Case Report Of Successful Pregnancy Research Articles

472. Case report of successful pregnancy after hysteroscopic repair щa isthmocele with residual myometrium thickness of less than 3mm

Issues of isthmocele (IC) treatment are actual as frequency of cesarean sections (CS) continues to grow. IC can cause abnormal uterine bleeding, dysmenorrhea, fertility impairment and pregnancy complications. Currently the following approaches to surgical treatment of IC are used: for women not planning pregnancy, with residual myometrium thickness (RMT) >3mm, hysteroscopy is most appropriate; for women planning pregnancy, especially with RMT<3mm, laparoscopic repair is advised. Though comparative studies are lacking.

A unique case report of successful pregnancy and delivery after being treated with pioglitazone and glimepiride (In first three months)

A planned pregnancy (with IVF) in a patient with type 2 diabetes was treated with insulin along with glimepiride and pioglitazone (treated in first three months) from pre-conception stages until the postpartum is reported. She delivered a single viable male child at 33 weeks of gestation due to pregnancy induced hypertension and type 2 diabetes mellitus with no abnormalities. The newborn was healthy without any congenital and other abnormalities. To our belief, this is the first case reporting the use of pioglitazone as well as glimepiride in early pregnancy. It should be noted that both of the drugs are not recommended to be used in pregnancy but we may come across situations where the patient is already exposed to these drugs and not willing to abort pregnancy and this case adds value to the existing body of medical literature in such cases.

A Unique case report of successful pregnancy and delivery after being treated with pioglitazone and glimepiride (in first three months)

A planned pregnancy (with IVF) in a patient with type 2 diabetes was treated with insulin along with glimepiride and pioglitazone (treated in first three months) from pre-conception stages until the postpartum is reported. She delivered a single viable male child at 33 weeks of gestation due to pregnancy induced hypertension and type 2 diabetes mellitus with no abnormalities. The newborn was healthy without any congenital and other abnormalities. To our belief, this is the first case reporting the use of pioglitazone as well as glimepiride in early pregnancy. It should be noted that both of the drugs are not recommended to be used in pregnancy but we may come across situations where the patient is already exposed to these drugs and not willing to abort pregnancy and this case adds value to the existing body of medical literature in such cases

A Rare Case Report of Successful Pregnancy with Fluid in the Endometrium

Endometrial cavity fluid (ECF) is a clear sonolucent fluid collection between the layers of the endometrial cavity. There is generally a consensus that if excessive fluid is noted in the uterine cavity, embryo implantation will be affected. Hydrosalphinx contributes to most of the cases of ECF. Other causes include endometriosis, PCOS and endometritis. Some cases are idiophatic and recurrent and often pose a challenge to the treating physician. Here in we report a rare case of successful pregnancy in a patient with ECF which was resistant to aspiration multiple times during endometrial preparation.

A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility

Rationale:Currently, 15% of women in fertility age are infertile and the frequency is increasing. Among the various causes of infertility, end-stage renal disease (ESRD) has been shown to decrease the frequency of pregnancies compared with normal females. However, dialysis of patients with ESRD increases the likelihood of pregnancy.Herein, we report successful pregnancy and delivery after peritoneal dialysis in a patient who was misdiagnosed as primary infertility.Patient concerns:A 37-year-old female who was unaware of her ESRD was misdiagnosed with primary infertility. After undergoing artificial insemination, she was referred to department of internal medicine because of generalized edema, dyspnea, nausea, vomiting, and poor oral intake. After evaluation, she was diagnosed with ESRD and initiated peritoneal dialysis.Diagnoses:The patients was on peritoneal dialysis for a year and discovered that she was pregnant.Interventions:During pregnancy, the patient maintained a residual urine output, BUN levels below 50 mg/dL, controlled blood pressure and a targeted hemoglobin range. She obtained adequate calories and protein and was managed by a multidisciplinary team.Outcomes:The patient delivered a preterm male baby with no anomalies.Lessons:ESRD should also be considered among the several causes of infertility in fertile women. If ESRD is the cause of infertility, the frequency of pregnancy increases following dialysis. If pregnancy is diagnosed early, intensive renal replacement therapy, adequate nutritional intake and regular fetal monitoring during pregnancy increase the chances of successful delivery while maintaining PD.

