Tthe structure of uterine contractions anomalies in contemporary obstetrics: clinical and statistical aspects

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The complex clinical end statistical analysis of features of current of labors in the period with 1994 for 2003 has shown, that in structure of anomalies of patrimonial activity there are authentic changes. Along with significant decrease of frequency of revealing of weakness of patrimonial activity and tendency to decrease of frequency of revealing not—coordinated of patrimonial activity frequency of revealing of fast and prompt labors essentially has increased. Diagnostics not—coordinated of patrimonial activity in the greatest degree is connected to preferences, erudition and experience of the doctor, than with real correlation of revealed attributes and symptoms specific of this pathology of labors. The precisely same attributes and symptoms are characteristic for some variants of weakness of patrimonial activity, that gives the basis to attribute both kinds of this pathology of labors to hypertonic dysfunction of uterus, in a basis of which development lays corporal—cervical dyssinergia, instead of the pathology the driver of a rhythm, as it was considered earlier.

 

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A. Savitskiy

Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott

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Email: info@eco-vector.com
俄罗斯联邦, Saint Petersburg

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2. Fig. 1. Dynamics of some indicators characterizing the frequency of detection of abnormalities of labor (% of the total number of births)

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3. Fig. 2. The ratio of the number of abnormalities in labor with accelerated dilatation of the cervix (A - rapid and rapid labor) to the number of abnormalities with delayed dilatation of the cervix (B - weakness and DRD)

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4. Fig. 3. The frequency of cesarean section in% in relation to all childbirth (2) and in the group of labor anomalies in which there is a delayed dilatation of the cervix (weakness and discoordination of labor) (1)

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