Cervical incompetence with fetal bladder prolapse: new therapeutic options

Abstract

The article tells about the results of management of women with cervical incompetence accompanied by fetal bladder prolapse into the cervical canal or the upper third of the vagina at 24-25 weeks of gestation. In consideration of all contraindications, in 14 observed patients tocolysis with atosiban was initiated followed by antibiotic therapy, then surgical treatment of CI by tucking the bladder outside of the internal os. Tocolysis with atosiban continued for 48 hours; respiratory distress syndrome of the fetus was prevented. In 12 of 14 cases (85.7%) pregnancy ended in timely delivery at 37-39 weeks. In 2 cases premature birth took place (at 29 and 34 weeks), the infants underwent a course of treatment and rehabilitation. Atosiban in combination treatment of complicated CI at 24-25 weeks could be used to prevent very early preterm birth.

Keywords

• ранние преждевременные роды
• невынашивание беременности
• истмико-цервикальная недостаточность
• пролабирование плодного пузыря
• хирургическая коррекция ицн токолиз
• атозибан
• трактоцил
• early preterm labor
• tocolysis
• miscarriage
• atosiban
• traktocil
• cervical incompetence
• prolapse of fetal bladder
• surgical treatment of ci