Day :
- Fetal and Maternal Medicine
Session Introduction
Christine Veronica F. Escarpe
bs aquino drive, dr pablo o. torre memorial hospital ,Maternal-Fetal Medicine
Title: Below the Limit: A case of Dengue in Pregnancy
Biography:
Christine Veronica F. Escarpe has completed her Doctor Of Medicine at the age of 27 years old from Cebu Institute Of Medicine. She is currently a 3rd year OBGYN resident at Dr. Pablo O. Torre Memorial Hospital, a Tertiary Hospital in Bacolod City, Philippines.
Abstract:
Dengue, a mosquito-borne flavivirus infection, has affected more than a 100 countries in the WHO regions, including South East Asia and the Western Pacific. It is transmitted by the Aedes Egypti which can survive year round in tropical and subtropical climates. It is endemic in the Phillipines, with reports from the Department of Heath showing a total of 69,0888 cases in a span of 7 months from January 01- July 2018. Knowledge regarding the effects of Dengue fever in pregnancy, however, remains limited. This presentation aimed to determine the impact of Dengue Fever in Pregnancy. This is a case of a 35 year old, G2P0 (0010) at 39 weeks age of gestation who was admitted for intermittent fever of 3 days duration. On admission, nonstructural protein 1 antigen was positive. She was managed as Dengue Fever with warning signs. Patient developed rashes, epigastric pain, headache and mild bleeding episodes. However, serial complete blood count showed a decreasing trend in the platelet to a lowest of 16,000 x 109/L, thus, patient was transfused with 11 units of platelet concentrate prior to delivery. On the fifth hospital day, patient delivered to a live, baby girl who was found to be Dengue IgG positive. Blood transfusion was given to the mother who developed postpartum hemorrhage with 2 liter of blood loss, while supportive treatment was done for the neonate. Both were discharged improved on the eight hospital day.
Elizabeth J. Otovic
BS, RDMS Fetal Evaluation and Prenatal Testing
Title: Incorporating the innovation of music during the Biophysical profile
Biography:
Elizabeth J. Otovic BS, RDMS 41 Fruit Street Newbury, MA 01922
Abstract:
As a sonographer working in the field of Perinatal sonography, I would like to share my observations over the past ten years using music as a stimulus to evaluate fetal activity. In the beginning of my career it was the standard to use a buzzer device to initiate fetal movement. After reading an article that suggested the decibel level of this device was potentially harmful to the fetus, I decided that music was the answer and began to sing to the fetus to evaluate fetal activity.
Abigail Barbosa
Anesthesiology and Pain Medicine Cardinal Santos Medical Center,
Title: Dengue Fever Manifesting as Severe Thrombocytopenia during Parturition: A Case Report
Biography:
Abigail Barbosa MD Assistant Chief Resident of Anesthesiology and Pain Medicine Cardinal Santos Medical Center, San Juan city, Philippines.
Abstract:
Background: The incidence of Dengue Fever is increasing among the adult population living in endemic areas, consequently increasing the number of cases of dengue infection occurring in pregnancy. Dengue infection in pregnancy can cause marked thrombocytopenia, which carries a major risk for both maternal and fetal morbidity and mortality that may complicate parturition.
Case presentation: A 31 year-old Filipino woman diagnosed gravida 2 para 1 (1001) on her 34 weeks of gestation, presented in our institution with fever for 4 days. The complete blood count as well as serology confirmed dengue fever. The patient was under conservative management despite severe thrombocytopenia with lowest platelet count of 10,000/L. However, persistent uterine contractions prompted emergency repeat cesarean section. There was note of minimal peripartum uterine bleeding, which was successfully managed by blood transfusion and uterotonics and was subsequently discharged with no maternal and fetal complications.
Conclusion: With the similarities in symptoms and laboratory findings in the obstetric population infected by dengue fever, one of the significant impacts of dengue at parturition is that severe bleeding may complicate delivery with dengue during the critical phase, that is the period coinciding with marked thrombocytopenia. Management of dengue-infected parturients is by conservative fluid therapy and transfusion of appropriate blood products when signs of bleeding occur. An important principle in the management of dengue fever in pregnancy is to prioritize maternal well being prior to addressing fetal issues.
Dirdrah Aina C. Salvador
, FPOGS, FPSUOG De La Salle University Medical Center
Title: Single Loading Dose Versus Standard 24-Hour Magnesium Sulfate in Women with Severe Preeclampsia and Eclampsia: A Systematic Review and Metaanalysis
Biography:
Dirdrah is a recent graduate in her residency training in Obstetrics and Gynecology in the Philippines and has found love for research since her senior high school days. She is planning to pursue subspecialty training in Gynecologic Oncology and Clinical Research and Epidemiology.