Vol 46, No 1 (1997)

Here is the first issue of the renewed Journal of Obstetrics and Women's Diseases. Its history is closely connected with the first obstetric and gynecological society in Russia, the founding meeting of which took place on March 23, 1886 in St. Petersburg. Its first chairman was Professor A. Ya. Krassovsky, and the founding members together with him were Professors K. F. Slavyansky, I. F. Balandin and Associate Professor D. O. Ott, who later headed the Board of the Society for many years.

As a result of prolonged researches concerned of influence unfavorable factors of an environment, executed in Scientific Research Institute of Obstetrics and Ginecology named after D.O. Ott of RAMS obtained information of a conceptual level. It was established that effect of various factors nature-technogenic environment on the health of the women is actually identical, violation it reproductive function, have, some digit with one manual, in them dominated nonspecific or pathologic processes, the weight of which depends from duration, intensity of effect pathologic of the factors and from efficiency of processes of adaptation reproductive of the system the woman.

A role C.trachomatis infection and its possible consequences in puerperal period was investigated at 48 normal bom children and their mothers. The first group was 19 children and their mothers with normal tendency of early puerperal of period; the second group accordingly 28 mothers and 29 their children (one twins) with various functional violations. The 3-th group check of 16 healthy newborn and their mothers with normal current of pregnancy and sorts. In all groups a content C3, C3a of components complement, levels Ig A, M, G, circulatting immune complexes was studied. In the 1-st gr. C.trachomatis was detected only at one mother and was not detected at the children; in the 2-th gr. Accordingly at the 4 and the 5; in the 3-d gr. C.trachomatis in pairs “Mother - children” were not detected. Gross infringements in the immune system of the children were placed at chlamidiosis, and also heavy consequences at intrauterine infection G. trachomatis.

Original method of operation recanalisation intramural of a parts fallopian tube, distinguished from used earlier by saving full lengths of a tube, its maximum bloodsupply and innervation, and also natural channel in it intramural a department is offered.

Outcomes 20 operations are represented. The efficiency of operations on a level of origin pregnancy at a rational selection ill reaches 70 %.

The investigation of cytohystochemistry of features a decidual sell and content in serum of blood prolactine at during physiological of pregnancy and gestosis was spent with help of the modern methods. Was installed, that a dynamic research plasma of levels prolactine allows to estimate adaptive possibilities phetoplacental of a complex at gestosis. High correlation was marked of data, obtained at ultrasonic placentagraphie, cytohystochemistry researches and definition of levels prolactine in serum of blood was marked. The emplayment of data of methods has large practical value.

In operation own data and analytical arguing about possibility of application replacement hormonal of therapy (RHT) Livial at patients with climacteric cardiopathies are represented. In an outcome of researches is installed, that Livial promotes improving systole of myocard and reduces a degree it hypertrophy; normalization intracardial and intravascular bloodstream, improving active activw relaxing of the left ventricle and rise of elasticity large artery’s. The tendency to normalization, and on early stages climacteric climacteric hypertension - normalization arterial of pressure, and also - improving trofics of the myocard, rise of its electrical stability and lowering arithmogenic is observed; an amplification anticoagulation and lowering procoagulation of a potential of blood with improving oj microcirculation. Obtained data specify validity and necessity RHT of Livial at the women with climacteric cardiopathies.

The modem information about pathogenesis of various complications of pregnancy and role in their development autoanticorps are represented in the review. Value antiphospholipids autoanticorps in origin “antiphospholipids of a syndrome “ at pregnants, its clinical features and principles of treatment is shown.

There is review of the literature and the own data of the authors shown the of endothelins, endothelial-relaxing of the factor, factor of tumor necrosis, factor Willebrand, tissiue of a catalyst plasminogen, endotheliocites in patigenesis gestosis. These markers endothelial disfunction have large value in diagnostics and control of efficiency of therapy of hestosis.

You can find the personal views of the author on etiology, pathogenesis, clinical features and principles of therapy pelvic inflammory deseases in the lecture. The autors views are based on the large own experience.

The modem items of information and the own point of view of the authors about clinical manifestations methods of diagnostics and treatment herpes-virus infection of pregnant women are represented in the lecture.

ORDERS: On the list of social indications and the approval of instructions for artificial termination of pregnancy. The list of social indications for artificial termination of pregnancy. Instruction on the procedure for authorizing an artificial termination of pregnancy for social reasons. Instruction on the procedure for carrying out an artificial termination of pregnancy.

To the 150th anniversary of the birth of the outstanding gynecologist Slavyansky Kronid Fedorovich