<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2019-16-4-15</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-160</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>СЛУЧАЙ ИЗ КЛИНИЧЕСКОЙ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group></article-categories><title-group><article-title>Опыт ведения беременности с миомой матки больших размеров</article-title><trans-title-group xml:lang="en"><trans-title>The Experience of the Management of Pregnancy with Large Uterine Fibroids</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Громыко</surname><given-names>Н. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Gromyko</surname><given-names>N. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Громыко Н.Л., к.м.н, ассистент кафедры акушерства и гинекологии с курсом ФПК и П учреждения образования «Гомельский государственный медицинский университет».</p></bio><bio xml:lang="en"><p>Gromyko N.L., PhD, assistant of the Department of Obstetrics and Gynecology with the course of the Faculty of Professional Development and Retraining of the educational institution «Gomel State Medical University».</p></bio><email xlink:type="simple">natatali@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захаренкова</surname><given-names>Т. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharenkova</surname><given-names>T. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Захаренкова Т.Н., к.м.н., доцент, заведующий кафедрой акушерства и гинекологии с курсом ФПК и П учреждения образования «Гомельский государственный медицинский университет».</p></bio><bio xml:lang="en"><p>Zaharenkova T.N., PhD, Associate Professor, Head of the Department of Obstetrics and Gynecology with the course of the Faculty of Professional Development and Retraining of the educational institution «Gomel State Medical University».</p></bio><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лызикова</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lyzikova</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лызикова Ю.А, к.м.н., доцент, доцент кафедры акушерства и гинекологии с курсом ФПК и П учреждения образования «Гомельский государственный медицинский университет».</p></bio><bio xml:lang="en"><p>Lyzikova Yu.A., PhD, Associate Professor, Associate Professor of the Department of Obstetrics and Gynecology with the course of the Faculty of Professional Development and Retraining of the educational institution «Gomel State Medical University».</p></bio><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Герасименко</surname><given-names>Г. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Gerasimenko</surname><given-names>G. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Герасименко Г.Н., заведующий женской консультацией филиала №11 учреждения здравоохранения «Гомельская центральная городская поликлиника»</p></bio><bio xml:lang="en"><p>Gerasimenko G.N., Head of the Maternity Center of Branch No.11 of the public health institution «Gomel Central City Out-Patient Clinic».</p></bio><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Учреждение образования «Гомельский государственный медицинский университет»</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Государственное учреждение здравоохранения «Гомельская городская центральная поликлиника», филиал № 11</institution></aff><aff xml:lang="en"><institution>Gomel Central City Out-Patient Clinic,Branch No.11</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>28</day><month>12</month><year>2019</year></pub-date><volume>0</volume><issue>4</issue><fpage>75</fpage><lpage>78</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Громыко Н.Л., Захаренкова Т.Н., Лызикова Ю.А., Герасименко Г.Н., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Громыко Н.Л., Захаренкова Т.Н., Лызикова Ю.А., Герасименко Г.Н.</copyright-holder><copyright-holder xml:lang="en">Gromyko N.L., Zakharenkova T.N., Lyzikova Y.A., Gerasimenko G.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.gsmu.by/jour/article/view/160">https://journal.gsmu.by/jour/article/view/160</self-uri><abstract><p>В статье представлен случай успешного ведения беременности у женщины с миомой матки больших размеров. Описаны основные этапы диспансеризации беременной, плановые госпитализации, проведенное лечение и особенности родоразрешения.</p></abstract><trans-abstract xml:lang="en"><p>The article presents a case of the successful management of pregnancy in a woman with large uterine fibroids and describes the main stages of the medical examination of the pregnant woman, planned hospitalizations, performed treatment, and features of the delivery.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>беременность</kwd><kwd>миома матки</kwd><kwd>миомэктомия во время беременности</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pregnancy</kwd><kwd>uterine fibroids</kwd><kwd>myomectomy during pregnancy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Fuchs A, Dulska A, Sikora J, et al. Symptomatic uterine fibroids in pregnancy - wait or operate? Own experience. Ginekol Pol. 2019;90(6):320-24. doi: 10.5603/GP.2019.0058.</mixed-citation><mixed-citation xml:lang="en">Fuchs A, Dulska A, Sikora J, et al. Symptomatic uterine fibroids in pregnancy - wait or operate? Own experience. Ginekol Pol. 2019;90(6):320-24. doi: 10.5603/GP.2019.0058.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Delli Carpini G, Morini S, Papiccio M, et al. The association between childbirth, breastfeeding, and uterine fibroids: an observational study. Sci Rep. 2019;9(1):10117. doi: 10.1038/s41598-019-46513-0.</mixed-citation><mixed-citation xml:lang="en">Delli Carpini G, Morini S, Papiccio M, et al. The association between childbirth, breastfeeding, and uterine fibroids: an observational study. Sci Rep. 2019;9(1):10117. doi: 10.1038/s41598-019-46513-0.