Diagnostics, prophylaxis and forecasting of perinatal pathology at anomalies of placentation (retrochorial hematomas and anomalies of locating of placenta)

2017 ◽  
pp. 60-62
Author(s):  
S.A. Kuritsyna ◽  
Keyword(s):  
Pregnant Women ◽  
Key Words ◽  
Retrospective Analysis ◽  
Perinatal Mortality ◽  
Clinical Course ◽  
Premature Births ◽  
Placental Dysfunction ◽  
Perinatal Pathology ◽  
Case Rate ◽  
Two Stages

The objective: depression of frequency of perinatal pathology at various pathology of placentation (retrochorial hematomas and anomalies of locating of placenta) on the basis of improvement and introduction of algorithm of diagnostic, treatment-and-prophylactic and prognostic actions. Patients and methods. Researches were conducted in two stages - on 1 us at first the retrospective analysis of clinical course of pregnancy and labors at 100 women (retrospective group) with a retrochorial hematoma is carried out, and then 150 pregnant women who were divided into three subgroups prospective are surveyed. At the 2 stage 250 women entered research – 2 group, from which 200 – with misplaced of placenta and 50 – with normal. Results. Use of the algorithm of maintaining women improved by us with retrochorial hematomas allows to reduce the frequency of early genesial losses (from 25.0% to 10.0%), to improve perinatal results (lack of cases of perinatal losses in the prospective researches and 40,0‰ in retrospective, to reduce perinatal case rate (from 30.0% to 15.6%), and also promotes pregnancy prolongation. At women with misplaced of placenta allows to reduce the frequency of placental dysfunction from 42.0% to 28.0%; fetus arrests of development – from 30.0% to 18,0%; premature births – from 18.0% to 8.0%; perinatal mortality – from 30.0‰ to 10.0‰ and a post-natal case rate – from 28.0% to 16.0%. Conclusion. Results of the conducted researches testify that prophylaxis of perinatal pathology at women with various options of pathology of placentation to which we referred existence of retrochorial hematomas and placenta misplaced, has to have complex stage-by-stage character taking into account results of clinical and additional methods of researches, and also on the basis of introduction improved by us to algorithm. Key words: retrochorial hematoma, placenta misplaced, perinatal pathology, prophylaxis.

Decompensation placental dysfunction: diagnostics and delivery tactics

2017 ◽  
pp. 66-68
Author(s):  
V.I. Boyko ◽  
◽  
S.A. Tkachenko ◽  
Keyword(s):  
Pregnant Women ◽  
Key Words ◽  
Retrospective Analysis ◽  
Control Group ◽  
Present Stage ◽  
Placental Dysfunction ◽  
Perinatal Pathology ◽  
Delivery Times ◽  
Case Rate ◽  
Major Factors

The objective: depression of frequency of perinatal pathology at women with decompensation form of placental dysfunction by improvement of the main diagnostic and treatment-and-prophylactic actions. Patients and methods. 154 pregnant women in gestation term from 22 to 40 weeks were surveyed. Depending on features of course of pregnancy and families of all surveyed it was divided into 4 groups. The group of the retrospective analysis was made by 45 pregnant women with decompensation placental dysfuction, the group of prospective research included 109 pregnant women of whom the main group was made by 38 women with decompensation form of placental dysfunction, the group of comparison included 47 pregnant women with the compensated form of placental dysfunction. The control group was made by 24 pregnant women with the uncomplicated course of pregnancy and labors. The complex of the conducted researches included clinical, ehografical, dopplerometrical, laboratory, morphological and statistical methods. Results. Use of advanced algorithm of diagnostic and treatment-and-prophylactic actions allows to increase efficiency of diagnostics of decompensation form of placental dysfunction for 33.3%, and rational tactics of a delivery leads to depression of perinatal pathology for 22.7%. Conclusion. Decompensation placental dysfuction is one of the main reasons for perinatal mortality and a case rate at the present stage. Use of the algorithm of diagnostic and treatment-and-prophylactic actions improved by us allows major factors of risk of this complication and the indication for change of tactics and delivery times. Key words: decompensation placental dysfunction, diagnostics, delivery tactics.

