PERINATOLOGIYA AND PEDIATRIYA.2019.1(77):25-29; doi 10.15574/PP.2019.77.25

Tykha V. G., Skripchenko N. Y.
SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova NAMS of Ukraine», Kyiv

Purpose — to examine the effectiveness of the proposed algorithm for providing relief to women with leiomyoma in the postpartum period.

Patients and methods. We analyzed the algorithm developed by us for providing support to women with leiomyoma uterus, which was prescribed from the first days of the postpartum period. 100 women with leiomyoma of the uterus were screened for the 5–6th day of the postpartum period and 3 months after childbirth. Women were divided into 2 groups: 50 women entered the 1st group (main), which received the complex of treatment-prophylactic measures developed by us; in the 2nd group (control) 50 women from the uterine leiomyoma who did not receive this complex entered the group, but only symptomatic therapy. The results obtained were compared in these groups.

Results. The algorithm proposed by us for the treatment of pregnant women with leiomyoma of the uterus contributed to a faster reverse development of the changed parameter of the hormonal, hemostasis, immunological, microbiological homeostasis of this category of mothers, which in turn affects the acceleration of the involutionary processes, a longer and more complete process of lactation, a faster restoration of the menstrual function in comparison with a group of women who received only the usual treatment.

Conclusions. The proposed algorithm for providing medical care to women with leiomyoma in the postpartum period contributes to preventing the progression of the disease, preventing its recurrence, which in turn helps to preserve the reproductive function of women with leiomyoma in the uterus and, therefore, allows it to be recommended for its use in this category of pregnancy.

Key words: leiomyoma of the uterus, postpartum period, support algorithm.

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Article received: Dec 07, 2018. Accepted for publication: Feb 25, 2019.