DELIVERY AFTER ADVANCED ABDOMINAL PREGNANCY


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Abstract

Background: Abdominal pregnancy is a rare type of ectopic pregnancy with poor maternal and fetal outcomes. A unified strategy to manage patients with abdominal pregnancy has not presently been developed in relation to the timing and methods of delivery. Case report: The paper describes a clinical case of term abdominal pregnancy with a favorable outcome for the mother and fetus. It depicts the features of delivery and postoperative patient management strategy. The applied integrated approach has allowed not only delivery without risks to the mother and fetus, but also led to the elaboration of a new approach to postoperative management. Conclusion: This clinical case demonstrates the need for an individual approach to choosing the terms and methods of delivery on the basis of the data of instrumental studies. This approach contributes to the choice of the optimal strategy of pregnancy management, delivery, and newborn care.

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About the authors

Pavel I. EFREMOV

Chelyabinsk Regional Clinical Hospital

Email: chel-ginekology@yandex.ru
Honored Doctor of the Russian Federation, doctor of highest category, Head of the Department of Gynecology Chelyabinsk, Russia

Anton P. EFREMOV

Chelyabinsk Regional Clinical Hospital

Email: aefremov78@mail.ru
doctor of highest category, Head of the Department of Endoscopic Surgery Chelyabinsk, Russia

Vladimir A. KRYUKOV

Chelyabinsk Regional Clinical Hospital

Email: vladimir_kryukov@outlook.com
doctor at the Department of Gynecology Chelyabinsk, Russia

Ilya Ya. BONDAREVSKY

Chelyabinsk Regional Clinical Hospital

Email: bond_il@mail.ru
Dr. Med. Sci., Chief Surgeon of the Ministry of Health of the Chelyabinsk Region, doctor of highest category, Deputy Chief Physician for Medical Surgery Chelyabinsk, Russia

Aleksey V. SHERSTOBITOV

Regional Perinatal Center

Email: arno1980@yandex.com
Chief Obstetrician-gynecologist of the Ministry of Health of the Chelyabinsk Region, Deputy Chief Physician for Obstetrics, Head of the Maternity Department, doctor of highest category Chelyabinsk, Russia

Aleksey Ya. FORTYGIN

Regional Perinatal Center

Email: le.fort@mail.ru
Honored Doctor of the Russian Federation, doctor of highest category, Deputy Chief Physician for Gynecology and Surgery Chelyabinsk, Russia

Yuliya A. FORTYGINA

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: yu_fortygina@oparina4.ru
postgraduate student Moscow, Russia

Roman G. SHMAKOV

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: r_shmakov@oparina4.ru
Dr. Med. Sci., Professor of the Russian Academy of Sciences, Director of the Institute of Obstetrics Moscow, Russia

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