OPTIMIZATION OF POSTPARTUM MANAGEMENT IN PUERPERAS WITH LABOR TRAUMA

Objective. To improve the management of puerperas with soft tissue injuries in the parturient canal, by incorporating the combined drug depantol into a package of medical measures. Subjects and methods. Ninety-eight puerperas with soft tissue injuries in the parturient canal, who were divided into two groups in accordance with the treatment method, were examined. Sutures were conventionally treated in comparison group puerperas and the package of medical measures in study group patients included the combined drug depantol. The latter contains an antibacterial component and dexpantenol that stimulates mucosal regeneration, normalizes cell metabolism, accelerates mitosis, and reinforces the strength of collagen fibers. The efficiency of different treatment procedures was evaluated using clinical evidence, laboratory tests of wound secretion and by determining Toll-like 4 receptors in blood and wound secretion. Conclusion. The study suggests that the incorporation of depantol into a package of medical measures ensures better postpartum and reduces the rate of infectious complications.

labor traumatism, infectious complications, depantol, antibacterial effect, regeneration