Treatment of threatened abortion in women with recurrent miscarriage (symptomatic therapy)
In the early stages of pregnancy in case of pulling, aching pain in the lower abdomen and lower back in women with recurrent miscarriage along with pathogenetic therapy should be carried out a treatment aimed at normalizing the tone of the uterus. Up to 12 weeks of pregnancy therapy includes:
Physical and sexual rest;
drotaverina hydrochloride 40 mg 2-3 times a day / m or 40 mg three times daily administration;
papaverine hydrochloride at a dose of 20-40 mg 2 times a day or 40 mg rectally 2-3 times daily administration;
magnesium preparation - in 1 tablet contained 500 mg magnesium lactate (including magnesium, 48 mg) was combined with 125 mg pyridoxine; the average daily dose of 4 tablets - 1 tablet in the morning and the afternoon and evening of 2 tablets. Duration of treatment is determined individually depending on the symptoms of threatened abortion.
In the presence of a partial detachment of the chorionic or placenta (20 weeks gestation) along with spasmolytic carried hemostatic therapy drugs calcium 1000 mg / day, sodium etamzilat at a dose of 250 mg three times a day orally or, when expressed bleeding, 250 mg 3 times a day / m.
With abundant spotting order to apply hemostatic tranexamic acid / drip 5-10 ml / day to 200 ml of 0.9% sodium chloride solution, followed by transfer onto the tablets at a dose of 250 mg three times a day until the termination of bleeding.
In the formation retrochorial and retroplatsentarnoy hematomas in step institutions use complex preparation containing bromelain 45 mg papain 60 mg, pankteatin 100 mg, chymotrypsin 1 mg trypsin 24 mg of alpha-amylase 10 mg, lipase 10 mg ascorbic acid + Rutoside 50 mg 3 tablets 3 times a day for 30 minutes before a meal, a course of 14 days.
At occurrence of tonic contractions expressed in term of 16-20 weeks of pregnancy with the ineffectiveness of antispasmodic drugs used indomethacin orally or rectally in a dose not exceeding 200 mg / day, for a course of not more than 1000 mg: 1st day - 200 mg (50 mg of 4 twice a day tablets or 1 suppository 2 times a day), day 2-3 minutes 50 mg 3 times a day, 4-6-day 50 mg 2 times a day, 7-8 day - 50 mg at night.
In the detection of the cause, correction of violations outside pregnancy, monitoring during pregnancy, the birth of viable children in couples with habitual miscarriage reaches 95-97%. According to the world literature, positive results are about 70%.
Preventing habitual miscarriage of pregnancy
Women with a history of 2 or more miscarriages or premature births should be advised before the next pregnancy to determine the cause, correct the violations and prevent subsequent complications. Methods of prevention depend on the causes underlying the habitual miscarriage of pregnancy.
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The latest research relating Привычное невынашивание беременности - Лечение
According to a recent study by the World Health Organization and the American Institute of Guttmacher (Guttmacher Institute), which deals with reproductive health, 55.7 million abortions are carried out every year in the world, 46% of which - 25....
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