the threat of termination : TREATMENT OF THE PREGNANT WOMAN WITH THREATENED SPONTANEOUS ABORTION
Given the possible influence of hormonal drugs on the developing fetus (especially in the 1st trimester of pregnancy), before you can assign hormone treatment, ensure available for her testimony. For the duration of pregnancy 2-4 weeks spontaneous abortion are caused by chromosomal abnormalities and can not be treated.
Threatened spontaneous abortion endocrine Genesis of hormonal drugs are prescribed in minimally effective doses in combination with non-pharmacological methods of treatment and under the control of endocrinological research. Hormonal treatment is carried out at the clinical picture of the threat of abortion and early abortion. Dose and to a large extent the choice depends on hormonal deficiency.
The combined use of estrogen and progesterone due to the fact that most often spontaneous abortion endocrine Genesis is associated with combined deficiency of both progestogen and estrogen. The early use of hormones to achieve success in the treatment of miscarriage. The goal of hormone treatment is the provision of plastic processes of the fetus, the increase in uterine-placental blood circulation and normalization of hormonal function of fetoplacental complex. All this leads to the normalization of metabolic processes in the muscle of the uterus, which is necessary for the progression of pregnancy.
Hormonal therapy of pregnant women with threat of abortion combined with the appointment of vitamin supplements: Ascorbic acid, Ascorutinum, Folic acid, Tocopherol acetate, and multivitamins: the Elevit prenatal, Pregnavit, etc.
In the 1st trimester, definitive treatment is performed on the background of psychotherapy, the use of sedatives: decoction of Valerian root and motherwort 1 tablespoon 3 times a day). Prescribe bed rest.
In case of late spontaneous abortions from 16 weeks of pregnancy to reduce uterine activity prescribed sedatives and antispasmodic (Nospanum 1-2 tablets 2-3 times a day; papaverina hydrochloride 0.02-0.04 g 3 times a day).
From non-pharmacological means shown acupuncture, endonasal galvanization, electroanalgesia.
With the threat of termination of pregnancy in patients with myoma of the uterus estrogens are contraindicated.