List of publications on a keyword: «pregnancy»

A review of the current literature on contraception in induced abortion. An in – depth analysis of the guidelines of leading international and national organizations for contraceptives after induced abortion-surgical and medicated during the I-st and II-nd trimester was conducted. An analysis of good practices is made in order to assess the risks and benefits of the application of modern means of prophylaxis after artificial abortion, the use of appropriate contraceptives and thus to improve the individual obstetric-gynecological practice. All activities are aimed at preserving women's reproductive ability and reducing post-abortion complications. Methods: review of available literature from the last 10 years.

This article summarizes the advantages of drug abortion in special clinical situations. The analysis of own experience of medicamentous termination of an undeveloped pregnancy is presented on materials KGBUS KMKB №4 of Krasnoyarsk. The paper explores the structure of complications and methods of their treatment. The prospects of modern safe technologies for the completion of pregnancy are justified.

The results allow to include colposcopy-uterine cytology (by histological indications), bacteriological and direct microscopic studies (if indicated by PCR – polymerase chain reaction) in the observation of pregnant women with abnormal cervical pathology. The ultrasound reveals not only pregnancy but also the prevalence of associated cervical and endometrial pathology, ovarian and helps to estimate the condition of the endometium, myometrium, bacteriological examination, diagnostics and to make correction on time with subsequent follow-up observation of the patients prior to delivery.

The article describes extragenital diseases of the mother disrupts fetal development which can lead to disease or even death. It is noted that 70% of pregnant women have chronic somatic pathology, exacerbation of various diseases – asthma, anemia, pyelonephritis, and others are occurred in 76% during pregnancy. Bronchial asthma is not a contraindication to pregnancy, but the exacerbation of the disease during pregnancy, lack of proper control can lead to negative consequences for both the mother and the child. A number of studies, made by the authors, has shown that patients with severe or uncontrolled course of BA have a higher risk of a number of complications of pregnancy and childbirth. One of the most common complications of the second half of pregnancy was hypertensive disorders and preeclampsia.

It is specified in many modern references about high distribution of passive smoking. Special value is allocated for influence of a secondary tobacco smoke at pregnancy. The purpose of research – to estimate susceptibility of women to smoking during pregnancy. 50 women in childbirth are interrogated. When processing of the obtained data came to a conclusion about high prevalence of passive smoking.

In this study we carried out screening of pregnant women to detect urinary tract infections. We analysed the period of pregnancy and its termination in the presence of asymptomatic bacteria, made morphological analysis of placenta and fetal membranes. It was found out that when pregnant women have untreated and recurrent bacteriuria, the number of complications during pregnancy and its termination increases, and the state of fetoplacental complex deteriorates. Focal leukocyte horionamnionitis develops, it couples with preterm rupture of membranes, morphological and functional immaturity, vesiculesis and hypotrophy of fetus.

The article presents the results of long-term prospective clinical research on uteroplacental and fetal blood flow of pregnant women. In the research they made a special in-depth analysis of single disturbance of blood flow in uterine artery basin according to Doppler measure data after 18-week gestation. They connect uteroplacental perfusion disturbance with chronic infection nidi (focus) of different location in the organism of pregnant woman. They made comparative analysis of correcting therapy, when there is an uteroplacental perfusion disturbance, including detection and elimination of persistent infection nidi (asymptomatic forms as well), and also application of medicaments that influence vascular tone and rheological properties of blood. They showed efficiency of Diripidamol when used for idiopathic disturbances of uteroplacental perfusion.