Spontaneous Pregnancy in Primary Amenorrhea; a Case Report
A 29-year-old woman attended antenatal out-patient department of North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, Meghalaya, India with full term pregnancy in October 2009. She gave a very interesting history of primary amenorrhea with a few episodes of withdrawal bleeding upon hormonal treatment in the past. For the past 3 – 4 years she had not been receiving any treatment and had remained amenorrhoeic. After 4 years of marriage, she went to a local doctor for nausea and vomiting and, to her surprise, her urine pregnancy test was positive. Her pregnancy was later confirmed by ultrasound. Her Expected Date of Delivery (EDD) was calculated from the first trimester ultrasound, which confirmed the gestational maturity.\nOn examination, her vital signs were within normal limits. On per abdominal examination, uterus was found to be in the form of a full-term pregnancy. The fetus was in cephalic presentation and Fetal Heart Rate (FHR) was 136 beats per minute and regular. Per vaginal examination revealed a closed internal Os with soft, short and central cervix. Pelvis seemed adequate for delivery of the fetus. Caesarean section was performed on maternal request and a healthy male baby weighing 2.5 kg was delivered. She had an uneventful puerperium.