Pregnancy and labors at women with a hysteromyoma after reconstructive operations

2017 ◽  
pp. 54-55
Author(s):  
O.V. Zhovtenko ◽  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Key Words ◽  
Clinical Course ◽  
Perinatal Outcomes ◽  
Morphological Features ◽  
Perinatal Pathology ◽  
Fetoplacental Complex ◽  
Reconstructive Operations

The objective: depression of frequency of obstetric and perinatal pathology at women who transferred before pregnancy a conservative myomectomy із on the basis of studying the clinical-ekhografical, hemodynamic, endocrinologic, metabolic and morphological features a condition of fetoplacental complex, and also improvement of algorithm of diagnostic and treatment-and-prophylactic actions. Patients and methods. Features of a clinical course of pregnancy and labors at 266 women with a hysteromyoma (in the anamnesis there was no expeditious treatment), which were divided into two groups depending on the sizes of myomatous knots are studied. Features of a clinical course of pregnancy and labors at 126 women who transferred a conservative myomectomy before pregnancy are studied. Pregnant women were divided into two groups from a technique of the performed operation and tactics of conducting pregnancy. Results. Results of the conducted researches testify to high risk of development of perinatal pathology at women with a hysteromyoma who were operated before pregnancy in volume of a conservative myomectomy. Conclusion. Use of the algorithm of diagnostic and treatment-and-prophylactic actions added with us allows to improve perinatal outcomes of a delivery of women of group of high risk. Key words: hysteromyoma, reconstructive operations, pregnancy, labors.

Prophylaxis of not incubation of pregnancy in the 11th trimester at multiborn women

2017 ◽  
pp. 71-73
Author(s):  
E.V. Nabkhan ◽  
Keyword(s):  
Statistical Analysis ◽  
Neonatal Period ◽  
Premature Births ◽  
Premature Rupture ◽  
Placental Dysfunction ◽  
Perinatal Pathology ◽  
Medical Institutions ◽  
Advanced Algorithm ◽  
Case Rate ◽  
Abdominal Delivery

The objective: depression of frequency of not incubation of pregnancy in the ІІth trimester and perinatal pathology at multiborn women on the basis of studying clinical-ekhografical, dopplerometrical, endocrinological, biochemical and microbiological features, and also by development and deployment of advanced algorithm of treatment-and-prophylactic actions. Patients and methods. І a stage (retrospective research) – is carried out clinic - the statistical analysis of 146 stories of labors at multiborn women. ІІ a stage (prospective research) – 110 patients, among which 60 multiborn women who were divided into two groups are surveyed. Results. Еfficiency of the algorithm improved by us consists in essential depression at multiborn women of frequency of gestational anemia (by 2.5 times), threats of premature births (by 4.6 times), placental dysfunction (by 2.3 times), disturbances of microbiocenosis of sexual ways (by 2.2 times), premature births (twice), premature rupture of born covers (by 2.7 times), fetus arrests of development (by 2.0 times), a fetus distress (by 3.1 times), an abdominal delivery (by 2.8 times) and realization of an intraamnialny becoming infected (by 2.5 times). The cooperative case rate of newborns in the early neonatal period decreased by 2.5 times, and perinatal losses were absent. Conclusion. Use of advanced algorithm needs to be applied at multiborn women in medical institutions of all levels. Key words: not incubation, multiborn women, prophylaxis.

