Профілактика невиношування вагітності у ІІ триместрі у жінок, які багато народжують

Abstract

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.