HEALTH OF WOMAN.2017.1(117):66–67; doi 10.15574/HW.2017.117.66

Leshcheva T. V., Romanenko E. L.
Dnepropetrovsk medical Institute of traditional and non-traditional medicine

The objective: depression of frequency of notincubation at primapara is more senior than 40 years on the basis of studying the clinical-ehografical, endocrinological, biochemical and microbiological changes, and also improvement of algorithm of diagnostic and treatment-and-prophylactic actions.

Patients and methods. Сlinical-functional and laboratory examination is conducted 80 primapara is more senior than 40 years which were divided into two groups and two subgroups. Control group made 20 primapara aged from 20 till 30 years, without obstetric and somatic pathology and the burdened genesial anamnesis.

Results. The studies show that women who give birth for the first time at the age of over 40 years history revealed high incidence of infertility (76.3%), the main causes of which are female factor (41.1%), clothing (34.8% ) and combined (24.1%).

The total incidence of miscarriage in women was 15.0%; after making pregnancy – 10.0%, and after assisted reproductive technologies – 20.0%. As for the timing of premature pregnancy, the more likely it is 8 weeks of pregnancy (50.0%) and less – 10 weeks (33.3%) and 12 weeks (16.7%).

Conclusion. Use of an advanced treatment-and-prophylactic technique at primapara is more senior than 40 years allows not only to reduce significantly the frequency of a spontaneous abortion in І a trimester, but also to improve obstetric and perinatal results of delivery.

Key words: notincubation, diagnostics, prophylaxis, age is more senior than 40 years.

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