Optimization approaches accouchement women with pregnancy using medical assisted reproductive technologies

2017 ◽  
pp. 123-126
Author(s):  
N.P. Goncharuk ◽  
◽  
N.R. Kovyda ◽  
Keyword(s):  
Cesarean Section ◽  
Key Words ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Etiologic Factor ◽  
Optimal Method ◽  
Birth Canal ◽  
Art Program ◽  
Natural Birth

The objective: to analyze the approaches to delivery of women with pregnancy after the application of curative programs of assisted reproductive technologies (ART). Patients and methods. In the process of the study, the approaches to the choice of the method of delivery of women after the application of ART were studied and analyzed. To achieve this goal, women were divided into two groups: the 1-st group – women after ART (2005-2009), whose delivery was performed in a conventional way, their number was 132 women; the 2-nd group – women after ART (2010-2014), whose delivery was performed according to the developed algorithm, their number was 162 women giving birth. Results. The comparative characteristics of the two groups established that the delivery of women after the use of assisted reproductive technologies (ART), which gave birth through the natural birth canal, in 70% ended with physiological labor. This trend indicates that the delivery of women after ART through the natural birth canal is one of the concepts for a significant reduction in the percentage of cesarean section (CS) in the hospital. Conclusion. To determine the optimal method of delivery in patients after ART, first of all, it is necessary to take into account the etiologic factor of infertility and the features of the course of pregnancy, and not the presence of an ART program in the history, as indications for the planned CS. Key words: auxiliary reproductive technologies, cesarean section.

Secondary infertility associated with a uterine niche after cesarean section

2020 ◽  
Vol 19 (5) ◽  
pp. 95-101
Author(s):  
M.A. Kurtser ◽  
◽  
N.M. Egikyan ◽  
N.A. Savelyeva ◽  
M.A. Vatagina ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Key Words ◽  
Assisted Reproductive Technologies ◽  
Embryo Implantation ◽  
Reproductive Technologies ◽  
Psychological Factor ◽  
Secondary Infertility ◽  
Embryo Survival ◽  
Abdominal Delivery

The frequency of abdominal delivery remains high and does not tend to decrease. This may lead to an increase in the number of complications associated with cesarean section, such as uterine niche. Considering the fact that literature data on uterine form of secondary infertility in patients with niches is lacking, and taking into account our own experience and observations made during laparoscopic and hysteroscopic metroplasty, we believe that it is necessary to discuss hypothetical mechanisms underlying the effects of uterine niches on: (1) natural embryo implantation or during an IVF program; (2) embryo survival (embryotoxicity); (3) quality and survival of spermatozoa (spermatoxicity). It is also important to analyze the psychological factor that decreases fertility in these patients. Key words: infertility; assisted reproductive technologies; isthmocele; caesarean section; niche; fertility

The features of emotional response in men in a sterile marriage

2021 ◽  
pp. 339-345
Author(s):  
Zhanna Robertovna Gardanova ◽  
Nikita Igorevich Petrov ◽  
Dmitriy Fedorovich Khritinin
Keyword(s):  
Coping Strategies ◽  
Emotional Response ◽  
Assisted Reproductive Technologies ◽  
Personal Characteristics ◽  
Married Couples ◽  
Reproductive Technologies ◽  
Infertility Treatment ◽  
Art Program ◽  
Anxiety Depression ◽  
Personal Questionnaire

The problem of infertility treatment is currently relevant for married couples who have not had a pregnancy within a year of regular sexual activity. The possibility of infertility treatment using assisted reproductive technologies allows couples to get the desired pregnancy. The emotional response of men in infertile marriage was researched in this study, and it was shown that some men have an increased level of anxiety and depression, while preferred coping strategies allow going through the entire infertility treatment program, taking into account personal characteristics. The study involved 52 married men, aged 35-43 years. Psychodiagnostic testing using techniques to determine the level of anxiety, depression, coping strategies, and a personal questionnaire was conducted. As a result of the obtained data, the need for psychodiagnostic testing is justified in order to identify the level of emotional expression and the possibility of participation in the ART program.

Changing trends and indications for cesarean section in the last few decades

2014 ◽  
Vol 155 (29) ◽  
pp. 1140-1146 ◽  
Author(s):  
Sándor Nagy
Keyword(s):  
Cesarean Section ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Medical Liability ◽  
Optimal Management ◽  
Vaginal Birth After Cesarean ◽  
Cesarean Deliveries ◽  
Changing Trends ◽  
Primary Cesarean Delivery ◽  
Liability Claims

Cesarean section rates are increasing worldwide, which has been paralelled by an increase in primary cesarean delivery and decrease in vaginal birth after cesarean section. Behind the different frequencies there is a number of interrelated factors including advanced maternal age, increasing incidence of obesity, assisted reproductive technologies, and maternal request for non-medical reasons. The sub-optimal management of labor and the concerns about medical liability claims and litigations increase the number of abdominal deliveries. The author reviews the changing indications for cesarean deliveries in the last few decades and summarizes the effects on the obstetrical clinical practice. Orv. Hetil., 155(29), 1140–1146.

