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.

Non-medicamentous methods of treatment for threatened abortion

In the pathogenesis of pregnancy termination, the functional state of the central nervous system plays a major role. With unfavorable effects, it is possible to change the activity of both the cerebral cortex and the hypothalamic-pituitary system, which regulates physiological changes in the body to ensure the normal development of pregnancy.

Management tactics for incompatibility between spouses

The question of the significance of HLA compatibility in recurrent pregnancy loss is one of the most debated in the literature. There were many publications on this issue in the 1980s.

Management of pregnancy with chorionic gonadotropin sensitization

Glucocorticoid therapy continues with the onset of pregnancy, and the doses are adjusted depending on the specific clinical picture. As a rule, during periods of increasing antibody levels at 20-24, 33-34 weeks of pregnancy, it is advisable to increase the dose of prednisolone by 2.5-5 mg.

Management of pregnancy with antiphospholipid syndrome

During the first trimester, the most important period for autoimmune pathology, hemostasis control is performed every 2 weeks. From the 2nd day after ovulation in the conception cycle, the patient receives 1 t (5 mg) of prednisolone or metipre-alpha. Vitamins for pregnant women or metabolic complexes, folic acid and, if necessary, we add antiplatelet agents and/or anticoagulants.

Management of isthmic-cervical insufficiency in pregnancy

In recent years, transvaginal ultrasound examination has been used to monitor the condition of the cervix. The method of narrowing the cervical canal by creating a muscular duplication along its lateral walls is the most pathogenetically justified.

Tactics of management of pregnancy with infectious genesis of miscarriage

When pregnancy occurs in women with infectious genesis of miscarriage, it is necessary to control the activation of bacterial and viral infections.

Tactics of pregnancy management in adrenal hyperandrogenism

Treatment is carried out throughout the pregnancy, taking into account the congenital defect of the pathology. If you stop taking dexamethasone, the pregnancy may not be interrupted due to the fact that the fetus will take over the supply of glucocorticoids.

Therapy in pregnancy in women with NFP

Despite preparation for pregnancy, most women with NLF in previous cycles experience problems during pregnancy. The greatest problems exist in the first trimester during the formation of the placenta, but they often arise in the second and third trimesters due to the formation of primary placental insufficiency, underdevelopment of the myometrium with hypoplasia, and infantilism of the uterus.

Treatment of threatened abortion

The first trimester of pregnancy is the most difficult period of pregnancy and largely determines its course. During this period, the formation of the placenta, embryogenesis and the formation of complex relationships between the mother's body and the fetus occur.

Treatment for a failed miscarriage

In a non-developing pregnancy (missed abortion), the embryo (fetus) dies without the appearance of signs of a threatened miscarriage. More often, this type of termination of pregnancy is observed in cases of habitual miscarriage, hyperandrogenism, autoimmune disorders, etc.