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Maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report
BACKGROUND: Preterm delivery is a major health problem and contributes to more than 50% of all neonatal and infant deaths. Recently, there has been a renewed interest in the use of cervical pessaries as a safe and effective intervention with few maternal side-effects for the prevention of preterm bi...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5240248/ https://www.ncbi.nlm.nih.gov/pubmed/28095812 http://dx.doi.org/10.1186/s12884-016-1209-0 |
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author | Martinez de Tejada, Begoña |
author_facet | Martinez de Tejada, Begoña |
author_sort | Martinez de Tejada, Begoña |
collection | PubMed |
description | BACKGROUND: Preterm delivery is a major health problem and contributes to more than 50% of all neonatal and infant deaths. Recently, there has been a renewed interest in the use of cervical pessaries as a safe and effective intervention with few maternal side-effects for the prevention of preterm birth in both single and twin pregnancies. CASE PRESENTATION: A 43-year-old gravida 5, para 1 (previous preterm birth at 24 weeks) patient with an in vitro fertilization twin pregnancy had an Arabin cervical pessary placed at 19 weeks of pregnancy due to the presence of cervical funneling identified by ultrasound screening. She developed chorioamnionitis and sepsis and delivered at 21 3/7 weeks after extraction of the pessary. CONCLUSION: Severe maternal infection may complicate pessary treatment for the prevention of preterm birth. Careful follow-up is necessary in women with a cervical pessary during pregnancy, particularly when important funneling is present. |
format | Online Article Text |
id | pubmed-5240248 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-52402482017-01-19 Maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report Martinez de Tejada, Begoña BMC Pregnancy Childbirth Case Report BACKGROUND: Preterm delivery is a major health problem and contributes to more than 50% of all neonatal and infant deaths. Recently, there has been a renewed interest in the use of cervical pessaries as a safe and effective intervention with few maternal side-effects for the prevention of preterm birth in both single and twin pregnancies. CASE PRESENTATION: A 43-year-old gravida 5, para 1 (previous preterm birth at 24 weeks) patient with an in vitro fertilization twin pregnancy had an Arabin cervical pessary placed at 19 weeks of pregnancy due to the presence of cervical funneling identified by ultrasound screening. She developed chorioamnionitis and sepsis and delivered at 21 3/7 weeks after extraction of the pessary. CONCLUSION: Severe maternal infection may complicate pessary treatment for the prevention of preterm birth. Careful follow-up is necessary in women with a cervical pessary during pregnancy, particularly when important funneling is present. BioMed Central 2017-01-17 /pmc/articles/PMC5240248/ /pubmed/28095812 http://dx.doi.org/10.1186/s12884-016-1209-0 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Martinez de Tejada, Begoña Maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report |
title | Maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report |
title_full | Maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report |
title_fullStr | Maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report |
title_full_unstemmed | Maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report |
title_short | Maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report |
title_sort | maternal sepsis complicating arabin cervical pessary placement for the prevention of preterm birth: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5240248/ https://www.ncbi.nlm.nih.gov/pubmed/28095812 http://dx.doi.org/10.1186/s12884-016-1209-0 |
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