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

Tinuade Oyebode; Bose Toma; Henry Embu; Fabian Puepet; Atiene Sagay

doi:doi:10.11648/j.jgo.20150304.13

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

Tinuade Oyebode, Bose Toma, Henry Embu, Fabian Puepet, Atiene Sagay

Published in Journal of Gynecology and Obstetrics (Volume 3, Issue 4)

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), 2015. Published by Science Publishing Group

Keywords

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

References

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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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TY  - JOUR
T1  - Severe Maternal Morbidity and Near Miss Mortality - A Case Report of an Adolescent with a Thyroid Storm
AU  - Tinuade Oyebode
AU  - Bose Toma
AU  - Henry Embu
AU  - Fabian Puepet
AU  - Atiene Sagay
Y1  - 2015/07/04
PY  - 2015
N1  - https://doi.org/10.11648/j.jgo.20150304.13
DO  - 10.11648/j.jgo.20150304.13
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 83
EP  - 87
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20150304.13
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
IS  - 4
ER  -

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Author Information

Tinuade Oyebode

Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, University of Jos, Jos, Nigeria
Bose Toma

Department of Paediatrics, Jos University Teaching Hospital, University of Jos, Jos, Nigeria
Henry Embu

Department of Anaesthesia, Jos University Teaching Hospital, University of Jos, Jos, Nigeria
Fabian Puepet

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

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

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Plain Text BibTeX RIS

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

Copy | Download

@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}
}

Copy | Download

TY  - JOUR
T1  - Severe Maternal Morbidity and Near Miss Mortality - A Case Report of an Adolescent with a Thyroid Storm
AU  - Tinuade Oyebode
AU  - Bose Toma
AU  - Henry Embu
AU  - Fabian Puepet
AU  - Atiene Sagay
Y1  - 2015/07/04
PY  - 2015
N1  - https://doi.org/10.11648/j.jgo.20150304.13
DO  - 10.11648/j.jgo.20150304.13
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 83
EP  - 87
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20150304.13
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
IS  - 4
ER  -

Copy | Download