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Vadim Gelievich Moses
Alena Vasilievna Ivannikova
Elena Valentinovna Grishkevich
Elena Nikolaevna Orlova
Elena Vladimirovna Rudaeva
Svetlana Ivanovna Elgina
Kira Borisovna Moses

Abstract

The most common causes of liver cirrhosis in women are viral and autoimmune hepatitis, alcoholic liver disease, and non-alcoholic fatty liver disease.
Although pregnancy and cirrhosis are a rare combination, it appears to have become more common in recent decades due to improved treatment of cirrhosis, increased awareness of cirrhosis following the introduction of screening in high-risk groups, and the availability of assisted reproductive technologies. For physicians and patients, the impact of cirrhosis on the course of pregnancy and underlying medical conditions is important when deciding whether to plan and carry a pregnancy to term. Pregnancy in women with cirrhosis is associated with a high risk of complications, including maternal and perinatal mortality.
This article presents a clinical case of a multiple pregnancy with unspecified liver cirrhosis.

Keywords

cirrhosis, liver disease, pregnancy, twins, cesarean section

Author Biographies

Vadim Gelievich Moses,

doctor of medical sciences, professor, director of the Medical Institute

Alena Vasilievna Ivannikova,

obstetrician-gynecologist of the obstetrics department of pregnancy pathology

Elena Valentinovna Grishkevich,

head of the Obstetrics Department of Pregnancy Pathology

Elena Nikolaevna Orlova,

physician-therapist of the obstetrics department of pregnancy pathology

Elena Vladimirovna Rudaeva,

candidate of medical sciences, docent, docent of the department of obstetrics and gynecology named after G.A. Ushakova

Svetlana Ivanovna Elgina,

doctor of medical sciences, docent, professor of the department of obstetrics and gynecology named after G.A. Ushakova

Kira Borisovna Moses,

assistant of the department of polyclinic therapy and nursing

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.

How to Cite

Moses, V. G., Ivannikova, A. V., Grishkevich, E. V., Orlova, E. N., Rudaeva, E. V., Elgina, S. I., & Moses, K. B. (2026). LIVER CIRRHOSIS IN THE PRACTICE OF AN OBSTETRICIAN-GYNECOLOGIST (CLINICAL CASE). Medicine in Kuzbass, 25(2), 141-145. https://mednauki.ru/index.php/MK/article/view/1500

References

1. Tolunay HE, Aydın M, Cim N, Boza B, Dulger AC, Yıldızhan R. Maternal and Fetal Outcomes of Pregnant Women With Hepatic Cirrhosis. Gastroenterol Res Pract. 2020; 2020: 5819819. doi: 10.1155/2020/5819819

2. Hagström H, Höijer J, Marschall HU, Williamson C, Heneghan MA, Westbrook RH, et al. Outcomes of Pregnancy in Mothers With Cirrhosis: A National Population-Based Cohort Study of 1.3 Million Pregnancies. Hepatol Commun. 2018; 2(11): 1299-1305. doi: 10.1002/hep4.1255

3. Gao X, Zhu Y, Liu H, Yu H, Wang M. Maternal and Fetal Outcomes of Patients With Liver Cirrhosis: A Case-Control Study. BMC Pregnancy Childbirth. 2021; 21(1): 280. doi: 10.1186/s12884-021-03756-y

4. Gonsalkorala ES, Cannon MD, Lim TY, Penna L, Willliam-son C, Heneghan MA. Non-Invasive Markers (ALBI and APRI) Predict Pregnancy Outcomes in Women With Chronic Liver Disease. Am J Gastroenterol. 2019; 114(2): 267-275. doi: 10.1038/s41395-018-0181-x

5. Kent L, McGirr M, Eastwood KA. Global trends in prevalence of maternal overweight and obesity: A systematic review and meta-analysis of routinely collected data retrospective cohorts. Int J Popul Data Sci. 2024; 9(2): 2401. doi: 10.23889/ijpds.v9i2.2401

6. Nana M, Stannard MT, Nelson-Piercy C, Williamson C. The Impact of Preconception Counselling on Maternal and Fetal Outcomes in Women With Chronic Medical Conditions: A Systematic Review. Eur J Intern Med. 2022; 108: 52-59. doi: 10.1016/j.ejim.2022.11.003

7. van der Slink LL, Scholten I, van Etten-Jamaludin FS, Takkenberg RB, Painter RC. Pregnancy in women with liver cirrhosis is associated with increased risk for complications: A systematic review and meta-analysis of the literature. BJOG. 2022; 129(10): 1644-1652. doi: 10. 1111/ 1471- 0528. 17156

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