DIAGNOSTICS OF THE PATHOLOGY OF IMPLANTATION IN WOMEN WITH RECCURENT MISCARRIAGE

Authors

  • O. A. Muntyan M. Pyrohov Vinnytsia National Medical University

DOI:

https://doi.org/10.11603/2415-8798.2017.2.7868

Keywords:

recurrent miscarriage, implantation pathology, gene polymorphism, PgR, VEgF.

Abstract

Recurrent miscarriage is a polyetiology disease, which is an acute social and health problem.

The aim of the study – to reduce the incidence of early reproductive losses by developing an algorithm pre-gravid diagnosis and prediction of the risk of miscarriage.

Materials and Methods. This study conducted an analysis of early reproductive losses for the period 2009–2016 years, determination gene polymorphism of progesterone receptors and endothelial growth factor as a possible cause of the pathology of embryo implantation. The study included 88 women with a diagnosis of reccurent miscarriage that met the inclusion criteria and exclusion.

Results and Discussion. During the reporting period were recorded 533 cases of spontaneous abortion, 1130 cases of missed abortion. Using molecular genetic studies polymorphism of progesterone receptor gene was found in 26 women (29.46 %) and polymorphism of endothelial growth factor in 70 women (79.54 %).

Conclusions. These data suggest an important role of polymorphism of progesterone receptor gene and endothelial growth factor in the disruption of implantation and placentation in women with recurrent miscarriage.

References

Haas DM,. Progestogen for preventing miscarriage / Haas DM,, Ramsey PS.. // Cochrane Database Syst Rev. – 2013. – С. 10: CD003511.

Practice Committee of the American Society for Reproductive Medicine. Evaluation and treatment of recurrent pregnancy loss: a committee opinion. // Fertil Steril. – 2012. – С. 98: 1103–11.

Rai R,. Recurrent miscarriage. / Rai R,, Regan L.. // Lancet. – 2006. – С. 368: 601–11.

Late sporadic miscarriage is associated with abnormalities in spiral artery transformation and trophoblast invasion. / Ball E, Bulmer JN, Ayis S та ін.]. // J Pathol.. – 2006. – С. 208(4):535–42.

Aydin S. Plasma malondialdehyde, superoxide dismutase, sE-selectin, fibronectin, endothelin-1 and nitric oxide levels in women with preeclampsia. / Aydin S, Benian A, Madazli R. // Eur J Obstet Gynecol Reprod Biol.. – 2004. – С. 15;113(1):21–5.

Published

2017-08-17

How to Cite

Muntyan, O. A. (2017). DIAGNOSTICS OF THE PATHOLOGY OF IMPLANTATION IN WOMEN WITH RECCURENT MISCARRIAGE. Bulletin of Scientific Research, (2). https://doi.org/10.11603/2415-8798.2017.2.7868

Issue

Section

OBSTETRICS AND GYNECOLOGY