MICRONIZED PROGESTERON IN COMPLEX PREGRAVID PREPARATION AND PREGNANCY MANAGEMENT IN WOMEN WITH RECURRENT PREGNANCY LOSS ON THE BACKGROUND OF CHRONIC ENDOMETRITIS

Main Authors: С. І. Жук, С. Б. Чечуга, О. А. Ночвіна
Format: Article Journal
Bahasa: ukr
Terbitan: , 2020
Subjects:
Online Access: https://zenodo.org/record/4281298
ctrlnum 4281298
fullrecord <?xml version="1.0"?> <dc schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><creator>&#x421;. &#x406;. &#x416;&#x443;&#x43A;</creator><creator>&#x421;. &#x411;. &#x427;&#x435;&#x447;&#x443;&#x433;&#x430;</creator><creator>&#x41E;. &#x410;. &#x41D;&#x43E;&#x447;&#x432;&#x456;&#x43D;&#x430;</creator><date>2020-09-30</date><description>Purpose of the study: to determine the effectiveness of micronized progesterone with antibacterial therapy in the complex of pregravid training and during pregnancy in women with recurrent pregnancy loss on the background of chronic endometritis. Materials and methods. It was assessed the course of pregnancy and childbirth on clinical and instrumental grounds with a prospective analysis of reproductive losses in women with recurrent miscarriage and chronic endometritis. 45 pregnant women with recurrent miscarriage on the background of chronic endometritis formed the main group and were prospectively examined. Main group were divided into subgroups: I subgroup &#x2013; 24 patients who were included in the study at the stage of perconception training; subgroup II &#x2013; 21 patients who were included in the study with a diagnosed pregnancy for up to 12 weeks. The control group consisted of 32 pregnant women with a normal course of previous pregnancies without a history of reproductive loss. Results. Patients with recurrent miscarriage and chronic endometritis who received a complex of preconception training with support of the luteal phase with micronized progesterone showed a statistically significantly lower percentage of clinical symptoms of threatened abortion, with no significant difference in control group. Thus, only 2 (8.3%) patients lost pregnancy in the I subgroup who received the proposed preconception therapy, and 6 (28,5%) women lost pregnancy in the II subgroup who started taking micronized progesterone only from the moment of pregnancy diagnosed. Conclusions. Obtained results prove the effectiveness of the micronized progesterone (Utrogestan&#xAE;) at the stage of pre-pregnancy training in women with recurrent pregnancy loss and chronic endometritis, as evidenced by the percentage of reproductive losses. The universality of routes of administration for micronized progesterone and possibility of its use throughout pregnancy contributes to individualize of treatment regimens</description><identifier>https://zenodo.org/record/4281298</identifier><identifier>10.18370/2309-4117.2020.54.72-78</identifier><identifier>oai:zenodo.org:4281298</identifier><language>ukr</language><rights>info:eu-repo/semantics/openAccess</rights><rights>https://creativecommons.org/licenses/by/4.0/legalcode</rights><source>Reproductive Endocrinology 54 72-78</source><subject>recurrent pregnancy loss</subject><subject>chronic endometritis</subject><subject>micronized progesterone</subject><subject>Utrogestan&#xAE;</subject><subject>pregravid preparation</subject><title>MICRONIZED PROGESTERON IN COMPLEX PREGRAVID PREPARATION AND PREGNANCY MANAGEMENT IN WOMEN WITH RECURRENT PREGNANCY LOSS ON THE BACKGROUND OF CHRONIC ENDOMETRITIS</title><type>Journal:Article</type><type>Journal:Article</type><recordID>4281298</recordID></dc>
language ukr
format Journal:Article
Journal
Journal:Journal
author С. І. Жук
С. Б. Чечуга
О. А. Ночвіна
title MICRONIZED PROGESTERON IN COMPLEX PREGRAVID PREPARATION AND PREGNANCY MANAGEMENT IN WOMEN WITH RECURRENT PREGNANCY LOSS ON THE BACKGROUND OF CHRONIC ENDOMETRITIS
publishDate 2020
topic recurrent pregnancy loss
chronic endometritis
micronized progesterone
Utrogestan®
pregravid preparation
url https://zenodo.org/record/4281298
contents Purpose of the study: to determine the effectiveness of micronized progesterone with antibacterial therapy in the complex of pregravid training and during pregnancy in women with recurrent pregnancy loss on the background of chronic endometritis. Materials and methods. It was assessed the course of pregnancy and childbirth on clinical and instrumental grounds with a prospective analysis of reproductive losses in women with recurrent miscarriage and chronic endometritis. 45 pregnant women with recurrent miscarriage on the background of chronic endometritis formed the main group and were prospectively examined. Main group were divided into subgroups: I subgroup – 24 patients who were included in the study at the stage of perconception training; subgroup II – 21 patients who were included in the study with a diagnosed pregnancy for up to 12 weeks. The control group consisted of 32 pregnant women with a normal course of previous pregnancies without a history of reproductive loss. Results. Patients with recurrent miscarriage and chronic endometritis who received a complex of preconception training with support of the luteal phase with micronized progesterone showed a statistically significantly lower percentage of clinical symptoms of threatened abortion, with no significant difference in control group. Thus, only 2 (8.3%) patients lost pregnancy in the I subgroup who received the proposed preconception therapy, and 6 (28,5%) women lost pregnancy in the II subgroup who started taking micronized progesterone only from the moment of pregnancy diagnosed. Conclusions. Obtained results prove the effectiveness of the micronized progesterone (Utrogestan®) at the stage of pre-pregnancy training in women with recurrent pregnancy loss and chronic endometritis, as evidenced by the percentage of reproductive losses. The universality of routes of administration for micronized progesterone and possibility of its use throughout pregnancy contributes to individualize of treatment regimens
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