FEATURES OF COMPLEX PREGRAVID PREPARATION OF WOMEN WITH RECURRENT MISCARRIAGE 129 OF INFECTIOUS GENESIS

Author:

Tkachenko Lyudmila V.,Linchenko Natalia A.,Andreeva Margarita V.,Shevtsova Elena P.

Abstract

One of the most important issues of practical obstetrics at the present time is the problem of miscarriage, the frequency of which reaches 20 % [1]. The habitual loss of pregnancy is a consequence of many reasons, among which the role of an infectious factor, in particular chronic endometritis, is beyond doubt. According to various authors, up to 10% of the entire structure of miscarriage can be caused by this pathology [2, 3, 4]. An infectious and / or inflammatory process in the uterine cavity leads to irreversible changes in the cervix, which can act as a pathogenetic factor for cervical insufficiency (CI) [5]. Assessment of risk factors for cervical incompetence, primarily chronic endometritis as one of the main reasons for the development of this pathology, is especially important at the stage of pregnancy planning. In this regard, carrying out a full-fledged pregravid preparation in patients with recurrent miscarriage against the background of chronic endometritis is beyond doubt.

Publisher

Volgograd State Medical University

Subject

Anesthesiology and Pain Medicine

Reference7 articles.

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2. Колесниченко А.А., Петров Ю.А. Хронический эндометрит и невынашивание беременности // Международный вестник прикладных и фундаментальных исследований. 2019. № 10. С. 313-317.

3. Mc Queen D.B., Bernardi L.A., Stephenson M.D. Chronic endometritis in women with recurrent early pregnancy loss and/or fetal demise // Fertil Steril. 2014. Vol. 101 (4). P. 1026-1030.

4. The frequency and significance of intraamniotic inflammation in patients with cervical insufficiency / S.E. Lee, R. Romero, C.-W. Park [et al.] // Am J Obstet Gynecol. 2008. Vol. 198 (6). P. e1-8.

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