Harbuziuk V. Justification of prophylaxis and treatment tactics during preterm labor in women suffering from pulmonary tuberculosis.

The work is devoted to the systemic analysis and multimodal study of the pregnant women with pulmonary tuberculosis who belong to high-risk group in terms of premature labor. It was established that the standard of examination and perinatal care of pregnant women with pulmonary tuberculosis of risk group for preterm labor is a comprehensive clinical ultrasound examination in the gestation period of 8-12 weeks for the detection of prognostic adverse clinical and laboratory markers for complications of pregnancy. Further expanded Dopplerometric examination of utero-placental and fetal-placental circulatory disorders must be carried out in 16-18 weeks of pregnancy with correction of complications and the exclusion of associated anomalies and fetal malformations. In 30-32 weeks of pregnancy, conduction of Echography, Dopplerometric and cardiotocographic examination of the fetus is indicated for evaluation of postponement of preterm labor with the appointment of tocolytic drugs. The algorithm of therapeutic tactics for such patients was developed, as a result of which the frequency of fetal hypotrophy in the subgroup I-B decreased by 7,1%, the fetal development retardation syndrome index by 1,4%, placenta hypoplasia was less commonly observed by 1,4%, placental dysfunction features by 5,7%.