We received a 23-weeks pregnant patient in intensive care unit, with the following diagnosis: urinary tract infection, right sided pneumonia, coagulative defect with – MTHFR gene heterozygous mutation, Rendu-Osler-Weber syndrome, hemorrhagic telangiectasia, pulmonary arteriovenous malformation. Patient was first treated in intensive care unit and then in obstetrics-gynecology unit. She was cleared to go home once she was in better condition. However, by week 34 she came to our clinic again; this time, because of a possibility of an early labor, we started pregnancy prolongation therapy. Despite timely treatment, on the second day she started bleeding, she was diagnosed with premature placental separation. Immediately, C-section was one on the patient and we delivered a premature baby, weighting 2,200 grams, Height – 46 cm, who was placed in our clinic’s intensive care unit. Due to the mothers complicated and severe anamnesis, we performed uterotomy and had her under intensive supervision for the following bed rest period. After some time, both – mother and a newborn were cleared to go home, with full recovery and satisfactory health condition.
It must be mentioned that patients with such diagnosis often cannot preserve their pregnancy, however with the group help of our clinic’s qualified and experienced doctors, this story had a successful end.