ANALYSIS OF OBSTETRIC OUTCOMES OF THE FIRST AND SECOND TRIMESTER OF PREGNANCY IN WOMEN WITH DIFFERENT TYPES OF MYOMECTOMY AND EXTERNAL GENITAL ENDOMETRIOSIS IN ANAMNESIS
DOI:
https://doi.org/10.11603/24116-4944.2018.2.8941Keywords:
conservative myometectomy, external genital endometriosis, pregnancy, first trimester, second trimester, complicationsAbstract
The aim of the study – to reduce the frequency of obstetric pathology in women with conservative myometectomy and external genital endometriosis in anamnesis.
Materials and Methods. The peculiarities of the clinical course of pregnancy and childbirth in 100 women who had undergone conservative myomectomy before pregnancy were studied. Pregnant women were divided into two groups, depending on the method of the operation and the tactics of pregnancy: group I – 50 women after conservative myomectomy without removal of foci of endometriosis. Group II – 50 women after conservative myomectomy and removed foci of endometriosis or an endometrioma in history.
Results and Discussion. The analysis of the frequency of obstetric complications by trimester in the examined patients is carried out depending on the performed surgical intervention and the use of the treatment and prophylactic complex of measures.
Conclusions. The study showed that the complicated course of pregnancy in the first trimester was most common in women with a scar on the uterus after a myomectomy. In addition, often the threat of termination of pregnancy in the second trimester was observed in women with placental localization in the projection of the scar on the uterus, especially after the removal of multiple myoma nodes after the removal of interstitial nodes with centripetal growth. Less significant factors in the development of the threat of late miscarriage were the size of the removed myoma nodes and the types of directions of the incisions on the uterus.
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