POSSIBILITIES FOR REDUCING BIRTH TRAUMA IN WOMEN AT HIGH RISK FOR MATERNAL PASSAGE SOFT TISSUE INJURIES


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Abstract

Objective. To estimate the incidence of birth-related trauma in the population and to determine opportunities to reduce this condition with depantol in pregnant women at high risk for soft tissue injuries in the maternal passages. Subjects and methods. A study that included a retrospective part to estimate the incidence of birth trauma in a female population that had given birth to a baby and a prospective part was conducted. The study included 105 pregnant women at 36-37 weeks with risk factors for soft tissue injuries in the maternal passages, who were divided into 2 groups. Group 1 consisted of 51 patients who were given depantol (1 suppository twice daily for 10 days) for labor preparation at 36-37weeks’ gestation (a study group). 54 patients were not specially prepared for childbirth (a comparison group). Results. The results assessed after maternity hospital discharge suggest that the depantol-treated patients show decreases in the rates of vaginal wall ruptures by 1.7 times, first- and second-degree perineal tears by 2.1%, and episiotomy by 1.6 times. The authors consider that lack of birth trauma is the most important result in 36.4% patients of the study group; moreover, they all had risk factors for birth trauma. Conclusion. Thus, this study suggests that there is a significant depantol-induced decrease in birth trauma in women at high risk for soft tissue injury in the maternal passages.

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About the authors

Marina Sergeevna Selikhova

MD, professor of the department of obstetrics and gynecology, Volgograd State Medical University. 400131, Russia, Volgograd, Pavshih boytsov sq. 1

Sergey Vasil'evich Vdovin

MD, professor of the department of obstetrics and gynecology, Volgograd State Medical University. 400131, Russia, Volgograd, Pavshih boytsov sq. 1

Nona Vachagovna Agabekan

postgraduate degree student of the department of obstetrics and gynecology, Volgograd State Medical University, doctor at Clinical Emergency Aid Hospital 400131, Russia, Volgograd, Pavshih boytsov sq. 1

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