Maternal mortality is a vital issue worldwide. In addition to obstetric reasons, there are causes unrelated to pregnancy that are equally dangerous for the lives of the mother and fetus.  The study aimed to present a clinical case of pregnancy and delivery of a patient after a severe injury to the central nervous system as an example of an algorithm for the interaction of various specialists before full term and delivery. 

Materials and Methods: The article describes a clinical case of a continued pregnancy and successful delivery in a woman who stayed in a coma for 73 days after a severe accident.    Results: The presented clinical observation is extremely rare for Kazakhstani medicine. It is unique since the patient remained in a coma for more than 10 weeks, then regained consciousness, carried the pregnancy to full term, and delivered on time. 

Conclusion: Only a coordinated interdisciplinary approach and an individualized intensive therapy program considering the type and degree of damage to the CNS, maternal status, gestational age, and fetal condition enable significant achievements in treatment and provide a chance for the unborn to survive

Sarmuldayeva Sholpan defended her doctoral dissertation at the age of 34 at Duke University, USA. She is an associate professor at the Kazakh National Medical University named after S.D. Asfendiyarov. She has more than 200 publications, the H-index of her publications is 3, and she is a reviewer for the Kazakhstan Journal of Reproductive Medicine.