The Effective and Safety Use of the Epidural Analgesia at Vaginal Delivery in the Women with the Uterine Scar

10.12737/9077 ◽  
2015 ◽  
Vol 22 (1) ◽  
pp. 50-56
Author(s):  
Виноградов ◽  
V. Vinogradov ◽  
Густоварова ◽  
T. Gustovarova ◽  
Боженков ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Epidural Analgesia ◽  
Vaginal Delivery ◽  
Epidural Anesthesia ◽  
Apgar Score ◽  
Negative Effects ◽  
Birth Canal ◽  
Clinical Hospital ◽  
Natural Birth ◽  
Uterine Scar

The frequency of the Cesarean section leads to increase number of the patients with the scar on the uterus. In the Clinical hospital № 1 (Smolensk, Russia) the childbirth is carried out through natural birth canal on the women having a reliable scar on the uterus. The analysis of the vaginal delivery and labour outcomes in 69 patients with the scar on the uterus is carried out. The childbirth in 38 patients was conducted with the epidurals, in 31 patients – without this type of anesthesia. The efficiency and safety of the epidural anesthesia are shown. The obtained results confirm that the epidural anesthesia doesn´t complicate the labour, doesn´t increase the hospitalization term, doesn´t influence the bleeding and negative effects on the fetus condition and the newborn assessment according to Apgar score. The possibility of using epidural anesthesia at childbirth on the women with uterine scar during the dystocia is shown.

scholarly journals Assessment of correction effectivenes of psychoemitional state in pregnant women after application of assisted reproductive technologies

2021 ◽  
Vol 26 (4) ◽  
pp. 131-138
Author(s):  
V.O. Beniuk ◽  
V.G. Ginzburg ◽  
L.M. Vygivska ◽  
I.V. Maidannyk ◽  
O.O. Chorna ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Control Group ◽  
Omega 3 ◽  
Perinatal Complications ◽  
Art Program ◽  
Reactive Anxiety ◽  
Personal Anxiety

To determine the role and effectiveness of the proposed the­rapeutic and preventive complex in the correction of psychoemotional state in the dynamics of pregnancy in pregnant women after assisted reproductive technologies (ART) application in order to improve the tactics of antenatal obser­vation and prevention of obstetric and perinatal complications. 299 pregnant women were comprehensively examined and a set of therapeutic and preventive measures was carried out: the main group included 249 women whose pregnancy occurred as a result of ART application. The control group consisted of 50 pregnant women with spon­taneous pregnancy. The complex of measures for pregnant women after ART application included: micronized pro­gesterone, magnesium oxide, folic acid, L-arginine aspartate, Omega-3 polyunsaturated fatty acids and long-term psychological correction – before ART program, at 8-10 weeks of pregnancy, at 16-18 weeks of pregnancy and at 28-30 weeks of pregnancy. Introduction of the proposed complex of psychoemotional correction contributed to the formation of reactive anxiety and personal anxiety levels at a moderate level in women of subgroups IA-44 (89.8%) and 43 (87.6%), IIA – 43 (89.6%) and 44 (91.7%) and IIIA – 30 (83.3%) and 26 (72.2%), which is considered to be an adaptive, physiological type during pregnancy. The positive effect of the proposed complex of psychoemotional correction demonstrates the improvement of processes of formation of type of component gestational dominant, its return to the optimal type in women of subgroup IA – 41 (83.6%), IIA – 39 (81.3%) and IIIA – 26 (72.2%) that is close to the physiological course of pregnancy and contributes to the reduction of perinatal and obstetric complications among pregnant women of these subgroups.

Pregnancy management in patients with uterine fibroids. Case report

GYNECOLOGY ◽  
2021 ◽  
Vol 23 (5) ◽  
pp. 448-453
Author(s):  
Iuliia E. Dobrokhotova ◽  
Sonia Zh. Danelian ◽  
Ekaterina I. Borovkova ◽  
Elena A. Nagaitseva ◽  
Dzhamilia Kh. Sarakhova ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Uterine Fibroids ◽  
Uterine Cavity ◽  
Pain Syndrome ◽  
First Trimester ◽  
Reproductive Age ◽  
Node Degree ◽  
Birth Canal ◽  
Large Size ◽  
Natural Birth

Uterine fibroids (UF) are the most common tumor in women of reproductive age. The growth of myomatous nodes during pregnancy is non-linear and mainly occurs in the first trimester. In most cases, UF do not burden the course of pregnancy. Large size (5 cm), retroplacental location, and/or deformity of the uterine cavity by the myomatous node are associated with increased risks of spontaneous miscarriage, placental abruption, bleeding, preterm birth, and cesarean section. Myomectomy during pregnancy is undesirable, with the development of pain syndrome, the use of acetaminophen is safe. Indications for cesarean section in UF are the presence of a large size of fibroids that prevent delivery through the natural birth canal, red degeneration of myomatous nodes, torsion of the subserous myomatous node (degree 2C).