Optimization of diagnostics and tactics of maintaining pregnant women with benign tumors and tumorous formations of ovaries

2017 ◽  
pp. 63-65
Author(s):  
V.I. Boyko ◽  
◽  
N.P. Sukhostavets ◽  
Keyword(s):  
High Risk ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Key Words ◽  
High Frequency ◽  
Clinical Course ◽  
Perinatal Outcomes ◽  
Benign Tumors ◽  
Placental Dysfunction

The objective: optimization of diagnostics and tactics of conducting pregnancy at women with benign tumors and tumorous formations of ovaries by improvement of diagnostic and treatment-and-prophylactic actions. Patients and methods. 129 patients in various durations of gestation from which 104 were with benign tumors and tumorous formations of ovaries were surveyed. Results. The clinical course of pregnancy at course of pregnancy at women with benign tumors and tumorous formations of ovaries is characterized by the high frequency of threat of discontinuing in І (49.7%) that ІІ trimesters (50.8%). Level of other complications depends on maintaining tactics, and it considerably vichy at refusal of women of expeditious treatment and their conservative maintaining: placental dysfunction – 44.0% and 16.2%; fetus distress – 30.0% and 6.7%; delivery by operation of cesarean section – 33.3% and 10.8%; disturbances of post-natal adaptation of newborns – 9.5% and 6.8% respectively. Conclusion. The improved and introduced algorithm of maintaining women with benign tumors and tumorous formations of ovaries allows to improve obstetric and perinatal outcomes of delivery of women of group of high risk. Key words: benign tumors and tumorous formations of ovaries, pregnancy, maintaining tactics.

Optimisation of tactics of conducting pregnancy and labours at women after auxiliary reproductive technologies

2016 ◽  
pp. 160-164
Author(s):  
D.N. Maslo ◽  
Keyword(s):  
Pregnant Women ◽  
Resistance Index ◽  
First Trimester ◽  
Reproductive Technologies ◽  
Premature Delivery ◽  
Control Group ◽  
Uterine Arteries ◽  
Placental Dysfunction ◽  
Placental Blood ◽  
Two Stages

The objective: frequency decrease perinatal pathologies at women after ART on the basis of studying clinical-ehografical, endocrinological, biochemical, dopplerometrical, cardiotokografical and morphological researches, and also improvement of algorithm of diagnostic and treatment-and-prophylactic actions. Patients and methods. The work basis is made spent by us from 2012 on 2015 by complex inspection of 300 pregnant women from which 250 were after ART and 50 – firstlabours which pragnency without ART, and also their newborns. For the decision of an object in view of research spent to two stages. At 1 stage spent prosperctive research which included 150 pregnant women: з them 100 women pregnancy at which has come out ART (1 group) and 50 healthy women (control group). At 2 stage spent prospective randomization in which result of patients after ART have divided on two equal groups by therapy principle: 2 basic group - 75 pregnant women after ART at which used the algorithm improved by us; 3 group of comparison - 75 pregnant women after ART which have been spent on the standard treatment-and-prophylactic actions. Results. The results suggest that women after using ART is a high frequency of reproductive losses in the first trimester (10.0%), 3.0% of spontaneous abortion from 16 to 22 weeks, and 3.0% "early" premature delivery (22 to 28 weeks of pregnancy). The frequency of violations of the functional state of placenta in women after using IVF is 63.0%, which is the main cause of high levels of perinatal losses (40.0 ‰), and delivery by cesarean section (96.0%). Placental dysfunction in women after using ART characterized by retrohorialnyh hematoma (21.0%); size mismatch fruit (30.0%) and hypertonicity of the uterus (73.0%) against changes in fruit-placental blood flow - increased resistance index in umbilical artery and increased vascular resistance in the uterine arteries. Endocrinological and biochemical changes in placental dysfunction in women after using IVF starting from 28 weeks of pregnancy and are in significant reduction in progesterone, placental b1-microglobulin, B2-microglobulin of fertility and trophic в-glycoprotein. Conclusion. The received results: use of the algorithm of diagnostic and treatment-and-prophylactic actions improved by us allows to lower frequency of spontaneous interruption of pregnancy till 22 weeks – from 13.0% to 5.7%; «early» premature birth – from 3.0% to 1.0%; placentary dysfunction from 63.0% to 40.6%; cesarean sections – from 96.0% to 56.5%, and also perinatal losses – from 40.0‰ to 16.2‰. Key words: pregnancy, childbirth, auxiliary reproductive technologies.

