ЗНАЧЕННЯ ПРЕГРАВІДАРНОЇ ПІДГОТОВКИ У ЖІНОК ІЗ СИНДРОМОМ ВТРАТИ ПЛОДА НА ФОНІ ВРОДЖЕНИХ ФОРМ ТРОМБОФІЛІЇ
| Autor: | N. M. Kinash, N. I. Genyk, T. B. Snizhko, L. L. Dola |
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| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Актуальні питання педіатрії, акушерства та гінекології. |
| ISSN: | 2415-301X 2411-4944 |
| DOI: | 10.11603/24116-4944.2017.1.7381 |
| Popis: | The aim of the study – the analysis of pregravid preparation value in women with fetal loss syndrome on the background of genetically determined forms of thrombophilia. Materias and Methods. Retrospective and prospective analysis of the pregnancy course in 42 pregnant women with fetal loss syndrome on the background of born trombophilia was conducted. Among them 22 women underwent pregravid preparation and 20 women pregnancy in whom occurred without offered by us pregravid preparation. Control group consisted of 30 women with physiological pregnancy course. The following research methods were used: clinical, functional (echographics, cardiotocographics, dopplerometry), hemostasiological and morphological. Results and Discussion. Thus, in women with genetically determined forms of thrombophilia, whose pregnancies had occurred without pregravid preparation, there were recorded the following complications: premature detachment of the normally located placenta in 4.76 % (2) of women, the threat of miscarriage in 9 (21.4 %) patients, the threat of premature birth in 7 (16.7 %) women, placental dysfunction in 10 (2.4 %) patients, while in women with pregravid preparation this disease was revealed less, danger of miscarriage in 5 (11.9 % ) patients, the threat of premature birth in 3 (7.1 %) women, placental dysfunction in 4 (9.5 %) patients. Ultrasound study of fetometric indicators of the fetus and antenatal assessment of placental structure allowed diagnosing the syndrome of fetal growth retardation in 11.9 % (5) of patients with thrombophilia without pregravid preparation. Conclusions. Pregravid preparation of women with fetal loss syndrome on the background of genetically determined forms of thrombophilia is very important and helps reduce the incidence of gestational complications. |
| Databáze: | OpenAIRE |
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