The phenomenon of reversible myometrial dysfunction and delayed rehabilitation of uterine contractive ability
- Authors: Abramchenko V.V.1
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Affiliations:
- Research Institute of Obstetrics and Gynecology named after BEFORE. Otta RAMS
- Issue: Vol 50, No 2 (2001)
- Pages: 55-57
- Section: Original Research
- URL: https://journals.rcsi.science/jowd/article/view/89489
- DOI: https://doi.org/10.17816/JOWD89489
- ID: 89489
Cite item
Abstract
The author introduces the conception o f potentially reversible myometrial dysfunction with unaffected main physiological function o f myometrium («viability» o f myometrium). This dysfunction is connected with the disturbances o f uterine haemodynamics. The phenomenon o f reversible myometrial dysfunction reflects the process o f prolonged decreased contractile ability o f the uterus.
The therapy o f reversible myometrial dysfunction phenomenon should be directed to blood flow restoration under the conditions o f uterine hypoperfusion.
The special treatment is not required fo r myometrium with reserved main physiological functions (tonus, excitability) because restoration o f myometrial contractile ability improves spontaneously in case o f blood flow restoration.
With the aim o f prophylaxis o f myometrial dysfunction and delayed rehabilitation o f the uterine contractile function administration o f Ca antagonists, beta-adrenomymetics, antioxidants and preparations, which improve myometrial metabolic processes, is recommended before the expected delivery.
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##article.viewOnOriginalSite##About the authors
V. V. Abramchenko
Research Institute of Obstetrics and Gynecology named after BEFORE. Otta RAMS
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, St. Petersburg