MOTHERHOOD AFTER MENOPAUSE SUCCESSFUL POSTMENOPAUSAL PREGNANCY AT FEDERAL MEDICAL CENTRE, YENAGOA A CASE REPORT

Author:Meme F.C, Igbafe A.A, Aigere E.S.O, Njoku C.I, Tek

published date:2021-Jul-04

FULL TEXT in - | page 56-60

Abstract

Background: Menopause is the period is in women’s lives when menstrual periods stop permanently for at least a year, due to loss of ovarian function1; making them incapable of child bearing. Little wonder why childbirth after menopause is a surprise to many, and the unquantifiable joy that comes with this experience. Motherhood after menopause, facilitated by assisted reproductive technologies (ARTs), remains one of the giant strides attained in reproductive medicine. Postmenopausal pregnancy comes with great challenges to both the mother and the obstetrician. Case presentation: A 53-year-old P0+2 woman, 3-years postmenopausal, known diabetic who had myomectomy 7 years prior to presentation. She had preconceptonal care, invitro fertilization with donor egg and embryo transfer. She received multi-disciplinary care during the antenatal period and caesarean delivery at term. Outcome was a live female baby with good Apgar scores and normal birth weight. The puerperium was normal. Conclusion: Postmenopausal pregnancy though rare is achievable. The knowledge from the scientific advancement in reproductive medicine, when harnessed, contributes immensely to a successful outcome with minimal complications to both the mother and her baby. Multidisciplinary collaboration is key in the management of postmenopaulsal pregnancy to increase the chances of a positive outcome.

Keywords: Menopause, menstrual periods, loss of ovarian function,,

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