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Parazzini F, Tozzi L, Bianchi S. Pregnancy outcome and uterine fibroids. Best Pract Res Clin Obstet Gynaecol. 2016;34:74-84. doi:10.1016/j.bpobgyn.2015.11.017.</mixed-citation><mixed-citation xml:lang="en">Parazzini F, Tozzi L, Bianchi S. Pregnancy outcome and uterine fibroids. Best Pract Res Clin Obstet Gynaecol. 2016;34:74-84. doi:10.1016/j.bpobgyn.2015.11.017.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Milazzo GN, Catalano A, Badia V, et al. Myoma and myomectomy: Poor evidence concern in pregnancy. J Obstet Gynaecol Res. 2017;43(12):1789-1804. doi: 10.1111/jog.13437.</mixed-citation><mixed-citation xml:lang="en">Milazzo GN, Catalano A, Badia V, et al. Myoma and myomectomy: Poor evidence concern in pregnancy. J Obstet Gynaecol Res. 2017;43(12):1789-1804. doi: 10.1111/jog.13437.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Hammoud AO, Asaad R, Berman J, et al. Volume change of uterine myomas during pregnancy: do myomas really grow? J Minim Invasive Gynecol. 2006;13(5):386-90.</mixed-citation><mixed-citation xml:lang="en">Hammoud AO, Asaad R, Berman J, et al. Volume change of uterine myomas during pregnancy: do myomas really grow? J Minim Invasive Gynecol. 2006;13(5):386-90.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Sarais V, Cermisoni GC, Schimberni M, et al. Human Chorionic Gonadotrophin as a Possible Mediator of Leiomyoma Growth during Pregnancy: Molecular Mechanisms. Int J Mol Sci. 2017;18(9). pii: E2014. doi: 10.3390/ijms18092014.</mixed-citation><mixed-citation xml:lang="en">Sarais V, Cermisoni GC, Schimberni M, et al. Human Chorionic Gonadotrophin as a Possible Mediator of Leiomyoma Growth during Pregnancy: Molecular Mechanisms. Int J Mol Sci. 2017;18(9). pii: E2014. doi: 10.3390/ijms18092014.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Giovanni C, Stefano M, Maria P, et al. The association between childbirth, breastfeeding, and uterine fibroids: an observational study. Sci Rep. 2019;9:10117. doi: 10.1038/s41598-019-46513-0.</mixed-citation><mixed-citation xml:lang="en">Giovanni C, Stefano M, Maria P, et al. The association between childbirth, breastfeeding, and uterine fibroids: an observational study. Sci Rep. 2019;9:10117. doi: 10.1038/s41598-019-46513-0.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Kim M. Spontaneous complete regression of large uterine fibroid after the second vaginal delivery: Case report. Medicine (Baltimore). 2018;97(45):e13092. doi: 10.1097/MD.0000000000013092.</mixed-citation><mixed-citation xml:lang="en">Kim M. Spontaneous complete regression of large uterine fibroid after the second vaginal delivery: Case report. Medicine (Baltimore). 2018;97(45):e13092. doi: 10.1097/MD.0000000000013092.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Lu-Jing Li, Xuan-Kun Liang, Xian-Xiang Wang, et al. Disappearance of the blood supply to a giant uterine myoma due to childbirth. Medicine (Baltimore). 2019;98(28):e16056. doi: 10.1097/MD.0000000000016056.</mixed-citation><mixed-citation xml:lang="en">Lu-Jing Li, Xuan-Kun Liang, Xian-Xiang Wang, et al. Disappearance of the blood supply to a giant uterine myoma due to childbirth. Medicine (Baltimore). 2019;98(28):e16056. doi: 10.1097/MD.0000000000016056.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Kim HS, Oh SY, Choi SJ, et al. Uterine rupture in pregnancies following myomectomy: A multicenter case series. Obstet Gynecol Sci. 2016;59(6):454-62.</mixed-citation><mixed-citation xml:lang="en">Kim HS, Oh SY, Choi SJ, et al. Uterine rupture in pregnancies following myomectomy: A multicenter case series. Obstet Gynecol Sci. 2016;59(6):454-62.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Буянова СН, Гукасян СА, Юдина НВ. Миомэктомия во время беременности: показания и особенности хирургической тактики и анестезии, предоперационная подготовка и реабилитация. РМЖ Мать и Дитя. 2014;19:14-28.</mixed-citation><mixed-citation xml:lang="en">Буянова СН, Гукасян СА, Юдина НВ. Миомэктомия во время беременности: показания и особенности хирургической тактики и анестезии, предоперационная подготовка и реабилитация. РМЖ Мать и Дитя. 2014;19:14-28.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Pergialiotis V, Sinanidis I, Louloudis IE. Perioperative Complications of Cesarean Delivery Myomectomy: A Meta-analysis. Obstet Gynecol. 2017 Dec;130(6):1295-1303. doi: 10.1097/AOG.0000000000002342.</mixed-citation><mixed-citation xml:lang="en">Pergialiotis V, Sinanidis I, Louloudis IE. Perioperative Complications of Cesarean Delivery Myomectomy: A Meta-analysis. Obstet Gynecol. 2017 Dec;130(6):1295-1303. doi: 10.1097/AOG.0000000000002342.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">O' Sullivan R, Abder R. Myomectomy at the time of cesarean delivery. Ir J Med Sci. 2016;185(4):973-75.</mixed-citation><mixed-citation xml:lang="en">O' Sullivan R, Abder R. Myomectomy at the time of cesarean delivery. Ir J Med Sci. 2016;185(4):973-75.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Zhao R, Wang X, Zou L, Zhang W. Outcomes of Myomectomy at the Time of Cesarean Section among Pregnant Women with Uterine Fibroids: A Retrospective Cohort Study. Biomed Res Int. 2019 Mar 10;2019:7576934. doi: 10.1155/2019/7576934.</mixed-citation><mixed-citation xml:lang="en">Zhao R, Wang X, Zou L, Zhang W. Outcomes of Myomectomy at the Time of Cesarean Section among Pregnant Women with Uterine Fibroids: A Retrospective Cohort Study. Biomed Res Int. 2019 Mar 10;2019:7576934. doi: 10.1155/2019/7576934.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
