Vol 48, No 3 (1999)

In article, the problem of morbidity with sexually - transmissive diseases in Russia and ways of their preventive maintenance is considered.

The development of venous circulation in fetoplacental system is one of the least known problems in perinatology. In work by a method of ultrasonic Doppler is investigated the development of blood flow in umbilical vein, v. cava inferior and jugulaar veins of a fetus with 8-th on 40-th week of normally developing pregnancy. It is shown, that the parameters of blood flow in the given vessels depends on gestational age of a fetus, conditions of venous return to heart and functional importance of venous vessel.

The authors judge, that use of the offered criteria under conditions of highly skilled and specialized hospital makes possible the performance, of mainly less invasive organ-saving operations in women of reproductive age at purulent - inflammatory diseases of uterus and adnex.

The authors specify that the method of system ensymetherapy opens new opportunities in regulation of a major link in pathogenesis of heart diseases in elderly - effective and safe normalization of intravascular trombocyte activation and their amplified aggregation function. The purpose of system ensymetherapy does not exclude, and, on the contrary, supplements replacement hormonal therapy, helps to remove by-effects connected to reception of hormonal preparations.

In the work the clinic and lab researches of substitute hormonal therapy (SHT) to climacteric syndrome (CS) by the combined drugs Divina and Divitren, containing natural estrogens and gestagen are submitted. 24 patients received Divina and 16 - Divetren. Up to 6 months of treatment the control of a status of their health with application of hormonal, USG, cytolic and histologic methods was carried out. The efficiency of treatment has made 92,5%. The side-effect didn’t require the cancellation of drug administration. The received results testify to validity SHT with Divina and Divetren in women with CS.

The results of the carried out clinical approbation of a preparation have shown, that at term pregnancy in complex therapy of chronic fetal hypoxia caused with gestosis, the inclusion of bemithyl is expedient. The reception of a preparation within 5 days in a daily dose of 10 mg/kgs of weight of a body divided into 3 receptions is recommended.

The fertility problems and its infringements attracted attention of the doctors - researchers of all times. The carried out analysis allows to make the conclusion about high efficiency of less-invasive methods of surgical correction in patients with TPI and testifies to expediency of realization of researches on their optimization and further development.

In the second part of the lecture the newest representations about vaginal fluid as to biological environment organism are considered.

One of the motives behind the establishment of the Women's Medical Institute (WMI) in 1897 was the need to radically improve the delivery of obstetric and gynecological care to the population. At that time, qualified medical aid could only be provided by a male doctor, which severely limited the demand for it by women, who were more willing to use the services of midwives and obstetricians-practitioners. The training of female physicians, specialists in obstetrics and gynecology, was the dictate of the times. In the "Regulations" on the establishment of the Institute, its main objective was formulated: "to provide women with a medical education, mainly adapted to the treatment of women's and children's diseases and obstetric activities.

“Speed of actions, the softness and tenderness of receptions, most severe cleanliness and neatness is made by the requirements, at which satisfaction can be eliminated adverse complications during our operations”

(N.V. Sklifosofsky)

The authors of the article share the point of view, that people are mammal creatures and are to fulfil the labor process not in water but on the surface.

In ectopic pregnancy diagnostics there can be objective difficulties in realization of the differential diagnosis with interrupting uterine pregnancy. The author considers the most typical mistakes in diagnostics and treatment of a pathology.