电邮这篇文章 
发表评论 Pregnancy outcomes in women of different body types in cervical insufficiency
- 作者: Loseva O.I.1, Komissarova E.N.1, Karelina N.R.1, Gaiducov S.N.1
-
隶属关系:
- St. Petersburg State Pediatric Medical University
- 期: 卷 9, 编号 4 (2018)
- 页面: 44-49
- 栏目: Articles
- URL: https://bakhtiniada.ru/pediatr/article/view/10403
- DOI: https://doi.org/10.17816/PED9444-49
- ID: 10403
如何引用文章
全文:
详细
The rate of preterm birth remains high and has no downward trend, despite the introduction of new technologies. Isthmic-cervical insufficiency is one of the most important causes of premature birth. At the same time, many issues related to the prediction and treatment of isthmic-cervical insufficiency remain open. There is now a sufficient number of studies showing the relationship between somatotype, course and outcome of the disease. At the same time, stu dies related to the study of somatotypes in obstetric pathology are not enough.
The aim of the work is to assess the outcomes of pregnancy in women with isthmic-cervical insufficiency, taking into account the type of physique.
Materials and methods. the course and outcomes of pregnancy in 164 women with cervical insufficiency were studied. A computer somatotropina by R.N. Dorokhov all the best for measured strength of the pelvic floor muscles using a device pelvic muscle trainer.
Conclusions. The most frequently CI was found in women with mesosomatic and micro mesosomatic somatotype. Women macromesosomatic and micromesosomatic body types revealed low levels of muscle strength of the pelvic floor and a higher percentage of premature births. In groups macrosomy, macromesosomatic, microsomal body types often use different methods of correction CI. At the same time, the highest percentage of surgical correction of CI was observed in patients with macrosomatic type of physique. In other patients with different somatotypes, a non-surgical correction method was used.
作者简介
Olga Loseva
St. Petersburg State Pediatric Medical University
编辑信件的主要联系方式.
Email: loseva88@mail.ru
Assistant Professor, Department of Obstetrics & Gynecology
俄罗斯联邦, Saint PetersburgElena Komissarova
St. Petersburg State Pediatric Medical University
Email: komissaren59@mail.ru
PhD, Professor, Department of Human Anatomy
俄罗斯联邦, Saint PetersburgNatalya Karelina
St. Petersburg State Pediatric Medical University
Email: karelina_nr@qpmal.ru
PhD, Professor, Head, Department of Human Anatomy
俄罗斯联邦, Saint PetersburgSergei Gaiducov
St. Petersburg State Pediatric Medical University
Email: gaiducovsn@rambler.ru
MD, PhD, Dr Med Sci, Professor, Department of Obstetrics & Gynecology
俄罗斯联邦, Saint Petersburg参考
- Гайдуков С.Н., Атласов В.О., Лосева О.И., и др. Истмико-цервикальная недостаточность. Хирургические и консервативные методы коррекции. - СПб.: Изд-во ГПМУ, 2016. [Gaydukov SN, Atlasov VO, Loseva OI, et al. Istmiko-tservikal’naya nedostatochnost’. Khirurgicheskie i konservativnye metody korrektsii. Saint Petersburg: GPMU; 2016. (In Russ.)]
- Гайдуков С.Н., Томаева К.В., Комиссарова Е.Н. Невынашивание беременности у женщин разных типов телосложения // Педиатр. - 2016. - Т. 7. - № 4. - С. 57-60. [Gaydukov SN, Tomaeva KV, Komissarova EN. Noncarrying of Pregnancy in Women of Different Body Types. Pediatrician (St. Petersburg). 2016;7(4):57-60. (In Russ.)]. doi: 10.17816/PED7457-60.
- Дорохов Р.Н. Новое в учении о конституции // Современная антропология в медицине и спортивной практике. - Новосибирск, 1990. - С. 47-48. [Dorokhov RN. Novoe v uchenii o konstitutsii. In: Sovremennaya antropologiya v meditsine i sportivnoy praktike. Novosibirsk; 1990. P. 47-48. (In Russ.)]
- Дорохов Р.Н. Соматотипирование детей и подростков // Новости спортивной и медицинской антропологии. - 1991. - № 3. - С. 107-121. [Dorokhov RN. Somatotipirovanie detey i podrostkov. Novosti sportivnoy i meditsinskoy antropologii. 1991;(3):107-121. (In Russ.)]
- Лабунский Л.М. Антропогенетические особенности беременных с поздним токсикозом / Генетические маркеры в антропогенетике и медицине: тезисы докладов IV Всесоюзного симпозиума; Хмельницкий, 1988 г. - Хмельницкий, 1998. - С. 242-243. [Labunskiy LM. Antropogeneticheskie osobennosti beremennykh s pozdnim toksikozom In: Proceegings of the 4th All-Union Symposium “Geneticheskie markery v antropogenetike i meditsine”; Khmel’nickiy, 1988. Khmel’nickiy; 1998. P. 242-243. (In Russ.)]
- Никитюк Б.А., Мороз В.А., Никитюк Д.Б. Теория и практика интегративной антропологии. - Киев; Винница: Медицина, 1998. [Nikityuk BA, Moroz VA, Nikityuk DB. Teoriya i praktika integrativnoy antropologii. Kiev; Vinnitsa: Meditsina; 1998. (In Russ.)]
- Орел В.И., Гайдуков С.Н., Резник В.А. Стационарозамещающие технологии в акушерстве. - СПб: Изд-во ГПМА, 2002. [Orel VI, Gaydukov SN, Reznik VA. Stacionarozameshchayushchie tekhnologii v akusherstve. Saint Petersburg: GPMU; 2002. (In Russ.)]
- Audu BM, Chama CM, Kyari OA. Complications of cervical cerclage in women with cervical incompetence. Int J Gynecol Obstet. 2003;83(3):299-300. doi: 10.1016/s0020-7292(02)00343-0.
- Hernandez-Andrade E, Romero R, Ahn H, et al. Transabdominal evaluation of uterine cervical length during pregnancy fails to identify a substantial number of women with a short cervix. J Matern Fetal Neonatal Med. 2012;25(9):1682-1689. doi: 10.3109/14767058.2012.657278.
- Sheyn D, Addae-Konaedu KL, Bauer AM, et al. History of cervical insufficiency increases the risk of pelvic organ prolapse and stress urinary incontinence in parous women. Maturitas. 2018;107:63-67. doi: 10.1016/j.maturitas.2017.10.009.
- Warren JE, Nelson LM, Stoddard GJ, et al. Polymorphisms in the promoter region of the interleukin-10 (IL-10) gene in women with cervical insufficiency. Am J Obstet Gynecol. 2009;201(4):37.e1-5. doi: 10.1016/j.ajog.2009.05.022.
补充文件
