Bichevskaya R.G. Modern approaches to the labour administration using prostaglandins of group E1. – Manuscript.
Candidate of medical sciences thesis, specialized field 14.01.01 – obstetrics and gynecology. – Kyiv P.L. Shupyk medical academy of post-diploma education, Ministry of health protection of Ukraine, Kyiv, 2002.
The main purpose of the present study is to seek solution to the actual issue of modern obstetrics, that is to reduce the frequency and value of expression of obstetrics and perinatal complications at pregnancies of risk group for powerless labours.
The prognostic model of development of uterus contractility complications in labour was worked out using Bayes’ procedure.
The method of labour administration in women with different obstetrics patology including the use of PGE1 agent was worked out.
The influence of PGE1 on the labour regulation was studied on the basis of gomeostasis and uterus activity indicators, dinamic of cervix ripening and cardiotocogram.
Reducing in 1,4 times of total labour proceeding in pregnant patients, used PGE1, half-times reduction of frequency of preterm premature rupture of membranes, three-times secondary weakness of labour activity, 2,7-times of cesarean section and 2,5-times bleeding in early postpartum period was shown. The high effectiveness of PGE1 in women with unfavourable cervix was suggested.
Key words: pregnancy, labour induction, PGE1, labour complications, unfavourable cervix.
пЕРЕЛІК УМОВНИХ СКОРОЧЕНЬ
А– | адреналін
ДРД– | дискоординована родова діяльність
Е2– | естрадіол
К– | кортизол
КТГ– | кардіотокографія
НА– | норадреналін
НТ– | нестресовий тест
П– | прогестерон
ПГ– | простагландини
ПГF2б– | простагландини групи F2б
ПГЕ1– | простагландини групи Е1
ПГЕ2– | простагландини групи Е2
СРД– | слабість родової діяльності
ШМ– | шийка матки