{"id":3033,"date":"2019-07-11T14:20:16","date_gmt":"2019-07-11T10:20:16","guid":{"rendered":"https:\/\/openheart.ge\/the-case-in-gynecology\/"},"modified":"2019-08-09T23:15:34","modified_gmt":"2019-08-09T19:15:34","slug":"the-case-in-gynecology","status":"publish","type":"post","link":"https:\/\/openheart.ge\/en\/the-case-in-gynecology\/","title":{"rendered":"The Case in Gynecology"},"content":{"rendered":"<p>We received a 23-weeks pregnant patient in intensive care unit, with the following diagnosis: urinary tract infection, right sided pneumonia, coagulative defect with &#8211; 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 \u2013 46 cm, who was placed in our clinic\u2019s 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 \u2013 mother and a newborn were cleared to go home, with full recovery and satisfactory health condition.<br \/>\nIt must be mentioned that patients with such diagnosis often cannot preserve their pregnancy, however with the group help of our clinic\u2019s qualified and experienced doctors, this story had a successful end.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We received a 23-weeks pregnant patient in intensive care unit, with the following diagnosis: urinary tract infection, right sided pneumonia, coagulative defect with &#8211; 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 &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/openheart.ge\/en\/the-case-in-gynecology\/\"> <span class=\"screen-reader-text\">The Case in Gynecology<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":2,"featured_media":6043,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[115,100],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v19.3 (Yoast SEO v19.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Case in Gynecology &bull; Open Heart<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/openheart.ge\/en\/the-case-in-gynecology\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Case in Gynecology\" \/>\n<meta property=\"og:description\" content=\"We received a 23-weeks pregnant patient in intensive care unit, with the following diagnosis: urinary tract infection, right sided pneumonia, coagulative defect with &#8211; 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. 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