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Noninvasive controlled abortion in the trimester of pregnancy PowerPoint Presentation

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Slide 1 - Noninvasive controlled abortion in the trimester of pregnancy (a 15-years experience) N.V.Оrdzhonikidze, B.L..Gurtovoi, N.М.Каsаboulatov Research centre of Obstetrics, Gynecology & Perinatology Russian Academy of Medical Sciences High Risk Pregnancy Dept
Slide 2 - Main trends Search for reasonable conservatism Maximum safety Limited operative intervention
Slide 3 - Objectives Elaboration of efficient method of late induced abortion with the purpose to enhance its safety and reduce complication rate.
Slide 4 - Stages of noninvasive controlled abortion in the II trimester Maturation of the uterine cervix Activation of contractions
Slide 5 - Neans of cervical maturation Prostaglandins (cerviprost, prepidil-gel), intracervical, n=106 Laminaria, intracervical, (dilapan) n=114 Step by step combination of gel and laminaria (dilapan), n=80
Slide 6 - Means of uterine contractions nalador-500 (sulproston-derivative of prostaglandin E2(«Schering», Germany), n=250 prostin 15/М – derivative of prostaglandin F2-α («Updjohn»,USA), n=50
Slide 7 - M.S.Burnhill indexes before and after tretment
Slide 8 - Duration of abortion depending on the means of cervical maturation (hrs). 1-cerviprost, 2-laminaria, 3-combination
Slide 9 - Estradiol concentration in peripheral blood of women in the dynamics of late induced abortion (nmol/l) 1,2- before abortion 3-cervical maturation 4,5- progress of late abortion 6-miscarriage 7-first day after abortion
Slide 10 - Placental lactogene concentration in peripheral blood of women in the process of late induced abortion (nmol/l) 1,2-before abortion 3-cervical maturation 4,5-progress of late abortion 6-miscarriage 7-first day after abortion
Slide 11 - Cortisol concentration in peripheral blood of women in the dynamics of late induced abortion (nmol/l) 1,2-before abortion 3- cervical maturation 4,5-progress of late abortion 6-miscarriage 7-first day after abortion
Slide 12 - 17-а-oxiprogesteron concentration in peripheral blood of women in the dynamics of late induced abortion (nmol/l) 1,2- before abortion 3- cervical maturation 4,5-progress of late abortion 6-miscarriage 7-first day after abortion
 

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