Prevention of reproductive loses in women with genital tract infections

The article discusses the complications of pregnancy in women with sexually transmitted infections, including the risk of miscarriage, miscarriage, preterm birth and their impact on pregnancy. The problem of protecting the health of mother and child is considered as the most important component of health care, which is of paramount importance for the formation of a healthy generation of people from the earliest period of their life. Among the most important problems of practical obstetrics, one of the first places is occupied by miscarriage. The frequency of miscarriage is 10-25% of all pregnancies, 5-10% - preterm birth. Premature babies account for over 50% of stillbirths, 70-80% of early neonatal deaths, and 60-70% of infant mortality. Premature babies die 30-35 times more often than full-term babies, and perinatal mortality in miscarriage is 30-40 times higher than in term births. Thus, miscarriage does not lose its relevance in modern obstetrics. Miscarriage - spontaneous termination of pregnancy at various times from conception to 37 weeks, is considered from the 1st day of the last menstruation to 259 days from this date. According to the World Health Organization, preterm births are defined as births between 22 and 37 completed weeks of gestation, counting from the first day of the last menstrual period, with a fetal weight of 500 g or more. The most common causes of miscarriage are: genital infections, endocrine disorders of the reproductive system; erased forms of adrenal dysfunction; damage to the receptor apparatus of the endometrium, clinically manifested as an inferior luteal phase (NLF); chronic endometritis with persistence of opportunistic microorganisms and/or viruses; isthmic-cervical insufficiency (ICN); malformations of the uterus; intrauterine synechia; antiphospholipid syndrome and other autoimmune disorders.