Clinical Case of Pregnancy Prolongation and Successful Delivery after Severe Mine-Blast and Open Traumatic Brain Injury in the First Trimester

A clinical case of pregnancy management in a patient with a severe combined mine-blast injury sustained as a result of ballistic shelling of the Maternity Hospital in the city Kamianske on July 29, 2025, is presented.The dominant injury component was an open penetrating traumatic brain injury (TBI), accompanied by intracranial hematomas and multiple gunshot shrapnel wounds.Despite the severity of the injuries, the need for urgent neurosurgical intervention, and prolonged anticonvulsant therapy, the pregnancy was prolonged to full term.Delivery occurred vaginally, resulting in the birth of a live full-term male infant weighing 2310 g.This case demonstrates the possibility of successful multidisciplinary pregnancy management under conditions of severe combat-related maternal trauma.