PREVENTION OF MULTIPLE PREGNANCY MISCARRIAGE USING OBSTETRICIAN UNLOADING PESSARY
DOI:
https://doi.org/10.11603/24116-4944.2017.1.7101Keywords:
multiple pregnancy, miscarriage, unload obstetrican pessary.Abstract
The aim of the study – to evaluate the effectiveness of the handling of obstetric pessary in women with multiple pregnancies with a high risk of miscarriage.
Materials and methods. We analyzed 40 cases of handling obstetric pessary in pregnant with twins with symptoms of miscarriage in the period of 18–28 weeks of pregnancy, which constituted the first group of subjects. The second group – 12 pregnant with twins, who had imposed a seam on the cervix about cervical incompetence. The control group – 18 pregnant with twins who were prescribed conservative therapy. The above analysis of the flow of pregnancy, childbirth, postpartum and neonatal adaptation state in the surveyed groups.
Results. Dynamics of cervical shortening was significantly slower in patients in group I, which was established discharge obstetric pessary, it is an effective method of prevention and treatment of pregnancy loss in women with multiple pregnancies, reduce the frequency of late abortion and preterm birth, perinatal losses. Patients of Group I had fewer cases of premature rupture of membranes in 7 (17.5 %) patients of group I compared to 3 (25.0 %) and group II women in 5 (27.7 %) of pregnant control group in I surveyed a group term delivery occurred in 34 (85 %) cases in group II – 9 (75.0 %) cases in the control group – 12 (66.6 %) cases. In the control group, perinatal losses amounted to 2.7 %. there were no perinatal losses in the first group. Observed reduction in growth-weights of children in the control group II and also a decrease in newborn state estimation parameters Apgar II and the control group in the assessment of neonatal adaptation newborn surveyed groups.
Conclusions. The method of application handling obstetric pessary is pathogenetically justified in pregnant women with multiple pregnancy and allows to prolong pregnancy to full-term period in 85 % of women surveyed group, medication to reduce the burden on the pregnant woman and fetus.
References
Baranov, I.I., Tokova, Z.Z., & Таdevosyan, A.A. (2012). Perynatalnі yskhody pry mnohoplodnіkh rodakh [Perynatal result of multiple pregnancy]. Akusherstvo I ginekologiya – Obstetrics and gynecology, 1, 98–102 [in Russian].
Vdovychenko Yu.P. Bahatoplidna vahitnist [Multiple pregnancy]. [in Ukrainian].
Zanko, S.N., & Zhuravlev, A.Yu. (2009). Preduprezhdenye prezhdevremennіkh rodov s pomoshchyu akusherskoho razhruzhayushcheho pessaryya [Preventing of preterm birth with the help of obstetric off-load pessary]. Zdravokhraneniye – Healthcare. 8, 6–9 [in Russian].
Krasnopolskiy, V.I., Novikova, S.V., Kapustina, M.V., Titchenko, L.I., Aksenov, A.N., & Zharova, A.A. (2009). Sovremenny problemy mnohoplodnoy beremennosty [Modern problems of multiple pregnancy]. Rossyyskyy vestnyk akushera-hynekoloha – Russian Reporter of obstetrician gynaecologist, 2, 79–81 [in Russian].
Lapach, S.N., Chubenko, A.V., & Babych, P.N. (2000). Statystycheskye metody v medyko-byolohycheskykh yssledovanyyakh s yspolzovanyem Exel [Statistical methods in biomedical research using Exel]. Kyiv: Моriоn [in Russian].
Mykhaylova, V.V., Ruban, N.K., & Tsemashkо, S.V. (2008). Opyt yspolzovanyya akusherskoho razhruzhayushcheho pessaryya u zhenshchyn s vysokym ryskom prezhdevremennykh rodov [Experience in the use of obstetric pessary is unloading in women at high risk of preterm birth]. Zdorovye zhenshchiny – Women's Health, 32, 4, 68–70 [in Russian].
Nіkіtіna, I.N., & Kuzomenska, M.L. (2014). Bahatoplidna vahitnist [Multiple pregnancy]. Sumy: Universytetska knyhа [in Ukrainian].
Nikitina, I.N., Sukharev, A.В., Boychuk, A.V., & Smiyan, S.A. (2016). Osoblyvosti neonatalnoyi adaptatsiyi novonarodzhenykh z dviyni [Features of adaptation of neonatal infants from twins]. Zhurnal klinichnykh ta eksperymentalnykh medychnykh doslidzhen – Journal of Clinical and Experimental Medical Research, 4, 2, 264–271 [in Ukrainian].
Almonte, L., Davis, М., Ward, С., Brown, D., & Craparo, F. (2012). Spontaneous and non-spontaneous twins: a comparasion study of preterm labor, preterm premature rupture of membranes, gestational age at delivery, maternal age, and length of hospital stay. Twin Research and Human Genetics, 15, 2, 170.
Kuwata, T., Matusubara, S., @ Ohkuchi, A. (2004). The risk of birth defects in dichorionic twins conceived by assisted reproductive technology. Twin Res., 7, 223–227.
Renaud, R., Lazar, P., & Guegun, S. (2008). Multicentre controlled trial of cerclage in women at moderate risk of preterm delivery. British Journal of Obstetrics and Gynecology, 91, 731–735.
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