PREMATURE DELIVERY: ARE THERE PROMISES?


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Objective. To evaluate the efficiency and safety of different types of tocolysis during imminent premature delivery. Subject and methods. Women with premature pregnancy and recorded regular uterine contractility at 24-33 weeks’ gestation were divided into 2 groups. Tocolysis was performed using tractocile (atosiban) in Group 1 (n = 35) and gynipral in Group 2 (n = 23). Results. Pregnancy could be prolonged by on an average of 16.9 days in Group 1 and by 10.9 days in Group 2. Tractocil could postpone labor for more than 7 days in 27 pregnant women, which constituted 77% and gynipral could in 11 pregnant women, which was 47.8%. Moreover, the higher frequency of additional administration of tocolytic agents was found in the gynipral group. Conclusion. The use of tractocile is associated with the longer period of preterm pregnancy. And the safety of the agent makes its possible use just in outpatient and first-level inpatient settings, and while transporting to the third-level inpatient settings

Негізгі сөздер

Толық мәтін

Рұқсат жабық

Авторлар туралы

Viktor Radzinsky

N.E. Bauman City Clinical Hospital Twenty-Nine, Department of Obstetrics and Gynecology with Course of Perinatology, Peoples' Friendship University of Russia

Email: radzinsky@mail.ru
MD, professor, honored scientist of Russian Federation, head of the department of obstetrics and gynecology

Tatyana Galina

N.E. Bauman City Clinical Hospital Twenty-Nine, Department of Obstetrics and Gynecology with Course of Perinatology, Peoples' Friendship University of Russia

Email: tatiana.galina1@mail.ru
MD, professor. The department of obstetrics and gynecology

Nina Kirbasova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

MD, professor, department of healthcare organization and informatization, prevention of noninfection diseases

Anna Gondarenko

N.E. Bauman City Clinical Hospital Twenty-Nine, Department of Obstetrics and Gynecology with Course of Perinatology, Peoples' Friendship University of Russia

Email: nurkinn@yandex.ru
PhD student. The department of obstetrics and gynecology

Әдебиет тізімі

  1. Menon R. Preterm birth: a global burden on maternal and child health. Pathog. Glob. Health. 2012;10 6(3): 139-40.
  2. Nour N.M. Premature delivery and the millennium development goal. Rev. Obstet. Gynecol. 2012; 5(2): 100-5.
  3. Blencowe H., Cousens S., Oestergaard M., Chou D., Moller A.B., NarwalR. et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 2012; 379(9832): 2162-72.
  4. Радзинский В.Е. Акушерская агрессия. М.: Медиабюро Статус презенс; 2011. 688 с.
  5. Радзинский В.Е., ред. Репродуктивное здоровье. Учебное пособие. М.: РУДН; 2011. 727с.
  6. Lee H.C., Lyndon A., Blumenfeld Y.J., Dudley R.A., Gould J.B. Antenatal steroid administration for premature infants in California. Obstet. Gynecol. 2011; 117(3): 603-9.
  7. Haram K., Mortensen J.H., Morrison J.C. Tocolysis for acute preterm labor: does anything work. J. Matern. Fetal Neonatal Med. 2014; Jul 3: 1-8.
  8. Серов В.Н., Тютюнник В.Л. Тактика лечения угрожающих преждевременных родов. Репродуктивная эндокринология. 2012; 5: 22-4.
  9. Tocolysis for women in preterm labour. London (UK): Royal College of Obstetricians and Gynaecologists (RCOG). Green-top guideline no. 1b. February 2011. 13 p.
  10. Driul L., Londero A.P., Adorati-Menegato A., Vogrig E., Bertozzi S., Fachechi G. et al. Therapy side-effects and predictive factors for preterm delivery in patients undergoing tocolysis with atosiban or ritodrine for threatened preterm labour. J. Obstet. Gynaecol. 2014; 34(8): 684-9. doi: 10.3109/01443615.2014.930094.
  11. Flenady V., Reinebrant H.E., Liley H.G., Tambimuttu E.G., Papatsonis D.N. Oxytocin receptor antagonists for inhibiting preterm labour. Cochrane Database Syst. Rev. 2014; (6): CD004452. doi: 10.1002/14651858.CD004452. pub3.
  12. Salim R., Garmi G., Nachum Z., Zafran N., Baram S., Shalev Е. Nifedipine compared with atosiban for treating preterm labor: a randomized controlled trial. Obstet. Gynecol. 2012; 120(6): 1323-31.

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