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Post a Comment The results of efferent therapy by woman with HIV infection, with amniotic fluid outflow at 23 weeks with growth retardation syndrome of 2 fetus
- Authors: Vetrov V.V.1, Ivanov D.O.1, Reznik V.A.1, Romanova L.A.1, Melashenko T.V.1, Shandrenko K.A.1, Krivolesova T.A.1
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Affiliations:
- St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
- Issue: Vol 10, No 5 (2019)
- Pages: 101-104
- Section: Clinical observation
- URL: https://journal-vniispk.ru/pediatr/article/view/19165
- DOI: https://doi.org/10.17816/PED105101-104
- ID: 19165
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Abstract
In the article presents data on the management of a 48-year-old patient with HIV infection, urogenital infection with pregnancy, which occurred as a result of IVF, with premature effusion of amniotic fluid at 23 weeks of pregnancy with the syndrome of growth retardation of 2 fetus in monochoric diamniotic twins. After the discharge of the amniotic fluid, the patient was treated for six days in an infectious hospital, then transferred to the perinatal center, where blood tests noted moderatemanifestations of endotoxicosis, increased levels of aminotransferases and an inflammatory reaction of the body. The course of treatment included detoxification methods (plasmapheresis, hemosorption, photomodification of blood with ultraviolet, laser rays), which contributed to the normalization of blood tests, prolongation of pregnancy for another three weeks in the absence of septic complications after operative childbirth in the mother and in newborn girls. At birth, 1 child’s weight, body length and Apgar score were 750 g., 29 sm. and 3/5 points, respectively, in 2 children – 590 g., 30 sm. and 1/3 points, respectively. The children required treatment from resuscitators, at the second stage of nursing, from rehabilitation specialists.
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##article.viewOnOriginalSite##About the authors
Vladimir V. Vetrov
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: vetrovplasma@mail.ru
MD, PhD, Dr Med Sci, Head of Cabinet of Extracorporeal Therapies of Perinatal Center
Russian Federation, Saint PetersburgDmitry O. Ivanov
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: Radiology@mail.ru
MD, PhD, Dr Med Sci, Professor, Rector
Russian Federation, Saint PetersburgVitaly A. Reznik
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: vitaliy-reznik@mail.ru
MD, PhD, Associate Professor, Head Physician on Obstetrics and Gynecology
Russian Federation, Saint PetersburgLarisa A. Romanova
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: l_romanova2011@mail.ru
Head, Department of Pregnancy Pathology of the Perinatal Center
Russian Federation, Saint PetersburgTat’yana V. Melashenko
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: melashenkotat@mail.ru
MD, PhD, Neurologist, Anesthesiology and Intensive Care Neonatal Perinatal Center, Ultrasonic Diagnostic Doctor of Radiation Diagnostics Department No. 2
Russian Federation, Saint PetersburgKsenia A. Shandrenko
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: kshand@mail.ru
Clinical Intern, Department of Obstetrics & Gynecology
Russian Federation, Saint PetersburgTatiana A. Krivolesova
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: krivolesova.ta@mail.ru
Head, Сlinical-Diagnostic Department of Perinatal Center
Russian Federation, Saint PetersburgReferences
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