title: [Emergency cerclage with concomitant amniocentesis as a method of treatment of membranes prolapse--case report].
abstract: Emergency cerclage was performed on 27 years old patient with membrane prolapse in 21 weeks' gestation. Ultrasonographically guided amniocentesis was performed intraoperatively in order to decrease intraamniotic pressure. Aggressive prophylactic management (wide spectrum antibiotics and tocolysis-nifedipine) resulted in pregnancy prolongation up to 30 week of gestation. At that time healthy premature newborn (1520 g, Apgar score 7 in 1st minute) was delivered by caesarean section. The mother was discharged from the hospital on the 4th postoperative day, whereas the child after 5 weeks weighted 2130 g.
authors.affiliation: II Katedry i Kliniki Ginekologii Operacyjnej, Akademii Medycznej w Lublinie.
authors.forename: T
authors.initials: T
authors.lastname: Rechberger
authors.forename: G
authors.initials: G
authors.lastname: Pietras
authors.forename: A
authors.initials: A
authors.lastname: Adamiak
mesh_terms: D000328:Adult; D000649:Amniocentesis / Q000379:methods; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D023802:Cerclage, Cervical / Q000379:methods; D002584:Cervix Uteri / Q000601:surgery*; D004638:Emergency Treatment; D005321:Extraembryonic Membranes / Q000473:pathology*; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000517:prevention & control / Q000601:surgery*; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007752:Obstetric Labor, Premature / Q000517:prevention & control; D011247:Pregnancy; D011256:Pregnancy Outcome; D011391:Prolapse; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents