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Unexpected delivery: a case report of cryptic pregnancy in Nigeria

The etiology of cryptic pregnancy has not been fully elucidated and there exist misconceptions about this phenomenon in our contemporary Nigerian society. This case presents the first case report of cryptic pregnancy in sub-Saharan Africa. A case of a 19 year old overweight female student who presen...

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Autores principales: Nto-Ezimah, Uloaku Akubueze, Nto, Nto Johnson, Esom, Emmanuel Anayochukwu, Okwor, Chika Juliet, Adiri, Charles
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7490131/
https://www.ncbi.nlm.nih.gov/pubmed/32963671
http://dx.doi.org/10.11604/pamj.2020.36.205.23790
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author Nto-Ezimah, Uloaku Akubueze
Nto, Nto Johnson
Esom, Emmanuel Anayochukwu
Okwor, Chika Juliet
Adiri, Charles
author_facet Nto-Ezimah, Uloaku Akubueze
Nto, Nto Johnson
Esom, Emmanuel Anayochukwu
Okwor, Chika Juliet
Adiri, Charles
author_sort Nto-Ezimah, Uloaku Akubueze
collection PubMed
description The etiology of cryptic pregnancy has not been fully elucidated and there exist misconceptions about this phenomenon in our contemporary Nigerian society. This case presents the first case report of cryptic pregnancy in sub-Saharan Africa. A case of a 19 year old overweight female student who presented to the sick bay at 01: 30 hours with a 3-day history of lower back pain, abdominal discomfort and constipation. At the sick bay the general practitioner on call asked if she was pregnant and she vehemently said no, recounting that she sees her menstruation regularly. Abdominal examination however, revealed a gravid uterus of about 36 weeks and vaginal examination showed a fully dilated cervix. She was surprised, terrified and confused and only remembered having unprotected sexual intercourse many months earlier. Barely two hours later, she gave birth via spontaneous vaginal delivery, to a live female infant at 03: 14 hours. This case emphasizes the need for general practitioners and specialists in sub-Saharan Africa to be aware of the phenomenon of cryptic pregnancy, which involves women not being conscious of their gravid state until final weeks of gestation or at delivery, to reduce neonatal and maternal complications.
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spelling pubmed-74901312020-09-21 Unexpected delivery: a case report of cryptic pregnancy in Nigeria Nto-Ezimah, Uloaku Akubueze Nto, Nto Johnson Esom, Emmanuel Anayochukwu Okwor, Chika Juliet Adiri, Charles Pan Afr Med J Case Report The etiology of cryptic pregnancy has not been fully elucidated and there exist misconceptions about this phenomenon in our contemporary Nigerian society. This case presents the first case report of cryptic pregnancy in sub-Saharan Africa. A case of a 19 year old overweight female student who presented to the sick bay at 01: 30 hours with a 3-day history of lower back pain, abdominal discomfort and constipation. At the sick bay the general practitioner on call asked if she was pregnant and she vehemently said no, recounting that she sees her menstruation regularly. Abdominal examination however, revealed a gravid uterus of about 36 weeks and vaginal examination showed a fully dilated cervix. She was surprised, terrified and confused and only remembered having unprotected sexual intercourse many months earlier. Barely two hours later, she gave birth via spontaneous vaginal delivery, to a live female infant at 03: 14 hours. This case emphasizes the need for general practitioners and specialists in sub-Saharan Africa to be aware of the phenomenon of cryptic pregnancy, which involves women not being conscious of their gravid state until final weeks of gestation or at delivery, to reduce neonatal and maternal complications. The African Field Epidemiology Network 2020-07-22 /pmc/articles/PMC7490131/ /pubmed/32963671 http://dx.doi.org/10.11604/pamj.2020.36.205.23790 Text en Copyright: Uloaku Akubueze Nto-Ezimah et al. https://creativecommons.org/licenses/by/4.0 The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nto-Ezimah, Uloaku Akubueze
Nto, Nto Johnson
Esom, Emmanuel Anayochukwu
Okwor, Chika Juliet
Adiri, Charles
Unexpected delivery: a case report of cryptic pregnancy in Nigeria
title Unexpected delivery: a case report of cryptic pregnancy in Nigeria
title_full Unexpected delivery: a case report of cryptic pregnancy in Nigeria
title_fullStr Unexpected delivery: a case report of cryptic pregnancy in Nigeria
title_full_unstemmed Unexpected delivery: a case report of cryptic pregnancy in Nigeria
title_short Unexpected delivery: a case report of cryptic pregnancy in Nigeria
title_sort unexpected delivery: a case report of cryptic pregnancy in nigeria
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7490131/
https://www.ncbi.nlm.nih.gov/pubmed/32963671
http://dx.doi.org/10.11604/pamj.2020.36.205.23790
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