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Severe Maternal Morbidity and Near Miss Mortality - A Case Report of an Adolescent with a Thyroid Storm

Received: 11 June 2015    Accepted: 24 June 2015    Published: 4 July 2015
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Abstract

A thyroid storm is a major life threatening disorder and is more complicated when it happens in an unsupported pregnant teenager where possible maternal and perinatal morbidity and mortality are additional concerns on account of medical and social issues. This patient who defaulted treatment for Graves ’ disease for 18 months presented with cardiovascular, central nervous system, gastrointestinal, renal and obstetric complications as a medical emergency to the Labour Ward of the Jos University Teaching Hospital (JUTH). She was in cardiac failure, had anaemia and assessed to have a thyroid storm with intrauterine foetal death. She received intensive care from a multidisciplinary team with anti-thyroid and anti-heart failure drugs, oxygen, blood transfusion, antibiotics, supportive therapy, and subsequently went into labour and had forceps delivery of a macerated foetus and very proactive management that led to the aversion of a potential maternal mortality.

Published in Journal of Gynecology and Obstetrics (Volume 3, Issue 4)
DOI 10.11648/j.jgo.20150304.13
Page(s) 83-87
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Thyroid Storm, Teenage Pregnancy, Cardiac Failure, Near Miss, Maternal Mortality, Perinatal Mortality

References
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[3] Madhusmita Misra, Abhay Singhal, Deborah E Campbell, Phyllis W Speiser, Mary L Windle, Lynne Lipton Levitsky, Merrily P M Poth, Stephen Kemp. Thyroid Storm. Medscape- Drugs and Diseases. Available at http://emedicine.medscape.com/article/925147-overview
[4] Bahn RS, Burch HB, Cooper DS, Garber JR, Greenlee MC, Klein I, Laurberg P, McDougall IR, Montori VM, Rivkees SA, Ross DS, Sosa JA, Stan MN; Thyroid storm. Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists. Medline Plus.NIH.US National Library of Medicine.Endocr Pract. 2011;17(3):456-520. Available at http://www.nlm.nih.gov/medlineplus/ency/article/000400.htm\
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[6] WHO. Maternal, newborn, child and adolescent health. Adolescent pregnancy. Available at http://www.who.int/maternal_child_adolescent/topics/maternal/adolescent_pregnancy/en/
[7] Omigbodun A.O. Preconception care in Nigeria: Prospects and constraints. Archives of Ibadan Medicine 2002; 3(1):3-5.
[8] Addo V.N., Arthur G.A. Cardiac disease in pregnancy. In: Kwawukume E.Y, Emuveyan E.E. (Ed), Comprehensive Obstetrics, Asante and Hittscher Printing Press Limited 2002; 268 – 272.
[9] Runsewe – Abiodun I, Sule – Odu A.O. Review of the effects of poverty on reproductive health in developing countries. Nigerian Medical Practitioner 2002; 41 (5/6): 60 – 64.
[10] Robert P, Lale S, João P S, Nynke van den B, Cleone R & on behalf of the WHO Working Group on Maternal Mortality and Morbidity Classifications. WHO maternal death and near-miss classifications. Bulletin of the World Health Organization 2009; 87:734-734. doi: 10.2471/BLT.09.071001
[11] Small MJ, James AH, Kershaw T, Thames B, Gunatilake R, Brown H. Near-miss maternal mortality: cardiac dysfunction as the principal cause of obstetric intensive care unit admissions. Obstet Gynecol 2012; 119(2 Pt 1):250-5. doi:10.1097/AOG.0b013e31824265c7.
[12] Tuncalp O, Hindin MJ, Souza JP, Chou D, Say L. The prevalence of maternal near miss: a systematic review. JOG: An International Journal of Obstetrics & Gynaecology. Volume 119, Issue 6, Article first published online: 10 APR 2012. Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2012.03294.x/pdf
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[14] Mahvash Zargar 1,*; Javad Marfou 1; Azam Afrakhteh 1; Nahal Nasehi. Severe Maternal Morbidity and Near Misses in Two Tertiary Referral Hospitals in Iran. Jentashapir J Health Res. 2015 April; 6(2): e25886. DOI: 0.5812/jjhr.6(2)2015.25886 Published online 2015 April 25.
[15] Fernando César Oliveira, Fernanda Garanhani Surita, João Luiz Pinto e Silva, José Guilherme Cecatti, Mary Angela Parpinelli, Samira M Haddad, Maria Laura Costa, Rodolfo Carvalho Pacagnella, Maria Helena Sousa, João Paulo Souza and The Brazilian Network for Surveillance of Severe Maternal Morbidity Study Group. Severe maternal morbidity and maternal near miss in the extremes of reproductive age: results from a national cross- sectional multicenter study. BMC Pregnancy and Childbirth. Maternal health and pregnancy. Volume 14 Available at http://www.biomedcentral.com/1471-2393/14/77
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Cite This Article
  • APA Style

