Estimation of the health of women with the failed miscarriage
Objective: to conduct a comprehensive assessment of the health status of women with a failed miscarriage (FM). Materials and methods: a clinical-anamnestic, laboratory, instrumental examination of patients admitted to the gynecological hospital for medical care with a diagnosis of 002.1. - Failure of a miscarriage in the period from 5 to 22 weeks of gestation. Results: analyzing the clinical and anamnestic characteristics of patients with FM, showed a high frequency of spontaneous miscarriages and FM (52.2%), surgical interventions on the pelvic organs (1.2 episodes per woman) and somatic and gynecological diseases (44.6 and 76.4% respectively). Factor analysis revealed the association of FM with intracellular pathogens (Ureaplasma urealyticum / parvum and Mycoplasma genitalium), an increased number of E. coli and E. Faecalis, as well as bacteria of the genus Streprococcus spp. Conclusion: the obtained results indicate the presence of significant risk factors for HB formation: older age, high frequency of intrauterine interventions, a high percentage of both gynecological (especially inflammatory genesis) and somatic morbidity. The presence of conditionally pathogenic microflora forms latent factors contributing to the development of chronic endometritis and failure miscarriage.