Obstetric tactics at isthmicocervical insufficiency

Abstract

In the article modern looks are presented to the problem of forming of isthmicocervical insufficiency (ICI) for expectant mothers, her role in perinatal losses, and also concomitant problems (vaginal disbioses, progesterone insufficiency) are lighted up. The algorithm of diagnostic and medical and preventive actions of doctor offers at ICI including nosotropic reasonable twostage sanation of genital tracts with the use of probiotic, support of sour рН in a vagina, normalization of level of progesterone by means of preparation of Luteina, introduction of obstetric off-loading pessary or serclage.