Prediction and pregravid preparation of women with high-risk development of gestational diabetes mellitus

The aimed of the study was to research of main risk factors leads to development of gestational diabetes mellitus and based on the data received to creation of scale for predicting the development of this disease in women. Methods: The study included 137 pregnant women with gestational diabetes mellitus (GDM) and 100 without disorders of carbohydrate metabolism, who gave birth during the period: II quarter of 2018 II quarter of 2019 in the maternity ward of the city clinical hospital No. 29 named after N.E. Bauman in Moscow. This was a retrospective case-control study. Results: the highest pregestational body mass was in women with GDM insulin therapy. The amount women with obesity in both groups with GDM formed 40%. Based on the data received analysis questionnaire was created to identify high-risk patients during pregnancy planning. Conclusion: The introduction of the proposed questionnaire into the practice will allow for personalized pregravid preparation. © 2020 EManuscript Technologies. All rights reserved

A differential approach to treating apical prolapse via a vaginal route

A differential approach to treating apical prolapse is acquiring high relevance. The article reviews the literature, including randomized trials dedicated to apical prolapse treatment via a vaginal route. Much attention is paid to up-to-date methods for correcting apical prolapse by using native tissues and by applying mesh technologies. Intra-and postoperative complications are described The complex process of choosing a surgical intervention directly depends on the nature and severity of prolapse. Conclusion. It is necessary to take into account the general condition of a woman, her desire to save the uterus, as well as the preferences and capabilities of a surgeon. Knowledge of topographic anatomy, compliance with the implant placement technique, and an individual approach ensure the success of surgical treatment. © A group of authors, 2020