Progesterone and reproductive losses
Objective. To evaluate the efficiency of incorporating the micronized progesterone pragisan into a package of measures to prevent and treat miscarriage during early pregnancy.Radzinsky V.E., Ordiyants I.M., Pobedinskaya O.S., Zykov E.V.
Subjects and methods. The investigation enrolled 30 women who had received first trimester threatened miscarriage treatment and 32 patients with clinical signs of threatened miscarriage who had refused treatment for various reasons. Threatened miscarriage was diagnosed based on complaints and ultrasound diagnosis (shortening of the cervix and dilation of the internal os).
Results. The incorporation of the micronized progesterone pragisan into a package of measures aimed at preserving and prolonging pregnancy showed its high efficacy in patients with threatened miscarriage. Pregnancy could be preserved and prolonged to full term by 29 out of the 30 women with threatened miscarriage in the pragisan group and by only 19 (59.4%) in the group of those who had refused treatment. The timely restoration of vaginal biocenosis was also shown to contribute to the normalization of the course of pregnancy.
Conclusion. The pronounced clinical efficacy, convenient dosing, and no adverse reactions of pragisan suggest that the drug may be incotporated into a package of measures to treat threatened miscarriage.
Keywords
miscarriage
utero-feto-placental blood flow
vaginal biotope
Supplementary Materials
- Fig. 1. Ultrasound diagnosis of the threat of abortion
- Fig. 2. Bacteriological study of the contents of the vagina: 1. Staphylococcus aureus, 2. Staphylococcus spp, 3. Staphylococcus epidermidis, 4. Streptococcus spp, 5. Streptococcus epidermidis, 6. Streptococcus pyogenes, 7. Enterococcus, 8. Corynebacterium spp, 9. Peptostreptococcus spp, 10. E. coli, 11. Lactobacillus spp, 12. Bifidobacterium spp.
- Fig. 3. Dynamics of seeding Lactobacillus spp. (> 109)
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Received 16.06.2017
Accepted 23.06.2017
About the Authors
Viktor E. Radzinsky, MD, professor, head of the Department of Obstetrics and Gynecology with the course of Perinatology, Peoples’ Friendship University of Russia.117198, Russia, Moscow, Miklukho-Maklaya str. 6. Tel.: +79037232212. E-mail: radzinsky@mail.ru
Irina M. Ordiyants, MD, Professor of the Department of Obstetrics and Gynecology with a course in perinatology, Peoples’ Friendship University of Russia.
117198, Russia, Moscow, Miklukho-Maklaya str. 6. Tel.: +79268005036. E-mail: ordiyantc@mail.ru
Olesya S. Pobedinskaya, Candidate of Medical Science, associate professor of the Department of Obstetrics and Gynecology, I.M. Sechenov First Moscow State Medical University. 119991, Russia, Moscow, Trubetskaya str. 8, bldg 2. Tel.: +79257411862. E-mail: pobedinskaya-o@yandex.ru
Evgeniy V. Zykov, post-graduate student of the Department of Obstetrics and Gynecology with the course of perinatology, Peoples’ Friendship University of Russia.
117198, Russia, Moscow, Miklukho-Maklaya str. 6. Tel.: +79161113741. E-mail: yevgeny_zykov@hotmail.com
Pobedinskaya O.S., Zykov E.V.Progesterone and reproductive losses.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (8): 109-14. (in Russian)
http://dx.doi.org/10.18565/aig.2017.8.109-14
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