A retrospective analysis of the course of pregnancy and childbirth during the birth of a child with a congenital pathology «ichthyosis» was carried out. This clinical case is interesting because fetal ichthyosis was not diagnosed during pregnancy, but all the signs of this disease were revealed in the newborn after the birth.
Objective: to analyze the course of pregnancy, childbirth and indications for mediolateral episiotomy in 439 women.Materials and methods: the comparative analysis of outcomes of Rostov-on-Don in two clinical groups on materials of maternity Department of the state hospital of emergency medical care No. 1 of the city of Rostov-on-Don was carried out. The first group consisted of 439 women who are in childbirth according to the testimony was made episiotomy. Th e second clinical group consisted of 128 women who had no episiotomy if indicated.Results: the main indications for episiotomy in the fi rst clinical group was: threatened rupture of the perineum in 376 (85,65 %) cases, 41 (9,34 %) v distress of the fetus, at 22 (5,01 %) cases — the weakness of the attempts. In 128 women of the second clinical group, in the absence of an episiotomy, although indications for this operation were, there was a rupture of the perineum of the first and second degree.Conclusions: at the signs of a threatening rupture of the perineum or at the clinic of fetal hypoxia in the second period of labor, the mediolateral episiotomy is justified in modern obstetrics.
The aim was to analyze the course of pregnancy and childbirth in a woman after a severe spinal injury.Materials and methods. A patient, who became pregnant after a severe spinal injury, was examined and provided with obstretric aid. Her medical documents (medical history) and an individual card of the pregnancy course were examined.Results. The outcome of pregnancy and childbirth was determined for the patient and the fetus after a severe spinal injury.Conclusion. This case demonstrated the course of pregnancy and childbirth in a patient with serious complications arising from a spinal injury. However, despite the severe extragenital pathology, and thanks to the efforts of relevant specialists, the patient endured the pregnancy and was delivered by cesarean section at 37 weeks of gestation, with the birth of a live fullterm newborn. Patients with post-traumatic changes of the musculoskeletal system should be allocated to a separate risk group. Such pregnant women should be subject to a thorough examination in the early stages of pregnancy by a traumatologist and a neurologist, as well as, if indicated, by other specialists. The management tactics of this category of women during pregnancy and childbirth should be strictly individualized.Conflict of interest: the author declares no conflict of interest.
Objective: to identify the main causes that contribute to the occurrence of ischemic-cervical insufficiency.Materials and methods: a retrospective analysis of the course of pregnancy, childbirth, outcomes for the fetus in 158 women with ischemic-cervical insufficiency was performed. All pregnant women, except for general clinical examination, underwent transvaginal ultrasound examination of the cervix.Results: of 158 women with isthmic-cervical insufficiency, there were 71 first-born (44.94 %), and 87 second-born (55.06 %). In the history of these women, 64 (40.51 %) had inflammatory processes of the female genitals, 38 (24.05 %) had extragenital pathology (cardiovascular diseases), 36 (22.78 %) were obese, 13 (8.23 %) had cervical erosion, and only 7 (4.43 %) had a favorable history. The diagnosis of ICN was established by a combination of data from vaginal and transvaginal ultrasound examination of the cervix. Correction of this pathology was carried out by applying a pessary to the cervix. Conclusion: we did not find a statistically significant difference between the occurrence, causes, and manifestation of clinical data in both first-and second-generation women. Among the causes of PPI, both in the first and second clinical groups, inflammatory diseases of the female genitals, cardiovascular pathology and obesity predominate. Early diagnosis of PPI reduces the risk of premature birth, reduces the percentage of premature birth, and contributes to the birth of children during full-term pregnancy.
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