THREATENED MISCARRIAGE AND PREGNANCY LOSS: CONTEMPORARY ASPECTS OF THE PROBLEM

Abstract

The aim is to examine the state of a miscarriage of pregnancy problem and approaches to its solution based on current Ukrainian and international experience; to investigate a relevant set of terms and their interpretations that are tangible to the above-mentioned problem. Materials and methods: modern information sources available for miscarriage and pregnancy loss. System analysis, bibliographic, bibliosemantic, comparative-and-analytical methods were used. Conclusions: A relevant set of terms and their interpretations tangential to the identified problem (n=13) have been researched. It was found that the achievement of rational pharmacotherapy in patients with the threat of miscarriage is complicated mainly by the presence of 4 factors: extragenital pathology, burdened obstetric-gynecological anamnesis, lack of adequate drugs and possibilities of their prescription, especially in the 1st half of pregnancy. Disregarding these factors when prescribing medicines increases the risk of drug-related problems occurrence, prolongation of hospitalization and the adverse outcome of treatment (miscarriage). The results of the analysis of available information flow have shown the existence of terminological ambiguity related to the threat of miscarriage, in particular, there are often the following terms: spontaneous abortion, threatened abortion etc. instead of miscarriage, the threatened miscarriage which are recommended by international experts both in native Ukrainian and foreign researches. Unintended use of inadequate terms, in particular, «pregnancy failure» may form negative influence on women, cause the exaggeration of their condition, induce the feeling of despair, guilt, uncertainty associated with loss of the pregnancy.