Method for the treatment of threatened abortion

 

(57) Abstract:

Usage: in obstetrics. The inventive pregnant administered indomethacin on the background of peace and psychotherapy, the course of treatment is 7 days. Positive effect: allows you to prolong pregnancy in 97,7% of cases. table 1.

The invention relates to medicine, namely to obstetrics.

The aim of the invention is to increase the number of cases of prolonged pregnancy to term labor.

The method is as follows.

Pregnant at admission examined common in obstetric practice methods. In the fine detection of threatened abortion produce hospitalization. Appoint peace and psychotherapy. In the absence of contraindications pregnant impose additional indometacin according to the following scheme: initial single dose of 50 mg daily dose of 200 mg Drug administered 3-4 times a day. Treatment is 5-7 days. The drug is used during or after a meal. In the treatment process to provide individual control for each pregnant woman. Special attention is paid to the state of high energy activity and uterine tone. Repeated courses of treatment therapies.

P R I m e R 1. Patient D. , 21, was admitted to the hospital with complaints of lower abdominal pain and lower back pain, frequent urination. When obstetric examination revealed increased tone and excitability of the uterus formed when the cervix.

Diagnosis: pregnancy 24 weeks. The threat of miscarriage.

The patient is assigned to the peace and held 5 sessions of psychotherapy. Further appointed oral indometacin in tablets 50 mg 4 times a day after meals. The course of treatment was 5 days.

In the treatment process was carefully monitoring the patient. Complications and side effects from the applied treatment were observed. After two days of starting treatment improved the General condition decreased the uterine tone.

After 5 days from the start of treatment no complaints.

When obstetric examination revealed normal tone uterine palpation of the uterus is not excitable.

After 10 days of admission to the hospital pregnant in satisfactory condition discharged from the hospital under the supervision of your GP.

Control examination after 7 days after discharge from the hospital: no complaints. She feels good. Pennotti ended timely delivery. Weight of the newborn 3350,0, was born with estimation on Apgar scale 7-10 points, the height of 51 see

P R I m m e R 2. Patient S. , 24, was admitted to the hospital with complaints of pains in the lower abdomen, frequent urination, spotting from the vagina.

When the obstetric survey found: increased tone and excitability of the uterus with a shortened cervix.

Diagnosis: pregnancy 16-17 weeks. The threat of miscarriage.

The patient is assigned to physical rest, and conducted 6 sessions of psychotherapy. Further appointed oral indometacin in tablets of 50 mg 3 times a day after meals. The course of treatment was 6 days.

In the treatment process was carried out careful monitoring of the condition of the patient. Complications and side effects from the applied treatment is not marked.

After three days of starting treatment improved overall health, tone the uterus decreased.

After 6 days from the start of treatment no complaints. When obstetric examination was determined by the normal tonus of the uterus, disappeared her anxiety.

At the end of 12 days after admission to the hospital pregnant in satisfactory condition discharged home under the supervision WOB no, pregnancy proceeds without complications, on examination, the uterus is not excitable.

The pregnancy ended in a timely birth weight newborn 3200,0 height 50 cm, score on a scale of Apgar at birth 9-10 points.

P R I m e R 3. Patient K. , 22 years old was admitted to the hospital with complaints of cramping abdominal pain, chromazone from the vagina. When obstetric examination revealed increased tone and excitability of the uterus formed when the cervix.

Diagnosis: pregnancy 27 weeks. The threat of miscarriage. Further appointed oral indometacin in tablets of 50 mg 3 times a day after meals. The course of treatment was 7 days.

In the treatment process was carefully monitoring the patient. Side effects from the applied treatment is not marked.

After 3 days of treatment, the uterine tone dropped significantly, the feeling of "discomfort" in the lower abdomen and also pain in the lower abdomen.

After 7 days from the start of treatment no complaints. When obstetric examination was determined by normal uterine tone. At the expiration of 14 days from receipt in the hospital pregnant in a satisfactory condition and was discharged home. examination of the uterus in normal tonus, saved the cervix, the physiological course of pregnancy.

The pregnancy ended in a timely birth weight newborn 3900,0 growth of 52 cm, score on a scale of Apgar at birth 9-10 points.

The proposed method was treated with 44 women admitted to hospital with a threatened miscarriage. The control group consisted of a group of patients with the same pathology and the severity of the disease, which was treated by the method mentioned in the prototype. The results of the treatment are shown in table.

Comparative analysis of the results of the treatment are given in the table shows that the proposed method provided the prolongation of the pregnancy to term the timely delivery in 97,7% of cases (43 and 44 patients offered by way of pregnant women were reported timely delivery).

When using the same prototype treatment effect below. Timely delivery were noted only in 83,3-87% of women with threatened miscarriage.

The proof of the positive effect of using the invention is evident from the data table, namely, the incidence of prolonging the pregnancy to term labor amounted to 97.7 per cent , higher than that of the prototype. (56) Valutcina P. and other Current is ecologom. M. , 1976, S. 361.

Method for the treatment of threatened abortion by administering drugs, characterized in that, to increase the number of cases of prolonged pregnancy to term labor, administered indomethacin in a dose of 50 mg 3 to 4 times a day for 5 to 7 days.

 

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