Dzhanibekova Sherifat Salikhovna (MD, PhD, Assistant, Department of Obstetrics and Gynecology
Saint Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, Saint Petersburg
)
Gaidukov Sergey Nikolaevich (MD, Professor, Department of Obstetrics and Gynecology
Saint Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, Saint Petersburg
)
Konovalova Marina Vladislavovna (MD, PhD, Associate Professor, Department of Obstetrics and Gynecology
Saint Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, Saint Petersburg
)
Matevosyan Irina Edikovna (MD, PhD, Associate Professor, Department of Obstetrics and Gynecology
Saint Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation, Saint Petersburg
)
Kurdynko Lyudmila Vitalievna (candidate of medical sciences, assistant, Department of Obstetrics and Gynecology,
head of the postpartum department of the Perinatal Center
Saint Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation,
Saint Petersburg
)
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The current clinical study focuses on the management of a pregnancy in a patient with a long history of severe gynaecological conditions, including severe cervical dysplasia that required radical surgical intervention, as well as the presence of significant obstetrical risk factors. Particular emphasis is placed on implementing a comprehensive approach aimed at preventing complications and ensuring favourable outcomes. The study was conducted using the medical records of a patient who had a history of cervical intraepithelial neoplasia (CIN) and subsequent conization procedures, cervical cerclage surgeries, and uterine operations. The primary methods employed included dynamic cytological surveillance, laboratory testing for anti-nuclear antibodies (ANA), annexin V levels, and markers associated with pre-eclampsia and premature birth risk, as well as planned caesarean section at 39 weeks of gestation using standard surgical procedures. Preventive measures such as antibiotic therapy and thromboprophylaxis were also implemented. The pregnancy culminated in the successful birth of a full-term male infant, with excellent Apgar scores. The patient underwent a scheduled cesarean section, which was performed without complications for both the mother and the newborn. To mitigate the risk of thromboembolic events and recurrence of oncological pathology, preventive measures were implemented. Long-term monitoring confirmed the stability of the pathological changes and the lack of signs of recurrence. A comprehensive multidisciplinary approach, including meticulous planning of delivery, proactive measures to prevent complications, and surgical techniques to reinforce the cervix, contributed to ensuring safe outcomes in a case of high obstetrical complexity. This instance exemplifies the efficacy of contemporary management strategies for pregnant individuals with severe gynecological conditions, emphasizing the significance of personalized care in achieving favorable outcomes.
Keywords:gestation, carcinoma of the cervix, istmicocervical insufficiency, cerclage, caesarean section
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Citation link:
Dzhanibekova S. S., Gaidukov S. N., Konovalova M. V., Matevosyan I. E., Kurdynko L. V. A CLINICAL CASE OF SUCCESSFUL DELIVERY OF A PATIENT WITH A HISTORY OF CERVICAL CANCER AND ABDOMINAL CERCLAGE // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№10/2. -С. 78-82 DOI 10.37882/2223-2966.2025.10-2.03 |
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