SPONTANEOUS PNEUMOTHORAX DURING PREGNANCY. MAIN ASPECTS OF DIAGNOSTICS, TACTICS OF TREATMENT OF PNEUMOTHORAX AND MANAGEMENT OF BIRTH
DOI:
https://doi.org/10.11603/24116-4944.2017.2.7795Keywords:
pneumothorax, recurrent pneumothorax, complications of pregnancy, prenatal care.Abstract
The aim of the study – to learn the features of diagnosis and treatment of pneumothorax during pregnancy and further delivery.
Materials and Methods. The first-born women at the age of 32 years was on treatment and under supervision in Kyiv City Hospital number 7 and Kyiv Maternity Home number 7 from 30.03.11 to 20.10.11. She underwent a complete clinical diagnostic complex of examinations and treatment according to the current protocols.
Results and Discussion. The article presents a review of the literature on spontaneous pneumothorax in pregnant women and describes a clinical case; overview of the features of diagnosis, treatment of pneumothorax during pregnancy and childbirth in these patients. An X-ray of a pregnant woman's chest is safe for the fetus after the 8th week of pregnancy. Modern minimally invasive methods of surgical treatment is the method of choice in the treatment of pneumothorax in pregnant women. Cesarean section is performed exclusively on obstetric indications. Comprehensive post-examination of the parturient child in the postpartum period is necessary to establish the etiology of pneumothorax, which was during pregnancy. Specific measures to prevent pneumothorax still do not exist.
Conclusions. Pneumothorax during pregnancy is a rare phenomenon and occurs in 1 case per 10.000 births. Pneumothorax in pregnant women is a high threat to the life of the mother and fetus, determines the urgency of timely diagnosis and proper treatment of this disease. Diagnosis of intense pneumothorax should be carried out at the stage of clinical examination, and medical measures should be urgent and preceded by an X-ray examination.
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