Management of patients with fetal bladder prolapse in case of cervical insufficiency

• Nana K. Tetruashvili
• Milusheva A.K.
• Agadzhanova A.A.

Abstract

In the article results of prenatal care in women with complicated cervical insufficiency (CI), fetal bladder prolapse into canalis cervicis uteri or upper third of the vagina at 24-26 weeks of gestational age are represented. In 52 observations, after taking into account and excluding all contraindications, tocolysis with atosiban, antibiotic therapy followed by surgical correction of CI and tucking in fetal bladder beyond internal os area were started. Tocolysis with atosiban was continued for 48 hours, prevention of fetal respiratory distress syndrome was carried out. In 46 (88.5%) cases pregnancy ended with birth in time between 37-39 weeks. In 6 (11.5%) cases preterm delivery occurred, children complete a treatment and rehabilitation course. Atosiban usage in complex treatment of complicated CI at 24-26 weeks may be one of possibilities for very early preterm delivery prevention.

Keywords:early preterm delivery, tocolysis, miscarriage, atosiban, cervical insufficiency, fetal bladder prolapse, cervical insufficiency surgical correction

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