Vol 62, No 1 (2013)

The problem of low birth rates requires a complex solution. The actions that taken now in Russia, directed to one side: the material stimulation to increase birth rate and improving obstetric and gynecological care. The untapped resource is the development of perinatal psychology, organization perinatal psychological and psychotherapeutic assistance available to the population.

We performed an analysis of 85 histories of labor. Depending on perinatal outcome and application of uterotonics all stories of labor were divided into 3 groups. We present typical signs and shapes of uterine activity hyperstimulation in the application of uterotonic in labor. We established that with the appearance of any signs of hyperstimulation, it is necessary to limit or suspend the infusion of drug or to revise the plan of labor conduction in favor of the Cesarean section.

The Up to now, the role of uterine fibroids in the genesis of infertility and IVF failures is the subject of debate.Analysis of literature demonstrated that surgical strategy in patients with uterine myoma and infertility should be individualized. Along with the classic indications for myomectomy in women with infertility there are additional indications:

The paper considers modern approaches to the study of the method of cytological changes of Dysplastic squamous epithelium of the cervix, definition of pathogenetic treatment with the aim of preventing invasive cervical cancer: reducing morbidity and mortality

Current data contributing to the origin and development of endometriosis (E) — sever common disease of reproductive age women are reviewed. Numerous theories and hypothesis as well as basic pathological mechanisms underlying E are briefly outlined. Whole gene-net and particular groups of candidate genes involved in E are presented. The later include genes of detoxification system, sex hormones and their receptors, cytokines gene, onco- suppressors the genes contributing to embryonic development of female reproductive organs and cell proliferation Major molecular genetic data imply epigenetic impact in the origin of disease which results from progressive disregulation of endometrium genome functions provoked by unfavorable combinations of candidate genes of some signaling pathways and defects in their expression due to abnormal methylation pattern. Histone modifications and the faults of miRNA content. In line with systemic genetic concept initial stages of E could be provoked by different genetic, epigenetic and even external factors which outcome is the same pathophysiological and pathomorphological damages clinically classified as E. Two feasible molecular genetic routs of E. are suggested. Both are relying on unscheduled expression of early embryonic genes such as WNT4, HOX10, HOX11, GALT provoking the changes in genetic program of endometriotic cells (metaplasia) and their subsequent progression as the lesions of ectopic endometrium

Whatever reasons of adhesions are, ones are a major cause of pelvic pain, infertility and ovarian failure. Though the researches of the pathophysiological mechanisms of growth of adhesions are going on the attempts to determine effective methods to prevent adhesions do not rule to expected results. Advances in molecular biology identify number of biologically active molecules that regulate the inflammatory response, angiogenesis and tissue reconstruction. Those are crucial for normal peritoneal wound healing or for growth of tissue fibrosis.