- Complex approach to diagnostics and treatment of patiology of pregnancy in women with perinatal losses in anamnesis
Complex approach to diagnostics and treatment of patiology of pregnancy in women with perinatal losses in anamnesis
HEALTH OF WOMAN. 2019.7(143): 63–66; doi 10.15574/HW.2019.143.63
L.I. Vorobey
Shupyk National Medical Academy of Postgraduate Education, Kiev
Kyiv City Center for Reproductive and Perinatal Medicine
The objective: improving the diagnosis and treatment of pregnancy pathology in women with a history of perinatal loss by implementing a comprehensive approach.
Materials and methods. A prospective longitudinal controlled randomized trial was conducted with the participation of 105 women aged 27.9 ± 0.4 years, with gestation at the first examination of 28.5 ± 0.47 weeks with a history of perinatal loss. Two anthropological-demographic and gestational group comparisons were formed: the main group (57 women), in which, in addition to the standard protocol, the author’s integrated approach to diagnostics (using cardiointervalography) and treatment of pregnancy pathology (including therapy, including treatment) cardiointervalography), and a comparison group (48 women) with a standard treatment-diagnostic approach. The nature and scope of the survey are in accordance with industry standards.
Results. As a result of the study, the best clinical parameters in the main group were determined, which included a lower frequency and severity of complications of pregnancy (premature delivery, anomalies of delivery, etc.).
Conclusion. The prospect of further research is the development of a mathematical model for predicting the effectiveness of diagnosis and treatment of pregnancy pathology in women with a history of perinatal loss.
Key words: pregnancy pathology, perinatal losses, cardiointervalography, obstetric history, neurovegetative regulation, fetal distress, treatment.
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