A Case Report on Pregnancy with Systemic Sclerosis


Authors : Dr. Shakir Rasool Khan; Dr. NAHIDA Zahoor; Dr. Hanzilla Ashraf; Dr. Angraz Singh; Dr. Irtika Aziz

Volume/Issue : Volume 8 - 2023, Issue 3 - March

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://bit.ly/40RFcxk

DOI : https://doi.org/10.5281/zenodo.7787546

Pregnancy outcomes of patients with systemic sclerosis includes abortion, miscarriage, preterm birth, preeclampsia, iugr, oligohydramnios and perinatal death. Besides these poor outcomes, women with systemic sclerosis can safely have healthy pregnancy. The aim of this study is to evaluate a pregnant women with systemic sclerosis. A year old G2A1 women with a history of systemic sclerosis for last 12 years was admitted At Government Medical College Srinagar, with 37 weeks 6 days of pregnancy. On admission she fad severe degree of hypertension with proteinuria. She also had restricted mouth opening, salt pepper pigmentation, barnett sign, sclerodactyly, thickening of skin. She was given antihypertensive. Her all routine blood investigations including antitopoisomerase, Ab SCL70 and ultrasonography for fetoplacental profile sent. After stabilization of blood pressure she was prepared for emergency caesarean section as USG showed 37 weeks 6 days foetus, Oligohydramnios with breech presentation. She underwent emergency LSCS and delivered a healthy girl baby of weight 3.351kg. Her postoperative period was uneventful. Rheumatologist, dermatologist consultation taken for her further management in the postpartum period. She was discharged after 1 week. In conclusion many women with systemic sclerosis may have successful pregnancy, but pregnant women with systemic sclerosis should be followed up by a interdisciplinary medical team to control the disease activity and avoid complications. Keywords-systemic sclerosis, pregnancy, preeclampsia.

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31 - March - 2024

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