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Abstract
The objective: determination of the most optimal method of emptying the uterus in a dead pregnancy in preventing the formation of endometrial pathology in the future. Patients and methods. 90 women aged 18 to 35 years with a history of missed abortion and 40 women in the planning of pregnancy were examined. The main group of Ia — 60 women — a non-developing pregnancy undergoing the traditional method (vacuumm / curettage), group I (30) — vacuum with hysteroscopic quality control of the intervention. Control group II group of 20 women with abortion in the history, II b clinically healthy women in the preparation for maternity. Results. Chronic endometritis was detected in almost 56% of patients with traditional interruption of missed abortion and conventional therapy and 2% in interruption with hysteroscopic control when using imunomodulators. After the abortion with the proposed treatment and the control group, there was no chronic endometritis. In the first group A 50 women (84%) became pregnant, and 11 children were born, 25 patients (84.6%) became pregnant in group I-b, and — 22 (76.3%) gave birth. In group II, 19 patients (96%) became pregnant, 15 women (78%) gave birth. In group II-b, 100% became pregnant, gave birth to 100%. Conclusion. Repeated operatively intrauterine interventions are the guarantee of damage to the receptor component of the endometrium
in the future. Pregravidar preparation in women with missed abortion must be of an individual nature with an emphasis on the type of pregnancy and the method of emptying the uterus from the elements of the fetal egg. Predicting future gestational complications in women with an missed abortion in the anamnesis with an individual algorithm
of pregravid activities allows the full renewal of reproductive potential.
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