Zasadnyuk O. Woman's delivery with uterine scar, prevention of complications.

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0415U002757

Applicant for

Specialization

  • 14.01.01 - Акушерство та гінекологія

16-06-2015

Specialized Academic Board

Д 05.600.01

Vinnytsia National Pirogov Memorial Medical University

Essay

Object - delivery and the clinical course of postpartum period in women with a uterine scar; goal - reduce the incidence of postoperative inflammatory complications (PIC) through preclinical diagnosis of the inflammatory response and the individual choice of the method of delivery in women with a uterine scar; methods - general clinical, biochemical, special obstetric, instrumental, microbiolog-ical, immunological, morphogistohimical, statistics; results - the first time the method of statistical modeling determined that the most significant risk factors for PIC in women with a uterine scar is the presence of anemia in pregnant women moderate and severe, asymptomatic bacteriuria, gestational pyelonephritis, bacterial vaginosis, inflammatory changes in the placenta, hysterography catgut, two-row hysterography; for the first time studied the state of homeostasis immunocytokines homeostasis parturient woman with a uterine scar, depending on the mode of delivery; The effect of different methods of suturing the uterus after the first cesarean section on the morphological structure of the scar on the uterus and on the reparative processes in the uterus; scientifically substantiated the need for a differentiated approach to the suturing of the incision on the uterus in the first and repeated cesarean section; branch – medicine.

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