Vol 48, No 3 (1999)

Current public health problems

The general review of a situation with infections transmitted by a sexual way. The analysis of morbidity with congenital inherent lues in Russian Federation

Tihonova L.I.


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

Journal of obstetrics and women's diseases. 1999;48(3):7-9
pages 7-9 views

Original Research

Modern representation about venous circulation in fetoplacental system

Ailamazyan E.K., Konstantinova N.N., Polyanin A.A., Kogan I.U.


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.

Journal of obstetrics and women's diseases. 1999;48(3):10-14
pages 10-14 views

Morphological and microbiological endometrium researches in examination of the patients with tubal-peritoneal infertility at a stage of preparation to IVF

Corsac V.S., Bodul A.S., Isakova E.V., Savitcheva A.M., Tchemodanova E.B.


At 102 patients with tubal-peritoneal infertility at examination after unsuccessful attempt of IVF in 1 phase (8-10 days) of menstrual cycle was made a biopsy of endometrium with subsequent histologic and microbiological research of the material. The pathology of endometrium was revealed in 67,7 % patients. As a result of microbiological pathogenic and is conditional - pathogenic microorganisms are allocated in 29 (28,4 % ) women (streptococci of group В - at 16 ( 15,7 %) patients, chlamydia - at 11 (10,7 %), mycoplasma - at 2 (1,9 %). And the morphological endometrium pathology was found at 18, in others 11 cases the persistence of these microorganisms in endometrium was not accompanied with any histologic manifestation of inflammatory process. All patients with verified diagnosis of chronic endometritis have passed a rate complex éthiopathogénie therapy. In the result of treatment after attempt for IVF the pregnancy has come in 58,8 % of cases. The morphological and microbiological researches of endometrium should be included in examination of patients with tubal- peritoneal infertility at a stage of preparation to IVF in connection with high frequency of infectional pathology of endometrium to this group of the patients.

Journal of obstetrics and women's diseases. 1999;48(3):15-18
pages 15-18 views

The criterion and opportunity of organ-saving operations at purulent- inflammatory diseases of uterus and andex in women of reproductive age

Bagnenko S.F., Novikov E.I., PIakhotnikov I.A., Kira E.F., Borisov A.V., Gorbakova L.S.


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.

Journal of obstetrics and women's diseases. 1999;48(3):19-21
pages 19-21 views

Diagnostic importance of endoteliogramm in pregnant woman with late gestosis diabetes mellitus

Zainullina M.S., Mozgovaya E.V., Niaury D.A.


Under the supervision there were 415 pregnant women with physiological pregnancy, late gestosis and suffering from diabetes mellitus. At application of a preparation “Sulodexid” in pregnant woman with diabetes mellitus I type was revealed an authentic improvement of diabetes indemnification. The contents of crates, circulating in blood and endothelium after Sulodexid treatment has authentically decreased.

Journal of obstetrics and women's diseases. 1999;48(3):22-24
pages 22-24 views

Correction of vessel-trombocyte infringements hemostasis in peri-and postmenopause with the help of a preparation Flogensyme

Repina M.A., Corso Т.М., Zinina Т.А., Riskevitch S.I.


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.

Journal of obstetrics and women's diseases. 1999;48(3):25-29
pages 25-29 views

Quality-of-life of the women after surgical treatment of ectopic pregnancy

Kira E.F., Bezhenar V.F., Ruhliada N.N.


Estimation of quality-of-life (QOL) - modern method of researches allowing to reveal even insignificant change in any spheres of ones life with the purpose of all-round definition of efficiency of treatment. The questionnaire, developed by the authors, for an QOL estimation f the patients after operations concerning ectopic pregnancy has high sensitivity, and allows to reveal statistically significant authentic distinctions since 14 day postoperation. The conducting factor determining QOL of patients after all kinds of surgical ectopic pregnancy treatment is the infertility. The increase of a share carried out organ-saving operations considerably improves reproductive health of the population in comparison with results of radical surgeries with removal of uterine tube, that is reflected in fastest positive dynamics in QOL in various terms after operation.

