ACADEMIC AND RESEARCH PEER-REVIEWED MEDICAL JOURNALISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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Urgent Cerclage: Indications, Contraindications, Drug Therapy

DOI:10.31550/1727-2378-2019-166-11-11-13
For citation: Tetruashvili N.K., Agadzhanova A.A., Milusheva A.K. Urgent Cerclage: Indications, Contraindications, Drug Therapy. Doctor.Ru. 2019; 11(166): 11–13. DOI: 10.31550/1727-2378-2019-166-11-11-13
1 October 11:31

Study Objective: to assess the efficiency of urgent special cerclage in pregnant women with foetal bladder prolapse into cervical canal and/or upper third of vagina.
Study Design: prospective study.
Materials and Methods: we describe the treatment results for 62 pregnant women at gestation week 24 to 26 complicated with foetal bladder prolapse into cervical canal or upper third of vagina. Urgent cerclage is performed after tocolysis with Atosiban, antibacterial therapy followed by 2 circular sutures on the vesical cervix after foetal bladder is reset back to the os. Tocolysis with Atosiban lasted for 48 hours together with measures to prevent respiratory distress syndrome.
Study Results: 52 out of 62 cases (83.9%) ended with term births at week 37–39.10 cases ended with pre-term delivery (week 29-35); children underwent treatment and rehabilitation and were released after a course of therapy.
Conclusion: urgent cerclage after Atosiban and antibacterial therapy may become an alternative to reduce the rate of extremely pre-term births.

N.K. Tetruashvili — V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine of the Ministry of Health of Russia; 4 Academician Oparin St., Moscow, Russian Federation 117997. eLIBRARY.RU SPIN: 3803-7764. E-mail: tetrauly@mail.ru
A.A. Agadzhanova — V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine of the Ministry of Health of Russia; 4 Academician Oparin St., Moscow, Russian Federation 117997. eLIBRARY.RU SPIN: 3618-7747. E-mail: tetrauly@mail.ru
A.K. Milusheva — V.I. Kulakov National Medical Scientific Centre of Obstetrics, Gynaecology and Perinatal Medicine of the Ministry of Health of Russia; 4 Academician Oparin St., Moscow, Russian Federation 117997. eLIBRARY.RU SPIN: 3496-4346. E-mail: tetrauly@mail.ru

Contribution: Tetruashvili N.K. — study design, article concepts, cerclage and therapy to pregnancy prolongation; Agadzhanova A.A. — clinical materials, dynamic follow-up of pregnant women, statistical processing of results; Milusheva A.K. — clinical materials, description of the group.

The authors declare that they do not have any conflict of interests.

Доктор.ру
1 October 11:31
LITERATURE
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