Vol 62, No 6 (2013)

Articles
Integrated assessment haemostasis pregnant women with gestosis
Barinov S.V., Dolgikh V.T., Medyannikova I.V.
Abstract
The parameters of the kaolinaktivirovannoy thrombelastographic at physiological gestation, moderate, and severe gestosis. The significant differences between groups for the intensification of intravascular coagulation and fibrinolysis activity. Option and the severity of the changes thrombelastographic determine the need for correction hemocoagulation violations during gestation thrombohemorrhagic to prevent complications in pregnancy.
Journal of obstetrics and women's diseases. 2013;62(6):5-11
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Premature rupture of membranes in term pregnancy: prognosis, pathogenesis, management of pregnancy and labor
Bolotsky V.M.
Abstract
In current article the management of pregnancy and labor with premature rupture of membranes in term pregnancies and pathogenesis of premature rupture of membranes is discussed. The stimulation of labor in 2-3 hours after premature rupture of membranes without biological readiness for labor is not reasonable. In such cases active-observation tactic with antigestagens treatment and adequate antibacterial therapy helps to decrease the number of pathological labor, cesarean section and obstetrical trauma.
Journal of obstetrics and women's diseases. 2013;62(6):12-18
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Balloon thermoablation in patients with hyperplastic processes in endometrium treatment
Breusenko V.G., Mishieva O.I., Golova J.A., Politova A.P.
Abstract
The experience of treatment of 84 menstruating and postmenopausal patients with hyperplastic processes in endometrium is analyzed in the study. Balloon thermoablation of endometrium using TERMOCHOICE sistem was performed. Clinical effectiveness of ablation was assessed during 12, 24, 36 months. The effectiveness of thermoablation in menstruating women was 83,1 %, in menopause patients 100 %. The technique is safe, effective and uterus-preserving.
Journal of obstetrics and women's diseases. 2013;62(6):19-24
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Folate therapy optimization in complicated pregnancy
Kerkeshko G.O., Arutjunyan A.V., Arzhanova O.N., Milyutina Y.P.
Abstract
The role of folic acid and negative effects of its deficit in pregnancy are discussed. The folate content in the blood of pregnant women who were administered folic acid containing drugs were shown to excess the standard allowances. Possible side-effects of continuous folate blood level increase were revealed. The recommendations for folate therapy optimization in complicated pregnancy are given.
Journal of obstetrics and women's diseases. 2013;62(6):25-36
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Sluchay beremennosti i rodov u patsientki posle gastrektomii po povodu idiopaticheskogo total'nogo nekroza zheludka
Mihailin E.S., Ivanova L.A., Savitsky A.G., Ponomarev A.M., Gederim M.N., Kodentseva I.Y., Minina A.G., Davutyan S.A.
Abstract
В статье приводится собственное наблюдение случая беременности и родов у пациентки, которой 14 лет назад была проведена гастрэктомия по поводу идиопатического тотального некроза желудка. В мировой литературе описано всего несколько случаев подобной патологии у взрослых. На протяжении беременности пациентка соблюдала режим питания, получала препараты, улучшающие маточно-плацентарный кровоток, противоанемические препараты. Родоразрешение произведено путем операции кесарева сечения при сроке 37 недель, состояние матери и ребенка удовлетворительное.
Journal of obstetrics and women's diseases. 2013;62(6):37-39
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Hormonal contraception with progestagen desogestrel in women with diffuse non-toxic goiter аnd autoimmune thyroiditis
Pologoyko G.P., Yarmolinskaya M.I., Lekareva T.M.
Abstract
The article represents influence of gestagen desogestrel on size and function of thyroid gland in women of reproductive age. Into the study we included 70 women who were prescribed gestagen desogestrel in a daily dose of 75 mg for a period of 12 months. All the patients were devided into two groups. The first group consisted of 20 women with diffuse nontoxic goiter, the second consisted of 30 women with autoimmune thyroiditis. Control group consisted of 20 women without thyroid gland pathology. Prior to therapy with desogestrel and after 12 month of treatment, serum levels of free triiodothyronine, free thyroxine and thyrotropin releasing hormone, thyroperoxidase antibodies were determined and thyroid gland sonigraphy was performed in all the patients. Obtained data show that gestagen desogestrel doesn’t influence the size and function of thyroid gland in healthy women and in patients with diffuse non-toxic goiter. In women with autoimmune thyroiditis implication of desogestrel significantly decreases blood levels of thyroperoxidase autoantibodies.