Features of obstetric and perinatal pathology at women with an undifferentiated dysplasia of connecting tissue

2017 ◽  
pp. 96-98
Author(s):  
A.L. Kostiuk ◽  
Keyword(s):  
Pregnant Women ◽  
Key Words ◽  
High Frequency ◽  
Clinical Laboratory ◽  
Perinatal Pathology

The objective: to study features of obstetric and perinitalny pathology at women with undifferentiated dysplasia of a connecting tissue. Patients and methods. 100 patients with clinical-laboratory signs of an undifferentiated dysplasia of connecting tissue are surveyed. On the basis of the received results of the patient were divided into two groups: the main – 50 women (expression of і6 points) whom regarded as patients with the expressed undifferentiated dysplasia of connecting tissue, and group of comparison – 50 women (expression <6 points) whom regarded as patients without the expressed undifferentiated dysplasia of connecting tissue. Results. Results of the conducted researches testify to the high frequency of obstetric and perinatal pathology at pregnant women with clinical-laboratory and functional signs of an undifferentiated dysplasia of connecting tissue. Conclusion. The received results are the basis for algorithm improvement the diagnostical and treatment-and-prophylactic actions at women with an undifferentiated dysplasia of connecting tissue. Key words: undifferentiated dysplasia of connecting tissue, obstetric and perinatal pathology.

Prophylaxis of obstetric and perinatal pathology at women with pathological increase of body weight during pregnancy

2018 ◽  
pp. 7-79
Author(s):  
S.Yu. Vdovichenko ◽  
◽  
T.D. Fakhrutdinova ◽  
Keyword(s):  
Health Care ◽  
Body Weight ◽  
Pregnant Women ◽  
Key Words ◽  
Perinatal Outcomes ◽  
Perinatal Complications ◽  
Perinatal Pathology ◽  
Fetoplacental Complex ◽  
The Right ◽  
Selection Of

The objective: depression of obstetric and perinatal complications at pregnant women with pathological increase of body weight during pregnancy on the basis of studying of clinical-functional, endocrinologic, metabolic, morphological features of condition of fetoplacental complex and development of advanced algorithm of treatment-and-prophylactic actions. Materials and methods. We conducted examination of 264 patients who consisted on the account concerning pregnancy in female consultations of Kiev. By a method of selection of 178 women were included in retrospective research and 86 – in prospective. The main group was made by 39 pregnant women with whom led individual discussions, control – 142 women, that received traditional references in female consultation. Results. Use of the algorithm improved by us allows to improve obstetric (decrease of frequency of a preeclampsia by 12.3%; anomalies of a patrimonial deyalnost for 8.4%) and perinatal outcomes (depression of level of an asphyxia at a delivery for 9.4% and post-natal adaptation for 7.8%) deliveries of women with an excessive increase of body weight during pregnancy. Conclusion. The received results grant the right to recommend the algorithm improved by us for wide use in practical health care. Key words: obstetric and perinatal pathology, pathological increase of body weight, prophylaxis.

Features of diagnostics and treatment of pvcrd in children

Reflection ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 42-47
Author(s):  
E.V. Mikhaylova ◽  
◽  
E.V. Tur ◽  
T.S. Abaeva ◽  
◽  
...  
Keyword(s):  
Key Words ◽  
Retrospective Analysis ◽  
Medical Records ◽  
Pediatric Patients ◽  
Clinical Course ◽  
Common Type ◽  
Laser Coagulation ◽  
Preoperative Preparation ◽  
Clinical Hospital ◽  
Low Degree

