OBJECTIVE

To evaluate the effectiveness of long-term compression therapy in pregnant women with varicose veins (VV) of genital organs (GO).

MATERIAL AND METHODS

A prospective evaluation of the results of long-term compression therapy in 72 patients with VV GO during pregnancy was carried out. Pregnant women were recommended to wear medical tights of the second (high) degree of compression in the round-the-clock mode. All the subjects were divided into 2 groups: those who did not receive (group 1) and those who received (group 2) compression treatment. Patients of the 1st group (n=36) were registered in the antenatal clinic from the II or III trimester of pregnancy. At the same time, their VV were not detected in time, and, accordingly, they did not wear medical tights. The subjects of the 2nd group (n=36) were registered in the antenatal clinic from early terms, were consulted by a vascular surgeon and wore medical tights. We evaluated the dynamics of the level of general discomfort in the GO area caused by subjective symptoms of VV GO, the quality of life of the examined women and the presence of venous-specific symptoms. Doppler ultrasonography was performed to assess pelvic vascular hemodynamics.

RESULTS

Patients who used compression garment had fewer complications of pregnancy and labor, and the severity of VV did not progress with increasing gestational age compared to patients who did not use compression garment. Pregnant women who used compression for a longer period of time rated wearing compression garment as comfortable.

CONCLUSION

In obstetric practice, the use of compression treatment in pregnant women with VV GO is justified, as it is a simple, safe and effective method of conservative treatment for chronic venous insufficiency and a method of prevention of thromboembolic complications. The external pressure created by medical pantyhose improves blood flow in the pelvic veins, which favorably affects the functioning of the fetoplacental complex (FPC) in a pregnant woman with VV GO.