Author:
Krivolesova Tatyana A.,Ivanov Dmitry O.,Reznik Vitaly A.,Romanova Larisa A.,Guryanova Galina V.,Chernobrovkina Anna K.,Vetrov Vladimir V.,Kurdynko Ludmila V.
Abstract
The report presents the results of successful treatment of a married couple. A patient with multiple somatic pathology (varicose veins of the lower extremities, cholelithiasis, chronic cholecystitis) had 2 normal births in her first marriage. In the second marriage (the husband of 62 years revealed hypogonadism, cryptozoospermia, retrograde ejaculation) in 2018, ICSI was performed, which ended in an undeveloped pregnancy with curettage of the uterine cavity, in 2019, with the 4th pregnancy (CryoET), cesarean section (CS) at 28th week of pregnancy for chronic placental insufficiency with severe blood flow disorders in the placenta, nonimmune fetal dropsy. The child died on the 7th day of life. In 2020, due to the failure of the postoperative scar on the uterus after cesarean section, laparoscopy, hysteroscopy, and metroplasty were performed. The real, 5th pregnancy occurred after IVF with her husbands sperm taken from post-ejaculatory urine. At 39th week of pregnancy, a planned Сaesarean section was performed, a boy was born at 3710 gr, 52 cm long with an Apgar score of 8/9 points. There was no bleeding during childbirth, the patients postoperative period was smooth. She was discharged home on the 5th day after delivery in a satisfactory condition with normal tests with a baby receiving breastfeeding.