• Prophylaxis of obstetric and perinatal pathology at women with repeated preeclampsia and thrombophilias in the anamnesis

Prophylaxis of obstetric and perinatal pathology at women with repeated preeclampsia and thrombophilias in the anamnesis

HEALTH OF WOMAN. 2018.10(136):61–64; doi 10.15574/HW.2018.136.61

Govseev D. A.
Shupyk National Medical Academy of Postgraduate Education, Kiev
City Clinical Maternity Hospital № 5 in Kyiv

The objective: development and deployment of pathogenetically reasonable therapy at women with repeated preeclampsia and thrombophilias in the anamnesis.

Materials and methods. We conducted clinical-gemostasiological examination of 150 patients. The retrospective group was made by 60 women with preeclampsia and/or fetus loss in the anamnesis. The retrospective group is divided into 2 subgroups: subgroup of I – 30 patients with fetus loss at whom the preeclampsia took place till 29 weeks; a subgroup of II – 30 patients, which delivery from 29 to 34 weeks in connection with begun preeclampsia.

Results. Results of the conducted researches testify that in preeclampsia pathogenesis including repeated, the essential role is played by trombotical factors of heriditary and comorbidal character. The algorithm of diagnostic and treatment-and-prophylactic actions improved by us allows to prevent development the gemostasiological of disturbances, repeated preeclampsia and perinatal pathology.

Conclusion. Wide use of this complex in practical health care will allow to improve outcomes of course of pregnancy and labors at women of groups of high risk.

Key words: preeclampsia, prophylaxis, hemostasis.

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