Preeta Kurvattigoudar1* and Kishanrao Suresh2
1Karnataka State Rural Development and Panchya Raj University (KSRDPRU), Gadag, Karnataka, India
2Visiting Professor-MPH, KSRDPRU, Karnataka State Rural Development and Panchya Raj University (KSRDPRU), Gadag, Karnataka, India
*Corresponding Author: Preeta Kurvattigoudar, Karnataka State Rural Development and Panchya Raj University (KSRDPRU), Gadag, Karnataka, India.
Received: June 01, 2021; Published: June 29, 2021
Hemoglobinopathies are inherited disorders of red blood cells,an important cause of morbidity and mortality, as they impose a heavy burden on families in the absence of a antional program. People with Beta thalassemia minor exibit mild anemia needing no medical treatment but if the client be a lady may fall short of Hb% during pregnancies. We report one such case of Beta-thalassemia. An young female of 30 yrs, married for 4 years a housewife reported happily with amenorrhea for 2.5 months and a positive pregnancy test using a rapid test kit at home for routine check-up, follow-up, expecting normal outcome. She revealed normal menstrual history but the exact LMP was not known. Her past history indicated delayed developmental milestones following her mother’s death an obstructed delivery by outlet forceps.
Physical examination revealed a uterus of 16 weeks size, urinary pregnancy test reconfirmed the pregnancy and all other findings were normal. Gestational diabetes was ruled out by a GTT. Investigation reports showed that Hb was 8.2 gm% with MCV count 69fL, WBC count was 7400 cells/ cumm and Platelet count was 301000 cells/cumm, Red blood cells count was 3.7 million. HIV and HbsAg were also negative and the patient blood group was “O” positive. Cardiotocography showed FHS (Fetal Heart Sound) ranging from 150 - 160 beets/min. An anomaly scan reported that a single live intrauterine fetus of gestational age 17wks 2 days +- 8 days with no obvious anomalies. And EDD (Expected Date of Delivery) was given on 28 September 2020. T. Iron and a multivitamin -Bd for 30 days. And T. calcium carbonate 600 mg + T. Vitamin D3 400 Iu - od for 30 days was given. Same follow-up was repeated, but Hb% did not improve after 3 more months. An USG was normal. Hemoglobin electrophoresis confirmed that she had Beta thalassemia trait in the 7th month of the pregnancy. She was given Inj. OROFER FCM 500 mg IV that improved the Hb% level to 10 gm%. As a result she underwent a full term lower segment Cessarian Section (LSCS) on 21st September 2020, No complications durng the entire process of LSCS. Both mother and baby with birth weight of about 2900 gms were healthy. No further peurperal complications were observed. Now the baby turned to 8th month with no such issues and Hb% of the mother mentained same as 10 gm% and the growth and development of the newborn are normal.
Keywords: Hemoglobin Electrophoresis; Hereditary; Diabetes Mellitus
Citation: Preeta Kurvattigoudar and Kishanrao Suresh. “Hemoglobin Electrophoresis - A Stitch in Time Saved Beta thalassemia Mother and Newborn". Acta Scientific Women's Health 3.7 (2021): 34-38.
Copyright: © 2021 Preeta Kurvattigoudar and Kishanrao Suresh. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.