Research Article | DOI: https://doi.org/10.31579/2642-9756/124
1 The Petro Mohyla Black Sea State University, Nikolaev, Ukraine
*Corresponding Author: Konstantin Anatolyevich Bugaevsky. The Petro Mohyla Black Sea State University, Nikolaev, Ukraine.
Citation: Konstantin Anatolyevich Bugaevsky, (2022). Restoration Treatment for Female Patients with Non-Bearing Pregnancy at The Early Terms of Gestation, J. Women Health Care and Issues, 5(5) DOI: 10.31579/2642-9756/124
Copyright: © 2022 Konstantin Anatolyevich Bugaevsky. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use,distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 16 June 2022 | Accepted: 28 June 2022 | Published: 26 July 2022
Keywords: female patients; artificial abortion; early pregnancy; non-pharmacological restorative treatment; rehabilitation
The article presents the research materials devoted to the peculiarities of carrying out the rehabilitation treatment and rehabilitation of patients, after the artificial termination of pregnancy in the early stages. Methods and means of non-drug restorative treatment are described, practical recommendations for its practical application at different stages of rehabilitation are given.
The use of induced termination of pregnancy in Ukraine takes an unjustifiably large place in the structure of methods of birth control. The prevalence of pregnancy termination among women of active reproductive age remains quite high, which negatively affects the health of women of reproductive age and complicates the demographic situation in the country [1, 4]. Ukraine's rates of induced termination of unwanted pregnancies have undergone significant positive changes over the last twenty years. But still, Ukraine has one of the highest abortion rates per 1,000 births in Europe. In 2021 it was 520 705 cases [1,4]. There are various methods of termination of pregnancy in the first trimester. Classical instrumental abortion (curettage) and electric vacuum aspiration are considered to be the most traditional methods. They are the most traumatic and lead to the greatest number of various complications [4].
Early abortion by induced abortion implies a number of complications, even for an apparently satisfactory course of the post-abortion period [1, 4]. The most frequent complications of abortion are inflammatory diseases of the genitals, disorders of the menstrual cycle, lack of ovulation, secondary infertility and endocrine disorders [1, 3, 5]. In the specialized medical literature, aspects of the use of medical rehabilitation after artificial abortion – combined oral contraceptives (COC) are widely covered [1,4]. At the same time, in the available sources of information, there is virtually no data on the possibility of restoring reproductive function after early gestational artificial abortion with the use of physical rehabilitation.
Aim
To present one of the options for the practical application of a combined, non-medicinal method of reconstructive treatment of patients after an artificial termination of pregnancy in the early gestational period.
Materials and methods
During the study we used such methods as an interview, general clinical and extended gynecological examination, medical and pedagogical observation, questioning, laboratory and ultrasound diagnostics, method of mathematical statistics of the obtained results. To solve the tasks set in the study, 45 women who terminated pregnancy up to 12 weeks and who received rehabilitation on the basis of the gynecological consultation and the gynecological department of the sanatorium were actively observed. After discharge from the hospital, comprehensive rehabilitation was recommended for all women who had undergone an artificial abortion.
The complex of rehabilitation measures included physical therapy [2], special exercises by A. Kegel [2, 5], gynecological and vibration massage, reflexotherapy (acupressure, reflexotherapy of the foot - reflexotherapy of biologically active points (ВАР) [2,5]. The group (n=45) was identical in terms of the method of termination of pregnancy and the level of somatic and reproductive health. The mean age of the patients in the study group did not differ significantly among themselves (p>0.05) and was (32.05±1.2 years). Ovarian function was studied according to the parameters and analysis of the results of the basal thermometry (BT) functional diagnostic tests [1,2,5], the level of gonadotropic anterior The complex of rehabilitation measures included physical therapy [2], special exercises by A. Kegel [2, 5], gynecological and vibration massage, reflexotherapy (acupressure, reflexotherapy of the foot - reflexotherapy of biologically active points (ВАР) [2,5]. The group (n=45) was identical in terms of the method of termination of pregnancy and the level of somatic and reproductive health. The mean age of the patients in the study group did not differ significantly among themselves (p>0.05) and was (32.05±1.2 years). Ovarian function was studied according to the parameters and analysis of the results of the basal thermometry (BT) functional diagnostic tests [1,2,5], the level of gonadotropic anterior
Conflict of interest:
The author notes the complete absence of any conflicts of interest.
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