    Tinuade Oyebode, Bose Toma, Henry Embu, Fabian Puepet, Atiene Sagay. (2015). Severe Maternal Morbidity and Near Miss Mortality - A Case Report of an Adolescent with a Thyroid Storm. Journal of Gynecology and Obstetrics, 3(4), 83-87. https://doi.org/10.11648/j.jgo.20150304.13

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    ACS Style

    Tinuade Oyebode; Bose Toma; Henry Embu; Fabian Puepet; Atiene Sagay. Severe Maternal Morbidity and Near Miss Mortality - A Case Report of an Adolescent with a Thyroid Storm. J. Gynecol. Obstet. 2015, 3(4), 83-87. doi: 10.11648/j.jgo.20150304.13

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    AMA Style

    Tinuade Oyebode, Bose Toma, Henry Embu, Fabian Puepet, Atiene Sagay. Severe Maternal Morbidity and Near Miss Mortality - A Case Report of an Adolescent with a Thyroid Storm. J Gynecol Obstet. 2015;3(4):83-87. doi: 10.11648/j.jgo.20150304.13

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  • @article{10.11648/j.jgo.20150304.13,
      author = {Tinuade Oyebode and Bose Toma and Henry Embu and Fabian Puepet and Atiene Sagay},
      title = {Severe Maternal Morbidity and Near Miss Mortality - A Case Report of an Adolescent with a Thyroid Storm},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {3},
      number = {4},
      pages = {83-87},
      doi = {10.11648/j.jgo.20150304.13},
      url = {https://doi.org/10.11648/j.jgo.20150304.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20150304.13},
      abstract = {A thyroid storm is a major life threatening disorder and is more complicated when it happens in an unsupported pregnant teenager where possible maternal and perinatal morbidity and mortality are additional concerns on account of medical and social issues. This patient who defaulted treatment for Graves ’ disease for 18 months presented with cardiovascular, central nervous system, gastrointestinal, renal and obstetric complications as a medical emergency to the Labour Ward of the Jos University Teaching Hospital (JUTH). She was in cardiac failure, had anaemia and assessed to have a thyroid storm with intrauterine foetal death. She received intensive care from a multidisciplinary team with anti-thyroid and anti-heart failure drugs, oxygen, blood transfusion, antibiotics, supportive therapy, and subsequently went into labour and had forceps delivery of a macerated foetus and very proactive management that led to the aversion of a potential maternal mortality.},
     year = {2015}
    }
    

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    AU  - Tinuade Oyebode
    AU  - Bose Toma
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    AU  - Atiene Sagay
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    N1  - https://doi.org/10.11648/j.jgo.20150304.13
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    AB  - A thyroid storm is a major life threatening disorder and is more complicated when it happens in an unsupported pregnant teenager where possible maternal and perinatal morbidity and mortality are additional concerns on account of medical and social issues. This patient who defaulted treatment for Graves ’ disease for 18 months presented with cardiovascular, central nervous system, gastrointestinal, renal and obstetric complications as a medical emergency to the Labour Ward of the Jos University Teaching Hospital (JUTH). She was in cardiac failure, had anaemia and assessed to have a thyroid storm with intrauterine foetal death. She received intensive care from a multidisciplinary team with anti-thyroid and anti-heart failure drugs, oxygen, blood transfusion, antibiotics, supportive therapy, and subsequently went into labour and had forceps delivery of a macerated foetus and very proactive management that led to the aversion of a potential maternal mortality.
    VL  - 3
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Author Information
  • Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, University of Jos, Jos, Nigeria

  • Department of Paediatrics, Jos University Teaching Hospital, University of Jos, Jos, Nigeria

  • Department of Anaesthesia, Jos University Teaching Hospital, University of Jos, Jos, Nigeria

  • Department of Internal Medicine (Endocrinology Unit), Jos University Teaching Hospital, University of Jos, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, University of Jos, Jos, Nigeria

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