UTEROPLACENTAL HEMODYNAMICS STATE FOR THE PREGNANT WOMEN WITH THE SCAR AFTER MYOMECTOMY

Background. The myoma is one of most prevailing reproductive system tumours which affects gestation and labour negatively. Frequency of the mentioned pathology has increased from 6% up to 20% for the last years.

Material and methods. The especial features of the clinical pregnancy process and labour have been examined in two groups for 126 women with myomectomy before pregnancy. 1st group — 59 women after myomectomy under currently available method; 2nd group — 67 women after myomectomy under the developed surgery treatment method. 30 primapara women without extra genital and genital diseases. Utera und uteraplacental blood flow assessment was carried out with Toshiba Xario SSA-660A apparatus (Japan).

Results. The features of the utera blood supply for the pregnant after myomectomy were discovered during the data analysis. The blood flow change up to 32 weeks was the similar for the both groups. Within 8–16 weeks normal blood flow was for the less number of the pregnant (13.5–10.2% and 37.3–34.3% accordingly) and increased within terms 17–32 weeks (47.5–50.7% and 57.6–70.1% accordingly). In the third term (after 33 weeks) for the pregnant of the 2nd group the normal utera blood flow was discovered reducing a little (63.3–60.0%) and it remained non-changeable to the pregnancy completion. For the 1st group the normal utera blood flow was discovered reducing more considerably (43.3–33.3%) and it proved the malfunction of the compensatory capability of the uteroplacental complex.