Innovative educational project. Medical Faculty. Problems.Prospects

The innovative education system developed by the medical faculty of PFUR for preparation of competitive foreign and domestic doctors on the bases of new forms of continuous post gradual education is presented. The first results of realization of the Innovative educational project, problems and prospects are discussed

TRENDS ON MATERNAL MORTALITY IN THE REPUBLIC OF BENIN AND COMPARISON WITH THE NEIGHBORING COUNTRIES

The maternal mortality ratio in the Republic of Benin in 2015 was still high - 405 per 100,000 live births. The delay in consultation and timely treatment, unavailability of medical facilities and lack of skilled care are the principal factors contributing to maternal deaths in Benin. Consequently, the rate of such preventable causes of maternal deaths like obstetric haemorrhage (38.40 percent and preeclampsia/eclampsia (14.30 percent) remains high in the country, and even HIV continued being one of the indirect causes of maternal deaths in 2017 - one percent. High rate of complications associated with pregnancy and birth in adolescent girls is another cause of maternal deaths in the Republic of Benin. Despite the efforts of the Government aimed at improving health care, it is unlikely that we will achieve the United Nations Sustainable Development Goals 3.1. - the reduction of maternal mortality ratio to less than 70 per 100,000 live births by 2030

Diagnosis of biocenosis of the vagina of women with recurrent miscarriages

We investigated the vaginal microbiome of 67 patients with threatened pregnancy using bacterioscopic method and qPCR of vaginal swabs, vaginal pH measurement, and FISH to evaluate desquamated epithelial cells of vagina in urine sediments. Vaginal dysbiosis of women with miscarriage was detected by evaluation of vaginal pH, vaginal swabs bacterioscopy, qPCR in 59,7%, 62,7% and 52,7% of women respectively. Gardnerella vaginalis associated vaginal dysbiosis was determined by qPCR and FISH in 14,9% of women. Enterobacteriaceae in urine sediments were highly presented in women with vaginal dysbiosis (54,8%) and pelvic and/or abdominal cavity inflammatory diseases (46,2%)

The effectiveness of medical care ectopic pregnancy

In presented article the analysis of efficiency of introduction in clinical hospital of algorithm of inspection of patients with the ectopic pregnancy which purpose was improvement of outcomes of treatment and reproductive health of women is carried out

Ovarian reserve in the dynamics of the girls-teenagers and young women after surgical treatment for benign ovarian disease

It was done estimation the condition of ovarian reserve of 51 women 15—25 years old in dynamic after surgery and conservative treatment for benign non-inflammatory ovarian diseases, by identification of AMG level, ovarian volume and count of antral follicles in each ovarian immediately and after 6 month after treatment. Complemented the existing ideas about the negative effects on the state of ovarian reserve intervention and specific nosology

Quality of life of postmenopausal women with pelvic dysfunctions

Nowadays, it is clear that pelvic dysfunction is not associated with a significant risk to life. However, this issue has a significant impact on quality of life (QOL) of patients, leading to its degradation (physical, psychological, sexual, and family well-being). In our study we examined 274 postmenopausal women with pelvic dysfunctions, who were distributed in two groups: in I group included 145 patients (52,9%) who underwent surgical repair of pelvic dysfunction by traditional methods, II group contained 129 patients (47,1%) with the use of synthetic materials. Women were inquired by Quality of Life’s questionnaire «Short Form 36 Health Quality Survey» (SF-36) before and after surgical management. The results of the study showed that the quality of life in women after surgery improved better in group I than in group II

Assessment of risks for bleeding during preterm labor from the causes of bleeding

Objective. To study the possibilities of predicting the risks of abnormal and massive blood loss during preterm labor on the basis of the causes of bleeding. Material and methods. The authors carried out a prospective analysis of 1442 deliveries complicated by bleeding. Discriminant analysis was made to classify intergroup differences in the presence of abnormal and massive blood loss and in the absence of bleeding during preterm and term labor. Resu1ts. The relative risk of abnormal or massive blood loss on the basis of the causes of bleeding in preterm labor; the signs determining intergroup differences in the presence of abnormal and massive blood loss and in the absence of bleeding during preterm and term labor; and the signs indicating the risks of hypotonic bleeding were assessed. Conclusion. Preterm labor is threatened by abnormal and massive blood loss. The structure of the main causes of abnormal and massive blood loss is different in preterm and term labor, which leaves a resource to choose preventive and therapeutic measures. © 2019, Bionika Media Ltd. All rights reserved