ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2021.75.15ymj-542Research ArticleЗДОРОВЫЙ ОБРАЗ ЖИЗНИ. ПРОФИЛАКТИКАHEALTHY LIFESTYLE. PROPHYLAXISПрогнозирование репродуктивных потерь в первом триместре у женщин с хроническим пиелонефритом, анемиейPrediction of reproductive losses in the first trimester in women with chronic pyelonephritis, anemiahttps://orcid.org/0000-0001-6871-7102ГасановаБ. М.GasanovaB. M.

Гасанова Бахтыкей Мусалавовна – к.м.н., докторант

Gasanova Bakhtykei Musalavovna – PhD in Medical Sciences, Doctoral Candidate of the Department of Obstetrics and Gynaecology

Moscow

https://orcid.org/0000-0003-3883-3967ПолинаМ. Л.PolinaM. L.

Полина Мирослава Леонидовна – к.м.н., врач акушер-гинеколог

Москва

Polina Miroslava Leonidovna – PhD in Medical Sciences, Gynecologist

Moscow

polina.ml@mail.ruДугласН. И.DouglasN. I.

Дуглас Наталья Ивановна – д.м.н., зав. Кафедрой

Douglas Natalya Ivanovna – M.D., Head of the Department of Obstetrics and Gynecology

Yakutsk

Медицинский институт ФГА ГОУ ВО РУДНРоссияMedical Institute of the Federal State Autonomous Educational Institution of Higher Education People's Friendship University of RussiaRussian FederationМедицинский центр женского здоровьяРоссияWomen's Health Medical CenterRussian FederationМедицинский институт СВФУ им. М.К. АммосоваРоссияMedical Institute of North-Eastern Federal UniversityRussian Federation202127042025035761Copyright © Гасанова Б.М., Полина М.Л., Дуглас Н.И., 20252025Гасанова Б.М., Полина М.Л., Дуглас Н.И.Gasanova B.M., Polina M.L., Douglas N.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/542

После комплексного обследования выборки беременных с анемией и хроническим пиелонефритом методом логистической регрессии. Выявлены прогностические критерии прерывания беременности в первом триместре в данной выборке. Риск репродуктивных потерь определяет ангиопатия сосудов матки, дополняемая срывом гомеостаза, и нарушения микробиома урогенитального тракта в отсутствие прегравидарного оздоровления и профилактики плацентарной недостаточности.

After a comprehensive examination of a sample of pregnant women with anemia and chronic pyelonephritis, the risk factors for belonging to groups with a high infectious risk in the first trimester were identified in this sample. The risk of reproductive losses is determined by angiopathy of uterine vessels, supplemented by a disruption of homeostasis and violation of the microbiome of the urogenital tract in the absence of pregravid recovery and prevention of placental insufficiency.

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The authors declare that there are no conflicts of interest present.