Journal of obstetrics and women's diseases. 2013;62(6):40-46
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The features of pregnancy at women with liver steatosis and obesity
Rzaeva R.N., Mozgovaya E.V., Palgova L.K., Prokopenko V.M., Tumasova Z.N.
Abstract
40 pregnant women with obesity were totally examined and their outcomes of pregnancy and delivery were controlled. The examination of all pregnant women included the comprehensive examination of the functional state of the hepatobiliary system, ultrasound examination of the liver to identify the liver steatosis. These medical examinations made possibility to assess the dynamics of a clinical picture, ultrasound conclusions, biochemical indicators of liver function and lipid metabolism during the treatment. The frequency and severity of obstetric complications were also assessed.
Journal of obstetrics and women's diseases. 2013;62(6):47-54
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Anti-Mullerian hormone and polycystic ovary syndrome
Nikolaenkov I.P., Potin V.V., Tarasova M.A.
Abstract
Polycystic ovary syndrome (PCOS) is the most common form of normogonadotropic ovarian insufficiency, hyperandrogenaemy and anovulation sterility. One of the probable causes of this disease is disturbance of folliculogenesis, which is accompanied by overproduction of anti-Mullerian hormone (AMH) by ovarian tissue. There is a literature review about structure, biological properties and the role of AMH in pathogenesis of PCOS in this article.
Journal of obstetrics and women's diseases. 2013;62(6):55-61
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Group B streptococci in pregnant women: current situation
Hvan V.O.
Abstract
This article presents current data of international and Russian literature in respect of Group B streptococcus as one of the leading causes of morbidity and mortality of newborns. The review summarizes Cochrane’s database, recommendations of the American society of obstetricians and gynecologists (АСОG,2002), the American Academy of Pediatrics (AAP,2001), the centers for disease control (CDC,2010) on terminology, epidemiology, basic concepts of pathogenesis and methods of prevention of the infection in newborn infants.
Journal of obstetrics and women's diseases. 2013;62(6):62-66
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Importance of genital endometriosis in pathogenesis of infertility
Yarmolinskaya M.I., Denisova V.M.
Abstract
One of the most common manifestations of endometriosis is infertility. Currently much attention of researchers is lead to pathogenetic mechanisms of infertility in this disease, but there is not common conception of the causal effect of the failure of reproductive function. There is a literature review of mechanisms of fertility disturbance in genital endometriosis in this article. There are data about hormonal, immunological, genetic factors and data about endometrial alterations during implantation, which can influence on pregnancy onset.
Journal of obstetrics and women's diseases. 2013;62(6):67-77
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The Central Institute of Obstetrics and Gynecology in the Great Patriotic War Years
Konstantinova N.N., Bashmakova M.A., Starovoitov V.A.
Abstract
The article deals with the functioning of the Central Institute of Obstetrics and Gynecology (CIOG) during the Great Patriotic War
Journal of obstetrics and women's diseases. 2013;62(6):78-81
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DOCTOR K.F. WRANGELL - THE FORGOTTEN OBSTETRICIAN OF OLD PETERSBURG
Ovechkin E.G.
Abstract
In 2013 in St. Petersburg a small circulation of E. G. Ovechkin’s book «Doctor Wrangell - the Petersburg obstetrician» was published. It is devoted to activity of the doctor of medicine and surgery, the obstetrician baron K. F. Wrangell (1799-1875). The book is based on studying of a set of not previously published documents. The author acquaints with basic provisions of this book and excerpts from the most important documents.
Journal of obstetrics and women's diseases. 2013;62(6):82-90
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