MODERN WAYS OF CORRECTION AND PREVENTION OF MISCARRIAGE OF MULTIPLE PREGNANCY WHICH OCCURRED AFTER THE USE OF ASSISTED REPRODUCTIVE TECHNOLOGIES
DOI:
https://doi.org/10.11603/24116-4944.2022.2.13456Keywords:
multiple pregnancy, assisted reproductive technologies, miscarriage, premature birth, gestational course of multiple pregnancy, obstetric unloading pessary, prevention of premature birthAbstract
The aim of the study – to investigate the patient history data and analyze the course of pregnancy, childbirth, the postpartum period, and the condition of newborns in women with multiple pregnancies (MP), as well as to evaluate the results of using an obstetric unloading pessary as a prevention of miscarriage in women with multiple pregnancies after using of assisted reproductive technologies (ART).
Materials and Methods. 100 women with MP were under observation, 70 of them used ART, 30 became pregnant naturally. After a complete clinical and laboratory examination we suggested to women with MP after using ART the installation of an obstetric unloading pessary in order to prevent the occurrence of late miscarriage and premature birth. Thus, all pregnant women were divided into three groups: group I – 35 women with MP after ART, who were fitted with an obstetric unloading pessary at 14–16 weeks of gestation to prevent abortion; group II – 35 women with MP after ART, who were not fitted with an obstetric pessary due to the patients' refusal of this manipulation; group III – 30 women of the control group with MP that occurred naturally.
Results and Discussion. During the study, the women's anamnesis was analyzed, the share of accompanying extragenital pathologies was determined, the gestational course, chorionicity and amnioticity of the fetuses, as well as the course of childbirth and the condition of newborns were assessed. From the 1st group 31 (88.6 %) women delivered MP in the optimal term for childbirth. From the 2nd group, 28 (80 %) pregnant women gave birth prematurely within 24–36 weeks. In the control group full-term MP was detected in 16 (53.3 %) pregnant women.
Conclusions. Women with multiple pregnancies after using ART are recommended to use a unloading obstetric pessary in order to prevent miscarriage and premature births.
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