2015  |  Volume : 29  |  Issue : 1  |  Page : 45-46

HbE thalassemia in pregnancy

Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
Dr. Vanlalremsanga Varte
104, Mission Veng Bazaar, Aizawal - 796 005, Mizoram
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-4958.158935

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HbE/β-Thalassemia is a rare condition which pose challenges in the management of a pregnant patient. We present a case of 27 years old primigravida who attended Obs and Gynae OPD at 27 weeks of gestation with complain of easy fatiguability, generalised weakness and breathlessness. She gave a history of similar episodes in the past and history of one unit blood transfusion at 9 years of age due to anaemia. On examination, she had severe anaemia with hepatosplenomegaly and was admitted for further evaluation and was diagnosed as a case of HbE/β-Thalassemia after doing Hb electrophoresis. She was then admitted on four occasions for blood transfusion to correct her anaemia. At 37 weeks of gestation her Hb fell to 6.9 gm/dl and she was hospitalised in antenatal ward for safe confinement and three units of blood was transfused. A total of 13 units of blood was transfused antenatally. At 38 weeks of gestation she had PROM with unfavourable cervix and labour was induced but due to non progress of labour, emergency Caesarean section under spinal anaesthesia was done. She delivered a healthy baby weighing 2.5 Kg and there was no intra/post operative complications. One unit of blood was transfused post delivery. The patient was discharged from hospital on day 7 in stable condition.

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