Reproductive Health of Women with the Combined Pathology of Uterus and Mammary Glands

In: Family medicine · 2019 · pp. 99–101 · doi:10.30841/2307-5112.2.2019.175663 · W2973964433
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This study developed and implemented a diagnostic and prophylactic treatment algorithm for women with combined uterine and mammary gland pathologies, significantly reducing reproductive losses and obstetric/perinatal complications.

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The study examined reproductive function and pregnancy outcomes in women with combined pathology affecting the uterus and mammary glands, focusing on sterility pathogenesis and rates of obstetric and perinatal complications. It included 90 women with diffuse mammary gland dysplasia (with subgroups based on accompanying genital pathology) and a broader complex evaluation of 210 women, using auxiliary reproductive technologies and multidisciplinary clinical-laboratory functional assessment (including ultrasonography, Doppler, cardiotocography, morphology, endocrine and biochemical tests). Using a diagnostic and treatment-and-prophylactic algorithm, the authors reported reductions in multiple outcomes, including spontaneous abortion (4.5%), placental dysfunction (14.3%), preeclampsia (7.8%), fetal distress (7.8%), neonatal asphyxia (up to 14.8% for average degree), and perinatal losses (3.5%), among others. This paper is centrally about adenomyosis and related uterine pathology in the context of mammary dysplasia’s combined reproductive impacts.

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Abstract

The objective: depression of disturbances of reproductive function and gestational complications at women with combined pathology of uterus and mammary glands on the basis of studying of new aspects of pathogenesis of sterility and development of obstetric and perinatal pathology, and also improvement and introduction of algorithm of diagnostic and treatment-and-prophylactic actions depending on options of the combined pathology of uterus and mammary glands.Materials and methods. Sterility treatment at all patients at 1 stage was carried out by use of auxiliary reproductive technologies. 1 group was made by 90 women with diffuse diplasya of mammary glands. Three subgroups were distinguished from them taking into account existence of accompanying genital pathology. At the 2nd stage of researches by us it was carried out complex clinical-laboratory and functional inspection 210 women who depending on existence of the combined pathology of uterus and mammary glands were divided into groups and subgroups. In complex of the conducted researches were included clinical, ekhografical, dopplerometrical, cardiotocografical, morphological, endocrinological, biochemical and statistical.Results. Use of algorithm of diagnostic and treatmentand-prophylactic actions allows to reduce the frequency of spontaneous abortion by 4.5%; premature births – for 3.3%; placental dysfunction – for 14.3%; preeclampsias – for 7.8%; anomalies of patrimonial activity – for 11.1%; fetus distress – for 7.8%; the cesaraen sections – for 10.0%; asphyxias of newborns of average degree – for 14.8%; the serious – for 7.3%; post-hypoxemic encephalopathy – for 7.3%; realization of fetal becoming infected – for 6.8% and perinatal losses – for 3.5% respectively.Conclusion. Use of advanced algorithm of treatment-and-prophylactic actions at women with the combined pathology of uterus and mammary glands allows to reduce significantly frequency not reproductive losses, but also obstetric and perinatal complications that is the solution of an important problem of modern obstetrics.
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Abstract

The objective: depression of disturbances of reproductive function and gestational complications at women with combined pathology of uterus and mammary glands on the basis of studying of new aspects of pathogenesis of sterility and development of obstetric and perinatal pathology, and also improvement and introduction of algorithm of diagnostic and treatment-and-prophylactic actions depending on options of the combined pathology of uterus and mammary glands.

Materials

and methods. Sterility treatment at all patients at 1 stage was carried out by use of auxiliary reproductive technologies. 1 group was made by 90 women with diffuse diplasya of mammary glands. Three subgroups were distinguished from them taking into account existence of accompanying genital pathology. At the 2nd stage of researches by us it was carried out complex clinical-laboratory and functional inspection 210 women who depending on existence of the combined pathology of uterus and mammary glands were divided into groups and subgroups. In complex of the conducted researches were included clinical, ekhografical, dopplerometrical, cardiotocografical, morphological, endocrinological, biochemical and statistical. Results. Use of algorithm of diagnostic and treatmentand-prophylactic actions allows to reduce the frequency of spontaneous abortion by 4.5%; premature births – for 3.3%; placental dysfunction – for 14.3%; preeclampsias – for 7.8%; anomalies of patrimonial activity – for 11.1%; fetus distress – for 7.8%; the cesaraen sections – for 10.0%; asphyxias of newborns of average degree – for 14.8%; the serious – for 7.3%; post-hypoxemic encephalopathy – for 7.3%; realization of fetal becoming infected – for 6.8% and perinatal losses – for 3.5% respectively. Conclusion. Use of advanced algorithm of treatment-and-prophylactic actions at women with the combined pathology of uterus and mammary glands allows to reduce significantly frequency not reproductive losses, but also obstetric and perinatal complications that is the solution of an important problem of modern obstetrics.##plugins.themes.bootstrap3.article.details## This work is licensed under a Creative Commons Attribution 4.0 International License. Authors retain the copyright and grant the journal the first publication of original scientific articles under the Creative Commons Attribution 4.0 International License, which allows others to distribute work with acknowledgment of authorship and first publication in this journal.

References

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