Expectant management of chronic abruption-oligohydramnios sequence in a resource-limited setting: a case report

Davidson Cezaire; Dapheline Jean-Pierre; Nixon Nelson Mardius; Flawendjee Djaweelentz Jacques; Pierre Cadet Torrilus

doi:10.18203/2320-1770.ijrcog20261288

Authors

Davidson Cezaire Department of Obstetrics and Gynecology, Sainte-Therese Hospital, Hinche, Haiti
Dapheline Jean-Pierre Department of Anesthesiology, Sainte-Therese Hospital, Hinche, Haiti
Nixon Nelson Mardius Department of Obstetrics and Gynecology, Sainte-Therese Hospital, Hinche, Haiti
Flawendjee Djaweelentz Jacques Department of Emergency Medicine, Sainte-Therese Hospital, Hinche, Haiti; Medical Education department, Zanmi Lasante, Haiti https://orcid.org/0009-0005-1990-2260
Pierre Cadet Torrilus Department of Obstetrics and Gynecology, Sainte-Therese Hospital, Hinche, Haiti

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20261288

Keywords:

Abruptio placentae, Placental abruption, Chronic abruption, Case report, Retroplacental hematoma, Chronic abruption-oligohydramnios sequence

Abstract

The chronic abruption-oligohydramnios sequence (CAOS) is a rare obstetric condition that may follow a prolonged clinical course. We report the case of a 30-year-old woman who delivered a live newborn at Sainte-Thérèse Hospital in Hinche, 34 days after an ultrasound detected a retroplacental hematoma at 29 weeks and 4 days of gestation. The patient presented with vaginal bleeding accompanied by hypogastric and sacrolumbar pain. Initially hospitalized for preterm labor, a retroplacental hematoma was then detected on ultrasound. Two days later, she was readmitted for severe preeclampsia complicated by placental abruption, and a conservative approach was adopted. On day 32 of hospitalization, she delivered via cesarean section under spinal anesthesia. Despite the complication, the patient had a good outcome. This case illustrates that expectant management may be considered in cases of abruptio placentae that are likely to become chronic, even in a rural, resource-limited setting.

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