Strategy for diagnosis and correction of vaginal dysbiosis in terms of preparation of pregnant for planned cesarean section and prevention of postpartum endometritis
Journal Title: Медичні перспективи - Year 2013, Vol 18, Issue 4
Abstract
Clinical features of vaginal dysbiosis as a factor in the high risk of septic complications, especially in pregnant women diagnosed with anaerobic vaginal dysbiosis were examined. Low efficiency of the traditional methods of treating bacterial dysbiosis, a high rate of recurrences and the risk of preterm delivery dictate the need to find alternative methods of treatment and prevention of antenatal and post-natal complications. The widespread introduction of caesarean section into obstetric practice contributed to the reduction of perinatal loss. However, together with the expansion of indications for cesarean section, increase in the frequency and severity of post-natal chronic inflammatory diseases is associated. The number of purulent-inflammatory diseases in the early postoperative period and in the long-term period after C-section is large, reaching 3,3-54,3%. Postpartum period, even in physiological course and particularly in the presence of risk factors is favorable for the development of infectious complications. Almost all the authors identify caesarean section as a significant risk factor for postpartum endometritis, since, making only 10 - 20% of the total number of deliveries, cesarean section causes 80% of all postpartum endometritis. We propose a diagnostic algorithm, drug correction and prevention for this common group of patients.
Authors and Affiliations
K. Voronin, A. Alale, I. Alale, Y. Dzyba
Keywords
Related Articles
- EP ID EP93772
- DOI -
- Views 130
- Downloads 0
Роль нейтрофільно-лімфоцитарного індексу у прогнозуванні перебігу негоспітальної пневмонії в госпіталізованих хворих
Роль нейтрофильно-лимфоцитарного индекса в прогнозировании течения негоспитальной пневмонии у госпитализированных пациентов. Перцева Т.А., Киреева Т.В., Белослудцева К.О., Крыхтина М.А. В настоящее время ведется поиск ма...
Minimally invasive surgical operations in the treatment of patients with necrotizing pancreatitis
The results of surgical treatment of 133 patients with necrotic pancreatitis, who underwent 163 operations, were analyzed. 66 (49.6%) patients underwent laparotomy access, minimally invasive procedures – 67 (50.4%). It w...
Когнітивні порушення в пацієнтів із серцевою недостатністю ішемічного генезу
Когнитивные нарушения у пациентов с сердечной недостаточностью ишемического генеза. Азаренко В.Е., Потабашний В.А.,Фесенко В.И., Князева Е.В. Сердечная недостаточность – сложный клинический синдром со множественными взаи...
Микробиологические и иммунологические критерии диагностики начальной степени генерализованного пародонтита на стадии дорентгенологического проявления
У статті наведені результати порівняльного вивчення особливостей мікробного пейзажу та порушень місцевого імунітету у хворих на генералізований пародонтит на доклініко-рентгенологічній стадії розвитку у 60 хворих. Виявле...
Optimization of diagnostic and treatment algorhythm of blunt thoracic traumas in patients with combined thoracic and brain trauma
Results of treatment of 71 victims with combined blunt thoracic and brain trauma were analysed. In the main group (n=35) there was used algorithm, envisaging videothoracoscopic interventions and widening indications for...