Term Abdominal Pregnancy; Management Approach of a Term Abdominal Pregnancy Case Report at Mama Lucy Kibaki Hospital, Nairobi Kenya

Background: Abdominal pregnancy is an exceptional type of pregnancy, happening in 1:10,000 to 1:30,000 pregnancies culminating to 1.4% of all pregnancies outside the uterus in Kenya. Diagnosis is often challenging to in acute situations, causing an increased percentage of feto- maternal morbidity and mortality.  Case: In this case report, a 32yr old para 2+0 gravid 3, presenting with a 1-day history of low abdominal pains characteristic of labor. Unsure of her dates, not attended any ANC visits, and was on HAART. History of C/S previous deliveries. Upon examination, fetal movements easily palpable, fundal height at term and the cervical OS was closed. A Diagnosis of uterine rupture was made. Obstetric ultrasound revealed an Intra –abdominal pregnancy with uterine rupture as a differential diagnosis.