RU1782169C - Method for preventing subinvolution of the uterus - Google Patents

Abstract

A method for the prevention of uterine subinvolution. Use: in obstetrics. SUMMARY OF THE INVENTION: From the first day of the postpartum period, the postpartum woman undergoes laser irradiation of the postpartum uterus by the contact-mirror method through the anterior abdominal wall. A positive effect reduces the number of postpartum complications.

Description

The method relates to medicine, in particular to obstetrics.

The purpose of the proposed method is to reduce the number of complications.

The method is carried out as follows.

From the first day of the postpartum period, the postpartum women undergo laser irradiation of the postpartum uterus by the contact-mirror method through the anterior abdominal wall. Equipped with a mirror, the emitter of the semiconductor device Pattern is installed on the bottom of the uterus in the area of the tube angle.

On the apparatus-Pattern set the specified power, frequency and exposure time. The Power switch is set to the far right, which corresponds to a maximum power of up to 5 watts. Switch Pulse frequency - at 80 Hz, and a timer - for 64 seconds. Then turn on the Network toggle switch and press the Start button. The device is turned off automatically.

The course of laser exposure for the prevention of uterine subinvolution is 1-3 sessions once a day, daily. The days of treatment for uterine subinvolution are carried out in 3 sessions once a day, daily.

PRI me R 1. The mother of B. 34 years. Childbirth - Diagnosis: Childbirth II urgent operational live girl. Partially premature detachment of the low-lying placenta. Laparotomy. A cesarean section was performed in the lower segment.

Anamnesis from abused two previous artifact abortions. During this pregnancy, the threat of premature birth, twice - inpatient treatment. Delivery by caesarean section due to partial premature detachment of a low located placenta with a gestational age of 39 weeks.

Kvoropoter was 600 ml. The mass of the newborn is 3100.0 g.

From the first day after the operation, laser therapy was performed through a bandage on the anterior abdominal wall to the area of the tube

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uterine angles. Exposure time was 64 seconds, the entire course was 3 procedures, daily for three days, one procedure a day.

The postpartum period in the maternity ward was uneventfully discharged on the 11th day.

Ultrasound examination of the uterus on the 5th day: uterus - length 107 mm, width - 98 mm, anteroposterior size - 67 mm cavity - length 78 mm, width 68 mm, intended size - 9 mm wall thickness - anterior 30 mm, rear 25 mm .

Examined two months after childbirth: the postpartum period was uneventful,

PRI me R 2. A woman in labor K. 22 years. Diagnosis: childbirth - I urgent alive boy. Early discharge of amniotic fluid. Bleeding in the early postpartum period. The duration of labor is 9 hours 20 minutes. Anhydrous period of 9 hours. Blood loss in childbirth 250 ml. The mass of the fetus was 3160.0.

2 hours after birth during the examination: uterus soft. VDM 2 cm above the navel. With external massage of the uterus, about 350.0 ml of blood was released in the form of clots. Conservative treatment was carried out; bleeding did not recur.

From the first day, laser therapy was carried out according to the proposed method. Discharged on the 7th day in satisfactory condition.

Ultrasound examination of the uterus on the 4th day after childbirth: the uterus is 110 mm long, 90 mm wide, anteroposterior size 73 mm cavity - length 82 mm, width - 53 mm, anteroposterior size 10 mm wall thickness - anterior 29 mm, rear 27 mm .

The postpartum period, observed for 2 months, was uneventful.

Example 3. Mother D. 23 years old.

Diagnosis: Childbirth - 1 urgent alive boy. Combined gesto, nephropathy II tbsp. against the background of obesity II degree. Blood loss in childbirth 300 ml. The mass of the fetus is 3000.0.

Conducted traditional methods for the prevention of uterine subinvolution. Ultrasound examination of the uterus on the 3rd day after childbirth: the uterus is 153 mm long, 72 mm wide, anteroposterior size 56 mm, the cavity is 112 mm long, 35 mm wide, the anteroposterior size is 9 mm, the wall thickness is anterior 27 mm, 23 mm

Diagnosed with uterine subinvolution.

Within 3 days, uterine subinvolution was treated according to the proposed method. On the first day, an increase in uterine separation separated from the uterus was noted.

Ultrasound examination on the 6th day: Uterus: length 109 mm, width 100 mm, anteroposterior size 65 mm. Cavity: length 83 mm, width 51 mm, anteroposterior size 6 mm. Wall thickness: front 29 mm, rear 30 mm.

Thus, it was found that the use of low-energy laser radiation in the prevention and treatment of uterine subinvolution after childbirth is a very successful complement to the package of measures aimed at preventing purulent-septic morbidity after childbirth.

Using the proposed method allows to obtain the following advantages:

-the possibility of using this method of physiotherapy from the first day after

childbirth

- the absence of negative (side) effects on the body observed with the use of drug therapy.

- non-invasiveness of the method,

- the possibility of application through a dressing on the anterior abdominal wall (after cesarean section),

- in addition to the uterotonic effect during laser therapy, acceleration occurs

proliferation processes in connection with increased vascularization of the irradiation zone, improved micro- and lymphocirculation, increased energy supply of metabolic processes,

laser radiation has an antibacterial effect,

laser therapy has local and general immunostimulating effects

on the puerperal organism.

Claims (1)

SUMMARY OF THE INVENTION A method for the prevention of uterine subinvolution, including exposure to the anterior abdominal wall with low-energy laser radiation, characterized in that, in order to reduce the number of complications, the exposure is performed in the late postpartum period on the area of the uterine tubular corners by contact-mirror method.