HEALTH OF WOMAN. 2019.2(138): 29–36; doi 10.15574/HW.2019.138.29

Аntonyuk-Кysil V. , Dziubanovskyi I. , Yenikeeva V. , Lichner S. , Lypnyi V.
CNE «Regional Perinatal Center» of the Rivne Regional Council
State Pedagogical University «Ternopil State Medical University named after Gorbachevsky»

The article presents 457 pregnant women’s planned surgical treatment results in the 2nd and 3rd trimesters with primary progressive chronic venous disease (CVD) C2-4s, Ep, As, p, Pr (according to CEAR 2002 classification) according to the ERAS program. As a result of the study, it was noted that the use of the ERAS’ ideology for the pregnant women planned surgical treatment with CVD required the implementation in general and in some of its components adaptation to these patients, scrupulous compliance with them at all stages (before, during and after) surgery.

The most important in this program is a multidisciplinary approach to treating pregnant women, their hospitalization in a specialized obstetric hospital on the day of surgery, the use of perinatal psychotherapy for preparing the pregnant woman and the fetus before surgery, performing surgical interventions by a vascular surgeon so-called mono technologist or obstetric vascular surgeon. These factors contributed to the clinical 97% effectiveness achievement elective surgical treatment with 100% absence of all postoperative complications for the fetus and mother, prevented premature birth, helped to reduce the number and severity of postoperative complications from postoperative wounds that did not require additional treatment, did not affect fetal development, pregnancy course; ensured the childbirth and the postpartum period safety; comfortable pregnancy in the postoperative period with a decrease in the hospital stay length with the fastest possible patient’s return of the patient to their daily lifestyle was formed.

All operated patients did not need medical support in the postoperative and postpartum periods, except for the use of elastic knitwear with compression class 2 (stockings or socks) during physical activity.

Key words: non-obsessive-compulsive disorder, ERAS program, non-obstetric scheduled surgical treatment.

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