Medical blog

The presented information on the preparations appointed at pregnancy, at all is not "guide to action". The purpose of a writing of this section — acquaintance with properties of the preparations appointed the doctor. If you have doubts concerning this or that appointment, ask a question to your attending physician.

Haemoglobin (norm for women 120 140 ) — the basic pigment . During pregnancy haemoglobin decreases a little.
In this connection, by definition of the World Organization of Public health services by an anaemia at pregnant women it is necessary to consider a condition at which level makes:
— Less ON in I and III trimesters,
— Less than 105 in II trimester of pregnancy.

Increase and decrease in quantity of haemoglobin occurs in the same cases, as at quantity change .
The colour indicator reflects the relative maintenance of haemoglobin in .

This indicator is used for definition of a kind of an anaemia:
— If the colour indicator is lowered — an anaemia;
— If a colour indicator in norm — an anaemia;
— If the colour indicator is raised — an anaemia.

Speed of subsidence (norm of 2-15 mm/ch at women and a little above at pregnancy). Increase specifies in actively proceeding inflammatory process, not defining its nature. increases as well at an anaemia, infections and malignant tumours.

Anyhow during pregnancy often there is a necessity of a prescription of medicines both with preventive, and with the medical purpose. It is connected with development or risk development of terrible complications of pregnancy and forthcoming sorts, and also with threat to health of the kid.
The majority of preparations, especially in the first trimester of pregnancy is known, that, is counter-indicative. Nevertheless, to keep pregnancy, doctors often run risks at appointment of medicines. In this case the advantage of a prescription of medicines exceeds possible risk of development of those or other complications.
Our own experience received in the course of work in the Medical Female Center (the former maternity hospital of G.L.Grauermana) on antenatal preparation and antenatal supervision has allowed to develop principles of medicinal therapy of complications of pregnancy and their preventive maintenance.

The preparations appointed our doctors, meet following requirements:
• safety for future mum and its not born kid;
• high degree of efficiency;
• and reliability;
• an individual approach taking into account age, weights of a body of mother, presence at it chronic diseases and forecasting of the possible adverse moments at treatment;
• obligatory acknowledgement of the above-stated requirements by results of the scientific researches, spent is no narrow in the Moscow leading clinics, and even in Russia, but also .

— The biological role of an estrogen consists in influence on exchange processes and regulation of growth of a uterus, an estrogen takes part in development of the patrimonial certificate (raise sensitivity to action — a hormone of a hypophysis which feigns fights; cause a softening of a neck of a uterus). From an estrogen in blood during pregnancy most often define .

(norm — 180-320 thousand in 1 blood) participate in process of curling of blood, corking of the damaged apertures of vessels. This process is called as aggregation . Increase is marked after surgical interventions, inflammatory processes, , dehydration. Decrease — at diseases, anemias, purple.
The biochemical analysis of blood. This analysis characterises blood structure (fiber, , cholesterol, glucose, enzymes — , , , etc., — nitrogenous substances, pigments (bilirubin), inorganic substances — sodium, , calcium, phosphorus, magnesium, etc.).

- With a hydrochloride have similar with but-shpoj action on a uterus:

• Lower its tone and promote blood-groove improvement in it. Are appointed at threat of interruption of pregnancy.
  

Collateral actions:

• The nausea, drowsiness, the locks, raised are possible.
  

— Level characterises a functional condition of a placenta and a fruit as it is formed in a placenta. The synthesis lack causes interruption threat in first half of pregnancy and threat of premature birth in its second half. At pregnancy the maintenance progressively grows. Level decrease in blood of pregnant women is observed at a pathology fruit adrenal glands, (absence of a brain at a fruit), a syndrome of Down, a pre-natal infection. Low values are found out also at reception , antibiotics that is connected with decrease in activity of adrenal glands of a fruit. The expressed decrease in concentration in blood specifies in sharp insufficiency of a placenta. Increase of level of an estrogen in blood of pregnant women is noted at pregnancy or a large fruit. Increase of concentration of an estrogen probably at liver diseases.

— , operating on muscular fibres. Lowers a tone of smooth muscles of internal bodies including a uterus, reduces them activity, expands blood vessels a little. It is applied to a relaxation and decrease in excitability of a uterus in pregnancy at a menacing abortion, complex treatment .

Collateral actions:

• The dizziness, palpitation, feeling of heat, strengthening are possible.
  

The method, allowing to register palpitation and character of changes of frequency of warm reductions of a fruit in reply to it or uterus reduction.
In norm in rest frequency a fruit makes 120—160 blows in a minute. At frequency increase in rest more than 160 blows in a minute speak about a tachycardia (frequency increase ), at frequency reduction less than 120 blows in a minute speak about a bradycardia ( frequencies ). Tahi - and a bradycardia testify to pre-natal suffering of a fruit, and the bradycardia is more adverse.
The norm considers also occurrence of two palpitation of a fruit and more on 15 blows in a minute lasting not less than 15 seconds for 20 minutes of supervision,
Connected with fruit movements. Presence of 2 movements of a fruit testifies to pre-natal suffering of a fruit and less within 40 minutes with smaller duration of increase and their smaller duration.
Method apply basically, since 32 weeks of pregnancy. Ideally, penalties-diotokogrammu to remove with an interval in 14 days, and at the complicated current of pregnancy — more often (in 5—7 days), and if you in a hospital — daily or in day.

it is irreplaceable for the constant control over palpitation of a fruit during sorts.

«As a pregnancy hormone» is called the hormone a progesterone developed by a yellow body, then and a placenta.
Why it name a pregnancy hormone? The progesterone during pregnancy has a number of the most important functions:
• it reduces a tone of muscles of a uterus, its excitability, thereby is an effective remedy at treatment of threat of interruption of pregnancy;
• positively influences psychophysiological functions and an emotional condition;
• interferes with tearing away of a fruit by influence on immune system;
• influences a metabolism;
• influences work of kidneys and function, interferes with a delay of surplus of a liquid which in an organism of the pregnant woman is provoked by an estrogen and hormones of a bark of adrenal glands — ;
• renders effect. Surplus of man's sexual hormones — at the pregnant woman can adversely affect a current of pregnancy and a metabolism. Protective action of a progesterone in the relation a parent organism is essential enough as during pregnancy formation in a bark of adrenal glands becomes more active, and these freely get to a fruit through a placenta. Besides, raised level in a parent organism is practically inevitable, if for the woman are available hormonal disease of adrenal glands — congenital barks of adrenal glands, and also a syndrome .
Progesterone preparations apply at treatment of threat of interruption of pregnancy already very much for a long time. However until recently such preparations were basically synthetic. They had a number of negative properties distinct from a natural progesterone, in particular, did not possess about-tivoandrogennym effect.
Rather recently in the domestic market there was a universal preparation of a progesterone which has incorporated only the most positive properties.