Correction of cervical insufficiency during prolapse of the fetal bladder and intrauterine infection

Abstract

This article describes a clinical case of the course and management of pregnancy complicated by cervical insufficiency with prolapse of the fetal bladder and formation of “sludge” in the amniotic fluid at 20–21 weeks of pregnancy. Gradual use of antibacterial therapy and hormonal support with micronized progesterone, subsequent surgical serclage and the installation of an unloading obstetric pessary allowed to prolong pregnancy to 284 days and to deliver through the natural birth canal with a newborn without signs of intrauterine infection.