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Correction of cervical insufficiency during prolapse of the fetal bladder and intrauterine infection

https://doi.org/10.51523/2708-6011.2023-20-2-16

Abstract

This article describes a clinical case of the course and management of pregnancy complicated by cervical insufficiency with prolapse of the fetal bladder and formation of “sludge” in the amniotic fluid at 20–21 weeks of pregnancy. Gradual use of antibacterial therapy and hormonal support with micronized progesterone, subsequent surgical serclage and the installation of an unloading obstetric pessary allowed to prolong pregnancy to 284 days and to deliver through the natural birth canal with a newborn without signs of intrauterine infection.

About the Authors

T. N. Zakharenkova
Gomel State Medical University
Belarus

Tatsiana N. Zakharenkova, Candidate of Medical Scinces, Head of the Department of Obstetrics and Gynecology with the Course of FPDR

Gomel



A. V. Kruglikova
Gomel City Clinical Hospital No. 3
Belarus

Anna V. Kruglikova, Gynecologist

Gomel



E. A. Voronkova
Gomel City Clinical Hospital No. 3
Belarus

Elizabeth A. Voronkova, Gynecologist

Gomel



References

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Review

For citations:


Zakharenkova T.N., Kruglikova A.V., Voronkova E.A. Correction of cervical insufficiency during prolapse of the fetal bladder and intrauterine infection. Health and Ecology Issues. 2023;20(2):128-134. (In Russ.) https://doi.org/10.51523/2708-6011.2023-20-2-16

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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)