Pregnancy and childbirth with Shereshevsky–Turner syndrome, established at 12 years of age

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. 90-92
Author(s):  
Evgeny S. Mikhaylin ◽  
Lada A. Ivanova ◽  
Mariya M. Shilo ◽  
Igor V. Berlev
Keyword(s):  
High Risk ◽  
In Vitro Fertilization ◽  
Cesarean Section ◽  
Growth Retardation ◽  
Gonadal Dysgenesis ◽  
Personal Observation ◽  
Vitro Fertilization ◽  
Pregnancy And Childbirth ◽  
Donor Egg

The article presents a personal observation of the course of pregnancy and childbirth in a patient with a typical form of gonadal dysgenesis (ShereshevskyTurner syndrome, karyotype 45,X0/46,XY in the ratio of clones 1:1). The diagnosis was established at 12 years of age during an examination for growth retardation and lack of signs of puberty. Given the presence of a 46,XY clone in the karyotype, a high risk of malignization of dysgenetic gonads, laparoscopy and gonadectomy were performed at 12 years of age. Pregnancy occurred after preparation of the endometrium with estrogens and progestogens, as a result of the first in vitro fertilization attempt with a donor egg and her husbands sperm, occurred against the background of hormonal support with the threat of termination of pregnancy and hypercoagulation. At 34 weeks, there was a premature detachment of placenta, in connection with which she was delivered by cesarean section.

scholarly journals ОСОБЛИВОСТІ ПЕРЕБІГУ ВАГІТНОСТІ ТА РОЗРОДЖЕННЯ ЖІНОК З ЕКСТРАКОРПОРАЛЬНИМ ЗАПЛІДНЕННЯМ З ГРУПИ ВИСОКОГО РИЗИКУ ПО ВИНИКНЕННЮ ПЕРЕДЧАСНИХ ПОЛОГІВ

2021 ◽  
Vol 25 (5-6) ◽  
pp. 20-23
Author(s):  
Я.В. Шиманська
Keyword(s):  
Preterm Birth ◽  
High Risk ◽  
In Vitro Fertilization ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Preventive Treatment ◽  
Study Group ◽  
Vitro Fertilization ◽  
Group A

The article is a part of the research project at the Department of Obstetrics and Gynecology No.2 of Higher Education Institution Poltava State Medical University "The role of chronic infection of the uterus and lower genital tract in the formation of obstetric and gynecological pathology" (state registration No. 0117U005276, implementation period 2017-2022). In modern reproductive medicine, infertility in marriage is considered a problem of particular importance. That is why modern assisted reproductive technologies are chosen as a method of treatment for many married couples, and their increased application necessitates intensive monitoring of the course of pregnancy and delivery. Pregnant women after in vitro fertilization programs are at high risk of miscarriage and preterm birth. The aim of the research was to study the features of pregnancy, childbirth and the condition of newborns in women after in vitro fertilization, which are classified as high risk for preterm birth. Women were included in the study at 18-20 weeks 6 days of pregnancy. We examined 85 women who became pregnant after in vitro fertilization (study group A: 37 pregnant women who refused preventive treatment and received medications in accordance with regulations; study group B: 48 pregnant women who have received the proposed treatment since their inclusion in the study. The control group included 20 apparently healthy pregnant women with its natural pregnancy onset. In pregnant women of study group A, pregnancies ended in premature birth by 1.7 times more often, and most of them occurred before 34 weeks; during pregnancy, there was a greater risk of preterm birth, which required enhanced correction in addition to conservative measures: suturing the cervix and the use of obstetric unloading pessary; the frequency of delivery by cesarean section prevailed by 1.3 times. Moreover, only in this group, pathological bleeding was observed, surgery was performed and perinatal mortality was recorded. Pregnant women who agreed to preventive treatment developed fewer preterm births after 34 weeks. Complications of pregnancy and childbirth were much less common in these women. Surgical intervention in childbirth and the frequency of delivery by cesarean section were also much less common.

Population-Based Study of Cesarean Section After In Vitro Fertilization in Australia

Birth ◽  
2010 ◽  
Vol 37 (3) ◽  
pp. 184-191 ◽  
Author(s):  
Elizabeth A. Sullivan ◽  
Michael G. Chapman ◽  
Yueping A. Wang ◽  
G. David Adamson
Keyword(s):  
In Vitro Fertilization ◽  
Cesarean Section ◽  
Population Based ◽  
Population Based Study ◽  
Vitro Fertilization

Preimplantation Embryo Aneuploidy Rates in Couples Undergoing Donor Egg In Vitro Fertilization Cycles

2005 ◽  
Vol 84 ◽  
pp. S334 ◽  
Author(s):  
W.G. Kearns ◽  
R. Pen ◽  
J. Kaminsky ◽  
K.S. Richter ◽  
P. Browne
Keyword(s):  
In Vitro Fertilization ◽  
Preimplantation Embryo ◽  
Vitro Fertilization ◽  
Donor Egg

Are in vitro fertilization pregnancies with early spontaneous reduction high risk?

2006 ◽  
Vol 195 (3) ◽  
pp. 814-817 ◽  
Author(s):  
Stephen T. Chasen ◽  
Guoyang Luo ◽  
Sriram C. Perni ◽  
Robin B. Kalish
Keyword(s):  
High Risk ◽  
In Vitro Fertilization ◽  
Vitro Fertilization ◽  
Spontaneous Reduction

scholarly journals Pyometra in the postpartum: a forgotten complication

2019 ◽  
Vol 8 (7) ◽  
pp. 2923
Author(s):  
Rana A. Choudhary ◽  
Kedar N. Ganla ◽  
Kavita N. Desai ◽  
Priyanka H. Vora
Keyword(s):  
High Risk ◽  
In Vitro Fertilization ◽  
Conservative Treatment ◽  
Postpartum Period ◽  
Thin Endometrium ◽  
Vitro Fertilization ◽  
High Risk Women ◽  
Important Complication

We report a case of 37 years old women who conceived after in vitro fertilization (IVF). Her antenatal course was uneventful. On delivery there was placenta acreta. She later presented in the postpartum period with pyometra. She was managed with conservative treatment. We believe that the placental bed sutures and the sloughing placenta could have led to sterile pyometra in this patient. This rare but important complication need to be kept in mind specially in high risk women with thin endometrium, h/o IVF, cervical encerclage, and placenta acreta.

scholarly journals Early serum β-hCG values as a predictor of pregnancy viability in donor egg-in vitro fertilization cycles

2008 ◽  
Vol 90 ◽  
pp. S492
Author(s):  
S.L. Marshall ◽  
M. Liu ◽  
S. Talebian ◽  
J. Salas ◽  
D. Keegan ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Vitro Fertilization ◽  
Donor Egg ◽  
Β Hcg
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