AIM OF STUDY

Increasing the effectiveness of treatment of patients with bacterial vaginosis of reproductive age during pregnancy termination for medical reasons.

MATERIALS AND METHODS

The study involved 122 patients with medical indications for termination of pregnancy at 12-15 weeks and for performing vacuum excohleation of the ovum in non-developing pregnancies up to 12 weeks. The selection criterion for participation in the study was the identification of bacterial vaginosis in them based on 3 or more Amsel criteria. Group 1 included 35 women who were admitted with a diagnosis of undeveloped pregnancy up to 12 weeks to perform vacuum excohleation of the ovum. The 2nd (45 patients) and the 3rd (42 patients) groups included pregnant women who were sent to terminate pregnancy for medical reasons. In order to sanitize the birth canal in the 1st and 2nd groups, we used the combined drug «Elzhina». In group 3, vaginal suppositories containing 0.16 mg of chlorhexidine were prescribed. In order to restore lactomicroflora and accelerate the regeneration processes, all patients who took part in the study, upon completion of therapy, were recommended Ginokomfort Tea Tree restoring gel.

RESULTS

By the 3rd day of therapy, a significant reduction in clinical manifestations was achieved. Upon completion of treatment, clinical recovery and normalization of laboratory parameters were noted in groups 1 and 2. Recurrence of bacterial vaginosis after therapy with a combined antibacterial drug was determined 5 times less often than after sanitation of the vagina with an antiseptic drug.

CONCLUSIONS

The use of the drug «Elzhina» in patients with bacterial vaginosis in non-developing pregnancy and termination of pregnancy for medical reasons contributes to the normalization of vaginal microbiota, improves the course of postoperative period and is an important stage in pregravid preparation for subsequent pregnancy.