• A new view on the diagnosis of purulent-inflammatory diseases after childbirth

A new view on the diagnosis of purulent-inflammatory diseases after childbirth

HEALTH OF WOMAN. 2017.9(125):22–26; doi 10.15574/HW.2017.125.22  

Bulavenko  O.  V., Ostapyuk L. R., Rud  V. O., Voloshinovskii  A. S., Malyi  T. S.
Vinnitsa National Medical University named after MI Pirogov
Lviv National University named I.Franko

Postpartum infectious diseases are ranked second (WHO, 2016) in the structure of maternal mortality and complicate postpartum period. Most of the existing methods allow to diagnose diseases in the presence of an already deployed clinical picture.
The objective: of the work is to improve the diagnosis and prediction of pospartum endometritis by applying the method of fluorescence spectroscopy.
Materials and methods. The main group is -120 women in the postpartum period with postpartum endometritis, the control group is 38 women with uncomplicated postpartum period. A study of their blood serum was carried out using the method of fluorescence spectroscopy.
Results. Within the framework of the study, independent prognostic factors of the emergence of postpartum endometritis are inflammatory diseases of the lower department of the genital tract (p=0.01), abnormalities of labor (p=0.006) and TORCH infections (p=0.001). True markers for diagnosis of postpartum endometritis are the reduction in blood serum fluorescence intensity (IF) (p<0.0001) and the shift in magnitude lmax to the long-wave region (p=0.007).
Conclusion. The use of spectrum-fluorescent blood serum markers in the comprehensive diagnosis of postpartum endometritis allows to diagnose reliably thе onset and to predict the course of the disease, including the treatment process.
Key words: endometritis, postpartum purulent inflammatory diseases, method of fluorescence spectroscopy.


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