DOI: 10.36347/sjmcr.2021.v09i12.011

Pages: 1157-1162

The aim was to describe the monitoring and management of maternal and fetal complications of this composite SC sickle cell pregnancy. Pregnancy is a high risk situation for a woman with sickle cell disease and for her fetus. Management must be multidisciplinary and involve obstetricians, doctors specializing in sickle cell disease, hematologists, organ specialists, anesthetists, resuscitators, midwives. Sickle cell disease can make pregnancy worse, but pregnancy can also make the disease worse. Ocular involvement of sickle cell anemia is common, particularly in SC and Sβ+-thalassemic sickle cell patients. The severity of ophthalmologic complications is mainly linked to these proliferative retinal manifestations. Laser treatment is used to control the growth of new blood vessels in the eyes affected by this disease. We report the case of a major sickle cell pregnancy with fortuitous discovery of maternal retinopathy and intrauterine growth retardation in the fetus. From this case we will describe the problems that can cause this category of pregnancy and make an update on the management.