Kopiychuk I. Preventative measures of meconium aspiration of the foetus.

The aim of the thesis was to reduce the frequency of complications of gestational process of MA of the foetus by correction of fetal biophysical activity and choosing the effective obstetrical tactic. As a result of the researches it was proved that under satisfactory condition of the foetus light meconium colouring of amniotic fluid should be considered as the development of physiological maturation of its gastrointestinal tract. Gluey and thick consistency of amniotic fluid, as the result of meconium passage, are present due to antenatal anguishing of the foetus. The anomalies of labor (powerless and discoordinated uterine disfunctions), augmentation of labor, fetal distress are the cause of RMF. They can be observed in both latent and active phase of labor. Single RMF as inspiration-expiration have no high prognostic value for perinatal effects under the condition of liquid consistency of amniotic fluid. Average risk of MA is observed with emerging of regular simple of episodic nature RMF, and of double, triple and twinkling type when amniotic fluid is of too gluey consistency. The registration of prolonged and hiccupping pathological RMF indicates high probability of MA development when the consistency of amniotic fluid is thick. When there is a risk of MA the usage of neurotropic preparation (Aminazin and Diazepam) promotes the condition of refractoriness, tolerance, areactivity and reduces the frequency of RMF of the foetus. When the risk of MA is average giving birth through natural birth canal with the conduction of pharmacological retardation of fetal biophysical activity is reasonable. High probability of MA, upon condition of reverse distress of the foetus, foresees cesarean operation. Based on received results technology of aid under the risk of MA development is elaborated, approved and put in practice in obstetrical hospitals and it reduces such a pathology in 1.8 times.