Intrauterine hematomas as a reason of complicated pregnancy course
The attitude of obstetricians-gynecologists to intrauterine hematoma has undergone a serious metamorphosis over the past 15–20 years. The first systematic surveys did not detect a risk of hemorrhage for a future pregnancy, if the embryo/fetus «survived» the threat of rejection. At the same time, the...
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| Format: | Article |
| Language: | Russian |
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Remedium Group LLC
2016-12-01
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| Series: | Медицинский совет |
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| Online Access: | https://www.med-sovet.pro/jour/article/view/1594 |
| Summary: | The attitude of obstetricians-gynecologists to intrauterine hematoma has undergone a serious metamorphosis over the past 15–20 years. The first systematic surveys did not detect a risk of hemorrhage for a future pregnancy, if the embryo/fetus «survived» the threat of rejection. At the same time, the importance of exogenous causes of threatened miscarriage was exaggerated to the detriment of understanding of the endogenous processes that lead to disturbances of hormonal-immune interaction and dialogue between the mother and the fetus. As far as accumulation of evidence of late gestational complications the hollowness of well-being in pregnancy after intrauterine resolution of hematomas became apparent. Retrochorial hematomas that occurred in the first trimester of pregnancy are of particular importance. Today no one doubts that threatened miscarriage, the essence of which is detachment of the chorion, must be treated not by bed rest and antispasmodics, but by applying means acting on the universal reason of the gestational sac rejection – progestogens. |
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| ISSN: | 2079-701X 2658-5790 |