The use of fresh frozen plasma for reproduction in severe factor V deficiency

Severe factor V (FV) deficiency is rare. There are case reports describing pregnancy outcomes in women with FV deficiency and one case report of successful pregnancy following the use of fresh frozen plasma (FFP) in several cycles of ovulation induction and intrauterine insemination and at delivery. The authors report another case to support the use of FFP for reproduction.A 27-year-old woman with severe FV deficiency was given FFP at the time of ovulation induced with clomiphene citrate, human menopausal gonadotropin (hMG), and human chorionic gonadotropin. Intrauterine insemination (IUI) was done 35 hours later. She became pregnant with twins and delivered vaginally at 36 weeks of gestation with the prophylactic use of FFP.Fresh frozen plasma can be offered for reproduction to women with severe FV deficiency.

Successful pregnancy after simultaneous pancreas‐kidney transplantation from a brain‐dead donor: The first case report in Japan

Simultaneous pancreas-kidney transplantation is a revolutionary medical procedure to cure diabetes mellitus and its complications in one step. For women with type 1 diabetes mellitus and end-stage renal disease, this procedure not only treats their disease but may also allow them to have children. Worldwide, 77 pregnancies from 43 pancreas-kidney recipients have been reported. Here, we present the first case report of successful pregnancy after simultaneous pancreas-kidney transplantation from a brain-dead donor in Japan. She conceived spontaneously 32 months after transplantation. Her pregnancy course was favorable except for mild rejection of the grafted pancreas and development of gestational diabetes. She delivered a 2882-g healthy infant in October 2010. Pregnancy after simultaneous pancreas-kidney transplantation is discussed.

A case report of successful pregnancy in a patient with pure 46,XY gonadal dysgenesis

To report a successful pregnancy in a patient with pure 46,XY gonadal dysgenesis. Case report. Academic reproductive endocrinology and infertility unit. A patient with pure 46,XY gonadal dysgenesis and a desire to become pregnant. Laparoscopic gonadectomy, in vitro fertilization using donor oocytes, transfer of cryopreserved blastocysts, and cesarean delivery. Successful pregnancy and live birth. Successful pregnancy and delivery of a healthy infant following in vitro fertilization using donor oocytes and embryo transfer. With the use of donor oocytes, patients with pure 46,XY gonadal dysgenesis can anticipate successful pregnancy.

Successful pregnancy in a woman with symptomatic fibroids who underwent laparoscopic bipolar coagulation of uterine vessels

Objective: To report a case of successful pregnancy after laparoscopic bipolar coagulation of uterine vessels (LBCUV). Design: Case report. Setting: University-affiliated tertiary referral center. Patient(s): One woman, treated with LBCUV for symptomatic fibroids, who subsequently had a successful pregnancy. Intervention(s): Laparoscopic bipolar coagulation of uterine arteries and anastomotic sites of uterine arteries with ovarian arteries. Main Outcome Measure(s): Patient evaluation by physical and ultrasound examinations. Result(s): Complete resolution of menorrhagia and dysmenorrhea was found after LBCUV. Reduction in fibroid size was seen by ultrasound. Two months later, the patient conceived a singleton pregnancy without the use of assisted reproductive technologies. The woman delivered by cesarean section. Neither myoma recurrence nor abnormality in uterine function was observed. Conclusion(s): Although fecundity- and pregnancy-related complications after LBCUV for managing uterine fibroids are still unclear, this first case report of successful pregnancy after LBCUV is promising. LBCUV might be a safe and effective alternative to myomectomy and hysterectomy.