Placental infarction in teenage pregnancy
A- 16 – year-old primigravida woman had the first visit antenatal care at the health station near home, when the gestational age was 20+6 week by certained date, bood serology all negative. There was a problem of the fundal height less than the gestational age at 32 week of pregnancy but early detection and further investigation was not done.At 36 weeks of pregnancy, she came to the Taphanhin Crown Prince Hospital with the chief complain of abnormal vaginal bleeding and labor pain and the ultrasound findings were abnormal placenta (thickness1.5 cm. and focal hypoechogenicity especially at the placental margin and the maternal floor ) and oligohydramnios. while she was being admitted to the labor room, the fetal distress was detected so the cesarean section was done. The intraoperative findings were wide placental infarction (more than 1/3 of the placenta), 250 grams by weight, umbilical cord diameter is 1 cm., with average length of 35 cm., severe oligohydramnios and the female newborn (APGAR score = 0, 3, 4 ) 1,260 grams by weight, breech presentation and Maturity score was 34 weeks. The diagnosis was severe IUGR and severe birth asphyxia. After birth the newborn was intubated and resuscitated, and then transferred to the Phichit Hospital, 4 day later she was dead due to severe sepsis.