Purpose. To identify the clinical course of the «risk-forms» of peripheral vitreochorioretinal dystrophy (PVCRD) depending on sex, age, type and degree of refraction in children, as well as to establish the characteristics of the diagnosis and treatment of PVCRD in childhood. Methods. A retrospective analysis of medical records of pediatric patients who underwent peripheral prophylactic laser retinal coagulation (PPLRC) regarding the «risk-forms» of PVHRD at the ophthalmology department of MAUZ Children’s Clinical Hospital No. 1 from 2017 to 2019 was performed. 241 childr (293 eyes) aged 7 to 17 years (mean age 14.1 ± 2.4 years) were operated. Results. PVCRD in children is asymptomatic and it is detected at the age of 7 to 17 years, regardless of gender, the peak of occurrence is 10–14 years. The most common type of PVCRD is «lattice» dystrophy. PVCRD is predominant in low degree myopia. Quite a lot of cases of PVCRD detected in emmetropic refraction, as well as in hyperopic refraction and combined astigmatism. Conclusions. A thorough examination of the periphery of the fundus is necessary in all children, regardless of age and refraction. The parameters of laser coagulation in children differ from those in adults. Given the characteristics of childhood, the success of the operation depends on the correct preoperative preparation, including psychological preparation, contact of the surgeon with the child during the operation. Key words: peripheral dystrophy; ophthalmoscopy; mydriasis; laser coagulation; children. vitreochorioretinal

scholarly journals Antenatal classes as a form of preparation for parenthood: analysis of benefits of participating in prenatal education

2016 ◽  
Vol 126 (4) ◽  
pp. 192-196 ◽  
Author(s):  
Justyna Krysa ◽  
Grażyna J. Iwanowicz-Palus ◽  
Agnieszka M. Bień ◽  
Ewa Rzońca ◽  
Marta Zarajczyk
Keyword(s):  
Mortality Rate ◽  
Pregnant Women ◽  
Perinatal Mortality ◽  
Premature Births ◽  
Prenatal Education ◽  
Healthy Behaviors ◽  
Individual Traits ◽  
Mothers And Children ◽  
Anxiety And Fear ◽  
Antenatal Classes

Abstract Prenatal education in the form of antenatal classes, referred to as School of Birth in Poland, aims at preparing both pregnant women and their partners for parenthood, on theoretical and practical basis. This is achieved by providing women with information on safe pregnancy, labor and puerperium, developing healthy behaviors and preparing parents to look after the newborn/infant. The course program covers all psychophysical issues related to pregnancy, labor, puerperium and early stages of the child’s life. The objective is to strengthen the health of mothers and children, alleviate pregnancy-related anxiety and fear, decrease the number of premature births and reduce the perinatal mortality rate. However, the scope of potential advantages of Schools of Birth depends not only on individual traits of the participants, but also on the engagement of professionals who teach the courses and the type of the school.

Features of current of labors at women of various age

2018 ◽  
pp. 61-64
Author(s):  
V.V. Markevich ◽  
Keyword(s):  
Pregnant Women ◽  
Key Words ◽  
Age Groups ◽  
Late Pregnancy ◽  
Premature Births ◽  
Age Group ◽  
Abdominal Delivery

The objective: to study features of current of labors at women of various age groups. Materials and methods. Us were allocated the following age subgroups: 8–25, 26–28, 29–30, 31–35, 36–40, more than 40 years, among 715 women from whom 281 I was primapara, and 434 – multipara. Сliniсфд-laboratory and tool examination was conducted. Results. Results of the conducted researches testify that the current of labors at women of various age has the specific features which depend on age, the genesial anamnesis and existence of accompanying genital pathology. Frequency of an abdominal delivery increases depending on age and existence of disturbances of genesial function. Level of premature births also increases with augmentation of age of pregnant women. Frequency of late pregnancy and overdue labors tends to depression with age augmentation that the attention to maintaining women of the senior age group and active tactics of maintaining speaks larger. Сonclusion. The received results needs to be considered when developing tactics of maintaining labors at women of various age and parity. Key words: labors, complications, various age.

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