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Introduction
Case Report
We present the case of Asian female infant who was born at 34 weeks
gestation in RSUD Waled Cirebon. Born by 25 years old primipara mother. The
mothe had prenatal care from the first trimester of pregnancy. The mother
received regular prenatal care including prenatal vitamis and irono during
pregnancy and check ultrasonography examination in doctoris found that the fetus
has microsephali. Mother was hepatitis B negative, HIV negative. During
pregnancy the mother not have a history of seve illness and drinking herbs. There
was no history of family with the condition like this. There was no drug intake
history or exponsure radiation during the first trimester of pregnancy. The patient
was born by spontaneous partus in RSUD Waled cirebon with antepartum
hemorragic. Apgar score 5/6 respectively. She was given vitamins K and
oxytetrasiklin eye ointment in the delivery room.
The patient’s birth weight was 1620 grams, length 39 cm, and head
circumference 21 cm. upon initial physical examination the patient obtained the
heart rate 139 bmp, respiration rate 58 bpm and temperature 36,9°, skin color of
sianosis, the skin color the body redness, and anencephali. The effort of breathing
crying is strong, active muscle tone movement, reflex reaction against.
The patient was placed in infant warmer. Attached oxygen cannul 2 liter per
minute to assist breathing. Patients can survive for 24 hours only. Toward
beginning of his hospital stay, an extensive pedigree of the family was done and
his family history was unremarkable.
Discussion
Conclusion
We conclude from our study that most common in female fetus, commonly
noticed in the primigravida. Central nervous system anomalies are the commonly
associated anomalies. Anencephaly is efficiently diagnosed by ultrasound
examination (USG) during early days of pregnancy, but pathological examination
of the abortus is needed, as in most cases anencephaly is also associated with
systemic anomalies. This helps in counseling the parents and in planning next
pregnancy
REFERENCE
1. Temesgen Tilahun and Hailemarian Segni. Anencephalic Twins : Rare
Occurence in Twin Pregnancy. Gynecology & Obstetric College of Health
Sciences, Jimma university Jimma Ethopia .2015