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CASE REPORT
Year : 2010  |  Volume : 13  |  Issue : 2  |  Page : 223-224

Heterotopic gestation with subsequent live birth in a Jehovah's witness: A case report


Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Shika-Zaria

Correspondence Address:
AOD Kolawole
Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Shika-Zaria

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Source of Support: None, Conflict of Interest: None


PMID: 20499761

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Heterotopic gestations occurring in spontaneous conception cycles are rare. An incidence of 1 in 30,000 has been documented. However, there is a rising rate mostly attributed to ovulation induction and assisted reproduction techniques, where it occurs in 1 to 3% of all clinical pregnancies. A high index of suspicion and use of ancillary investigations will aid diagnosis. The management of this condition in a Jehovah's Witness presents an uncommon challenge as surgical intervention aims to salvage the intrauterine pregnancy whilst giving scrupulous attention to haemostasis. This is because blood transfusion is precluded in the management of haemorrhage in members of this sect. We present a case of heterotopic gestation that occurred spontaneously in a Jehovah's Witness; she had emergency salpingectomy and subsequently had spontaneous vertex delivery of a live baby at term.


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