Asociere morbidă obstetricală complexă cu evoluţie neonatală foarte bună | [Complex morbid obstetrical association with very good neonatal outcome]

Abstract

Objectives: Placenta praevia, cervical insufficiency and premature rupture of membranes are well-known causes of abortion and prematurity. On this background it was added the umbilical cord prolapse that caused acute foetal distress and, in general terms, could generate perinatal mortality. This case analysis can improve the outcome of similar cases in the future. Material and Method: Analysis of observation records of 37 years old pregnant woman, admitted to the Clinic Hospital of Obstetrics and Gynaecology of Brasov in 2 episodes, the first hospitalization lasting for 8 days and the 2nd hospitalization lasting 91 days, the reason for hospitalization in both admissions were the vaginal bleeding. During the 2nd admission, there were assessed and monitored the foetal and maternal parameters. Results: The very strict monitoring and maintenance of pregnancy during hospitalization, with special efforts made by the mother and the health professionals, have resulted in reaching a gestational age that allowed the extraction of a viable foetus at 29 weeks of gestational age and weighing 1360g, with excellent new-born development at the time of hospital discharge and after. Conclusions: The pregnancy was finally completed successfully with the birth of a viable foetus at 29 weeks. Careful monitoring of pregnant women with prolonged bed rest, and administration of antispasmodics, tocolytics, antibiotics and cortisone resulted in optimal prolonging of the pregnancy that was supplementary complicated by a premature rupture of membranes. The prompt diagnosis and management of the umbilical cord prolapse resulted in rescuing the foetus.