Our experience of appying Plasmolifting technology (Plasmoliftingtm) in treatment of infertility in women

2016 ◽  
pp. 152-154
Author(s):  
Yu.P. Bogoslav ◽  
◽  
I.D. Gulmamedova ◽  
R.R. Ahmerov ◽  
A.M. Yakovets ◽  
...  
Keyword(s):  
Key Words ◽  
Assisted Reproductive Technologies ◽  
Endometrial Thickness ◽  
Reproductive Technologies ◽  
Infertility Treatment ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Autologous Plasma ◽  
Treatment Methods ◽  
Infertile Patients

The objective: to improve the efficiency of infertility treatment methods with the help of assisted reproductive technologies by supplementing a set of preparatory measures with autoplasma treatment via the PlasmoliftingTM technology. Patients and methods. The study involved 93 women of reproductive age (63 infertile patients prepared for IVF, and 30 healthy women). Results. The use of autologous plasma in compliance with the developed technology allowed to increase significantly the number of oocytes and endometrial thickness in IVF cycle, resulting in increased procedure efficiency by 10%. Conclusions. We recommend the use of autologous plasma under the developed technology in women while preparing for the IVF cycle. Key words: female infertility, IVF, autoplasma, Plasmolifting.

scholarly journals Possibility of reducing blood loss during and after multiple birth

2016 ◽  
Vol 97 (6) ◽  
pp. 934-938
Author(s):  
N R Akhmadeev ◽  
F I Fatkullin ◽  
G R Khayrullina ◽  
N Yu Bystritskaya
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Assisted Reproductive Technologies ◽  
Multiple Pregnancy ◽  
Reproductive Technologies ◽  
Active Management ◽  
Multiple Birth

Multiple pregnancy and multiple birth are pathologic obstetric situations. Recently occurrence of multiple pregnancy has increased due to increase of the age at planned pregnancy and widespread use of assisted reproductive technologies including in vitro fertilization. As a result clinicians practicing in obstetrics face more frequent multiple pregnancies, mostly twins. Risk of bleeding during multiple pregnancy, delivery and the postpartum period is estimated as high and is two times higher than in single pregnancy. The main causes of postpartum hemorrhage in multiple pregnancy are uterine hypotony or atony. Hemostatic changes occurring during pregnancy, unspecific and specific complications of multiple pregnancy are important as well. Correct management of the second period of a multiple vaginal delivery allows reducing the volume of blood loss. Method of fetal extraction in the intact amniotic sac allows reducing the influence of external factors on neonate’s head and the volume of blood loss during Cesarean section. Blood loss reducing is caused by amniotic sac compressing the vessels and therefore decreasing bleeding from the uterine incision for the time enough to extract the fetuses. Active management of the third period of vaginal delivery and afterbirth extraction with traction of umbilical cord during Cesarean section are crucial. Suggested regimens of uterotonics (oxytocin, carbetocin, misoprostol) and antifibrinolytics (tranexamic acid) reduce the risk of postpartum hemorrhage.

scholarly journals APPLYING THE ROBSON CLASSIFICATION TO FIND WAYS TO REDUCE THE FREQUENCY OF CESAREAN SECTION OPERATIONS

2020 ◽  
Vol 74 (2) ◽  
pp. 87-90
Author(s):  
L.V. Tkachenko ◽  
◽  
T.A. Verovsky ◽  
T.I. Kostenko ◽  
T.V. Skladanowsky ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Risk Groups ◽  
Birth Canal ◽  
Robson Classification ◽  
Pregnancy And Childbirth ◽  
Natural Birth ◽  
Risk Patients ◽  
Level 3 ◽  
Rational Management ◽  
Personalized Approach

The outcomes of pregnancy and childbirth, which ended with a cesarean section, were studied in accordance with Robson's classification in order to find ways to reduce the frequency of surgical delivery in a level 3 hospital. The mechanisms to reduce the frequency of cesarean section in an obstetric hospital are defined: pregravid preparation in risk groups for preterm delivery and assessment of perinatal risk factors, a personalized approach to methods of pre-induction of parturition in high-risk patients, especially in full-term pregnancy, rational management of parturition, prevention of the first cesarean section, an increase in delivery through the natural birth canal in pregnant women with a scar on the uterus.

The importance of diagnosis of TORCH-infections before using assisted reproductive technologies programs

2018 ◽  
pp. 20-22
Author(s):  
V.V. Kaminskyy ◽  
◽  
M.N. Shalko ◽  
I.V. Malysheva ◽  
V.V. Chayka ◽  
...  
Keyword(s):  
Key Words ◽  
Assisted Reproductive Technologies ◽  
Cost Effective ◽  
Reproductive Technologies ◽  
Obstetric Complications ◽  
Reproductive Age ◽  
Cost Effective Method ◽  
Torch Infection ◽  
Positive Results ◽  
Torch Infections

The necessity of examining the Ukrainians of reproductive age on TORCH infection by using TORCH-IgG-test-MBA and TORCH-IgM-test-MBA test-kits has been analysed in this article. The study has been conducted to introduce an examination algorithm, which is supposed to increase the frequency of achieving positive results after using ART and reduce the frequency of perinatal and obstetric complications, as well as provide a quick and cost-effective method of infections diagnosis. Key words: infertility, assisted reproductive technologies, TORCH infections, test-kits.

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