Hypocalcemia and its consequences during delivery: A case report

Abstract

Hypocalcaemia is defined as total serum calcium <8mg/dL (2mmol/L) or ionized calcium <4.4mg/dL (1.1mmol/L). Calcium is transferred from the maternal circulation to the foetal circulation by active transport from the placenta in the last trimester. This active transport increases from first trimester to the last trimester gradually.

Present case report is of 23years old primigravidae patient with marriage life 11 months (non-consanguineous marriage) presented in the OPD of prasuti tantra department, for the antenatal care. She received total antenatal care according to WHO recommendation and ayurvedic SOP of prenatal care from 20 weeks onwards. Due to borderline pelvis and non-progress of labour emergency LSCS was done. The baby gets suffered with right humorous bone fracture during extraction process. Later on, examination done for serum calcium and vitamin d3 reveals severe deficiency of both factors in neonate as well as in mother. So, it was planned to report present case to highlights the importance of calcium transport and vitamin d3 levels so that it can be become mandate for supplementation of additional vitamin d3 and monitoring of maternal levels during prenatal care to avoid these consequences.