Pregnancy and childbirth in a patient with circular resection and endoprosthesis of the trachea
Background. Chronic cicatricial tracheal stenosis occurs in 1% to 22% of cases after resuscitation accompanied by long-term mechanical ventilation. The literature describes single cases of pregnancy concurrent with tracheal stenosis.Bryukhina E.V., Ishchenko L.S., Kagan V.V., Vaitsel S.A., Kropotukhina N.V.
Case report. The paper describes a case of pregnancy and childbirth in a 23-year-old woman with circular resection and endoprosthesis of the trachea for a history of chronic cicatricial stenosis.
Conclusion. Patients with a history of tracheal resection and endoprosthesis should undergo a comprehensive examination by an otolaryngologist and an obstetrician/gynecologist on planning a pregnancy. Timely examination during pregnancy planning can increase the likelihood of spontaneous labor at full-term. It is appropriate to manage pregnancy in a collegial manner and to discuss the choice of the mode and timing of delivery jointly with an obstetrician and an otolaryngologist.
Keywords
tracheal stenosis
circular resection and endoprosthesis of the trachea
pregnancy
tactics
delivery
References
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Received 14.07.2017
Accepted 22.09.2017
About the Authors
Bryukhina Elena V., PhD, MD, professor, Head of Obstetrics and Gynecology Department of Institute of additional professional education,South Ural State Medical University. 454092, Russia, Chelyabinsk, Vorovsky str. 64. Tel.: +73517499911. E-mail: elena-bruhina@rambler.ru
Ishchenko Ludmila S., PhD, MD, assistant professor of Obstetrics and Gynecology Department of Institute of additional professional education,
South Ural State Medical University. 454092, Russia, Chelyabinsk, Vorovsky str. 64. Tel.: +73517412283
Kagan Violetta V., PhD, MD, Deputy Chief doctor of Regional Clinical Hospital Three, assistant professor of Obstetrics and Gynecology Department of Institute
of additional professional education, South Ural State Medical University. 454000, Russia, Chelyabinsk, Victory prospect, 287
Vaitsel Sergey A., MD, Head of Resuscitation and Anesthesiology Department of Regional Clinical Hospital Three. 454000, Russia, Chelyabinsk, Victory prospect, 287
Kropotukhina Natalia V., MD, Head of Department Pathology in pregnancy of Regional Clinical Hospital Three. 454000, Russia, Chelyabinsk, Victory prospect, 287
For citations: Bryukhina E.V., Ishchenko L.S., Kagan V.V., Vaitsel S.A., Kropotukhina N.V. Pregnancy and childbirth in a patient with circular resection and endoprosthesis of the trachea. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (2): 135-9. (in Russian)
https://dx.doi.org/10.18565/aig.2018.2.135-139
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