VIOLATION OF VAGINAL MICROBIOCENOSIS AS A RISK FACTOR FOR THE DEVELOPMENT OF ISTHMIC-CERVICAL INSUFFICIENCY

Pristupa Evgeniya M., Baklygina Elena Andreevna

The article is dedicated to retrospective analysis of the case histories of 104 patients diagnosed with isthmic-cervical insufficiency (ICI). The obstetric and gynecological histories, concomitant somatic pathology, as well as the features of the course of pregnancy were studied. In accordance with the identified causes of ICI, women were divided into groups. The state of the vaginal microbiocenosis was studied depending on the identified risk factors for the development of ICI. The most common violation of microbiocenosis in women with dysbiotic and inflammatory processes of the vagina were ureaplasmosis and bacterial vaginosis. Every fifth woman had associations of conditionally pathogenic microorganisms. A third of patients with inflammatory processes in the vagina and cervix during pregnancy did not undergo sufficient examination and sanitation.

Keywords:premature birth, isthmic-cervical insufficiency, cervix, microbiocenosis, bacterial vaginosis, manageable risk factors