Features of pregravid preparation of patients with a history of non-developing pregnancy
Selikhova M.S., Vdovin S.V., Uglova N.D.

Volgograd State Medical University

In the conditions of the demographic crisis in Russia, it is necessary to conduct the pregravid training for all women planning pregnancy, with an emphasis on patients with a history of non-developing pregnancies. The problem of miscarriage is in the focus of modern obstetrics. Its incidence rate is 15-27% of the total number of all detected pregnancies. After the termination of the missed miscarriage, the combined oral contraceptives with folates are appointed for at least 3 months. The next stage of preparation for pregnancy is the study of vaginal microbiosis and the exclusion of infectious processes of the genitals. When identifying clinical signs of vaginitis or pathogenic microorganisms, it is necessary to use antimicrobial therapy. After that, the endometrial condition is determined in the «implantation window». The preparation of the endometrium is carried out using female sex hormones, in particular gestagens. Doses and duration of appointment of gestagens are determined by the terms of ovulation and early diagnosis of pregnancy. Now it can be done by Clearblue tests, which have an accuracy of 99% and are the world leader in this matter.

Key words: non-developing pregnancy, pregravid preparation, COC with folates, gestagens, Clearblue tests for ovulation and preclinical pregnancy diagnosing.
For citation: Selikhova M.S., Vdovin S.V., Uglova N.D. Features of pregravid preparation of patients with a history of non-developing pregnancy // RMJ. 2017. № 26. P. 1950–1951.