Tactics of management of pregnancy

The tactics of managing pregnancy depend on the kind of disease a woman suffers from being taken by a gynecologist to register for pregnancy. The tactics of pregnancy management in arterial hypertension or renal pathology is different from the tactics for heart problems or the presence of diseases such as diabetes, systemic lupus erythematosus, herpes, etc.

Doctors conduct systematic monitoring of the state of health of a pregnant woman and monitoring the development of the fetus, which must comply with physiological standards. If necessary, the tactics of pregnancy management is adjusted, which allows a woman to bear and give birth to a normal child.

Abortion treatment is on the move

An abortion in progress is characterized by cramping pains in the lower abdomen, severe bleeding. The fertilized egg is in the cervical canal, its lower pole can protrude into the vagina. An abortion in progress can end in incomplete or complete abortion.

Treatment of induced abortion

When an abortion has begun, cramping pains and bloody discharge are more pronounced than when it is threatened. The fertilized egg is separated in a small area, so the size of the uterus corresponds to the gestational age.

Treatment of threatened abortion

In case of a threatened abortion, there is a feeling of heaviness or slight pulling pains in the lower abdomen and sacral region; in case of a late abortion, there may be cramping pains. Bloody discharge is insignificant or absent.

Treatment of isthmic cervical insufficiency outside of pregnancy

When isthmic-cervical insufficiency is detected, treatment should be etiological. Thus, in case of gross anatomical changes in the cervix caused by old ruptures (if this is the only reason for miscarriage), surgical treatment outside of pregnancy is necessary (cervical plastic surgery).

Management tactics for incomplete luteal phase outside pregnancy

Functional diagnostic tests revealed an incomplete luteal phase. Infection as a cause of chronic endometritis, which may be accompanied by an incomplete luteal phase, is excluded. There are no intrauterine adhesions, but there may be uterine hypoplasia, genital infantilism, and uterine malformations without isthmic-cervical insufficiency.

Family and Children