Journal of obstetrics and women's diseases. 1999;48(3):30-34
pages 30-34 views

Use of Divena and Divitren for treatment of the typical form of climacteric syndrome

Ryabtceva I.T., Shapovalova K.A., Kucheryavenko A.N.


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.

Journal of obstetrics and women's diseases. 1999;48(3):35-38
pages 35-38 views

The factors of risk of trombophyllia and aterosclerosis: influence of age and reception of estrogen-gestagen OCP's

Tarasova M.A., Kobylianskaya V.A.


In the article the results of research for mutation of the factor V Leiden, hemostasic parameters estimating internal and external mechanisms of activation of curtailing blood and anticoagulant system, resistance index for this age group has the importance to the activity of the factor VIII are considered. At the women of the senior age, despite of presence in them of initial moderate hyper- and dislipid syndrome on a background of reception of preparations containing progestagen- desogestrel, were observed antiaterogenic change of a lipid’s spectrum in plasma.

Journal of obstetrics and women's diseases. 1999;48(3):39-42
pages 39-42 views

Bemithyl efficiency in complex therapy of chronic fetal hypoxia in gestosis

Rjabynin G.B., Smirnov A.V., Tzvelev U.V., Zarubina I.V.


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.

Journal of obstetrics and women's diseases. 1999;48(3):43-47
pages 43-47 views


Tubal-peritoneal infertility (TPI). Problems and prospects

Bezhenar V.F., Maksimov V.F.


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.

Journal of obstetrics and women's diseases. 1999;48(3):48-55
pages 48-55 views

Reproductive function of women and allogenic organ transplantation

Kira E.F., Bezhenar V.F., Ruhliada N.N.


The analysis, carried out by the authors, of the literature has shown, that allogenic transplantation (AT) and immune suppression are not an obstacle for development of normal pregnancy and birth of the healthy child, the AT of internal female genitals with the use of microsurgical technique, correct choice of the circuit of immunosuppressive therapy, active tactics of conducting the pregnant women - the listed measures, in the long term, will become a new stage of the development of modern reproductive technologies. The further study of prospects for AT of internal genitals (complex is necessary: uterus - uterine tubes - ovaries) of women, at which they for some reasons are absent, and reproductive function is not fulfilled.

Journal of obstetrics and women's diseases. 1999;48(3):56-59
pages 56-59 views


Infections and reproductive health (Part II)

Kira E.F.


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

Journal of obstetrics and women's diseases. 1999;48(3):60-66
pages 60-66 views

History page

100th Anniversary of the Department of Obstetrics and Gynecology at the Pavlov State Medical University

Ailamazyan E.K., Novikov B.N., Starovoitov V.A.


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.

Journal of obstetrics and women's diseases. 1999;48(3):67-71
pages 67-71 views

Obstetric and gynecologic clinic from Pavlov's medical university. Place in structure of obstetrical service of the city

Kucheryavenko A.N., Novikov B.N.


The statistical data on work of obstetric and gynecologic clinic from Pavlov's medical university in comparison with municipals one are submitted. The prospects of development of obstetrical service are given.

Journal of obstetrics and women's diseases. 1999;48(3):72-73
pages 72-73 views

Nickolai Vasilievitch Sklifosofsky and his contribution to development of operative gynecology

Tzvelev U.V., Goda I.B.


“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)

Journal of obstetrics and women's diseases. 1999;48(3):74-80
pages 74-80 views


In-water labor

Ailamazyan E.K.


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.

Journal of obstetrics and women's diseases. 1999;48(3):81-85
pages 81-85 views


The mistakes in diagnostics and treatment of tubal pregnancy with the use of laparoscopy

Goda I.B., Bezhenar V.F., Berlev I.V.


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.

Journal of obstetrics and women's diseases. 1999;48(3):86-89
pages 86-89 views

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