特别提醒你,你是来自外部势力的生日妻子

Яніна Вікторівна Шиманська
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引用次数: 3

摘要

本文是波尔塔瓦国立医科大学第二高等教育学院妇产科研究项目“子宫和下生殖道慢性感染在产科和妇科病理形成中的作用”(国家注册号0117U005276,实施期2017-2022)的一部分。在现代生殖医学中,婚姻不育被认为是一个特别重要的问题。这就是为什么现代辅助生殖技术被选为许多已婚夫妇的治疗方法,并且它们的应用越来越多,需要对怀孕和分娩过程进行深入监测。体外受精项目后的孕妇流产和早产的风险很高。这项研究的目的是研究体外受精后妇女的妊娠、分娩和新生儿状况,这些特征被归类为早产的高风险。女性在怀孕18-20周6天时被纳入研究。我们对85名体外受精后怀孕的妇女进行了检查(研究组A:37名孕妇拒绝接受预防性治疗,并按照规定接受药物治疗;研究组B:48名孕妇自纳入研究以来接受了拟议的治疗。对照组包括20名自然受孕的明显健康孕妇。研究组A的孕妇以早产告终出生次数增加1.7倍,大多数发生在34周之前;在怀孕期间,早产的风险更大,除了采取保守措施外,还需要加强矫正:缝合宫颈和使用产科卸载子宫托;剖宫产的发生率高达1.3倍。此外,仅在该组中,观察到病理性出血,进行了手术,并记录了围产期死亡率。同意接受预防性治疗的孕妇在34周后早产次数减少。在这些妇女中,妊娠和分娩并发症的发生率要低得多。分娩的手术干预和剖宫产分娩的频率也不太常见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ОСОБЛИВОСТІ ПЕРЕБІГУ ВАГІТНОСТІ ТА РОЗРОДЖЕННЯ ЖІНОК З ЕКСТРАКОРПОРАЛЬНИМ ЗАПЛІДНЕННЯМ З ГРУПИ ВИСОКОГО РИЗИКУ ПО ВИНИКНЕННЮ ПЕРЕДЧАСНИХ ПОЛОГІВ
The article is a part of the research project at the Department of Obstetrics and Gynecology No.2 of Higher Education Institution Poltava State Medical University "The role of chronic infection of the uterus and lower genital tract in the formation of obstetric and gynecological pathology" (state registration No. 0117U005276, implementation period 2017-2022). In modern reproductive medicine, infertility in marriage is considered a problem of particular importance. That is why modern assisted reproductive technologies are chosen as a method of treatment for many married couples, and their increased application necessitates intensive monitoring of the course of pregnancy and delivery. Pregnant women after in vitro fertilization programs are at high risk of miscarriage and preterm birth. The aim of the research was to study the features of pregnancy, childbirth and the condition of newborns in women after in vitro fertilization, which are classified as high risk for preterm birth. Women were included in the study at 18-20 weeks 6 days of pregnancy. We examined 85 women who became pregnant after in vitro fertilization (study group A: 37 pregnant women who refused preventive treatment and received medications in accordance with regulations; study group B: 48 pregnant women who have received the proposed treatment since their inclusion in the study. The control group included 20 apparently healthy pregnant women with its natural pregnancy onset. In pregnant women of study group A, pregnancies ended in premature birth by 1.7 times more often, and most of them occurred before 34 weeks; during pregnancy, there was a greater risk of preterm birth, which required enhanced correction in addition to conservative measures: suturing the cervix and the use of obstetric unloading pessary; the frequency of delivery by cesarean section prevailed by 1.3 times. Moreover, only in this group, pathological bleeding was observed, surgery was performed and perinatal mortality was recorded. Pregnant women who agreed to preventive treatment developed fewer preterm births after 34 weeks. Complications of pregnancy and childbirth were much less common in these women. Surgical intervention in childbirth and the frequency of delivery by cesarean section were also much less common.
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