Management of Aplastic Anemia in Pregnancy

Abstract

Management of Aplastic Anemia in Pregnancy Manajemen Anemia Aplastic pada Kehamilan Suskhan Djusad, Yoarva Malano Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital Jakarta Objective: To illustrate the management of anemia aplastic in pregnancy. Methods: Case report. Case: A 29 years old women came to Dr. Cipto Mangunkusumo due to aplastic anemia in 24 weeks of gestational age. Laboratory result showed anemia normocytic normochromic and thrombocytopenia. During the next visit, the patient had hypertension with controlled blood pressure and IUGR. Therefore, the pregnancy should be terminated and the mode of delivery was a cesarean section. Results: The baby was asymmetric IUGR indicating hypoxic environment due to anemia in pregnancy. Conclusions: Anemia aplastic was a rare case during pregnancy and close monitoring was imperative to detect early complication such as intrauterine growth retardation. Keywords: aplastic anemia, pancytopenia, pregnancy Abstrak Tujuan: Untuk menggambarkan manajemen anemia aplastik pada kehamilan. Metode: Laporan kasus. Kasus: Seorang perempuan 29 tahun datang ke RSCM karena kehamilan 24 minggu. Hasil laboratorium menunjukan anemia normositik normokrom dan trombositopenia. Pada kunjungan berikutnya pasien memiliki tekanan darah tinggi terkontrol, dan PJT. Maka dari itu, kehamilan harus diakhiri dan cara persalinan adalah seksio sesarea. Hasil: Bayi PJT asimetris menandakan keadaan hipoksia karena anemia selama kehamilan. Kesimpulan: Anemia aplastik pada kehamilan adalah kasus yang jarang dan pengawasan ketat penting dalam mendeteksi komplikasi seperti PJT. Kata kunci: anemia aplastik, kehamilan, pansitopenia