OAeE 618.177 618.15-002 616-078

Eeth/ia? neiaa: iaaeiiooaaiiy aaa?oiino?, ia?aae/ani? iieiae,

i?e?iaia oei?a.

?.?.Aoaeeaie, i?io., ae.i.i., A.O.No?oe.

Eaoaae?a aeooa?noaa oa
a?iaeieia?? ?aaii-O?aie?anueei?

aea?aeaaii? iaaee/ii? aeaaeai??.

?IEUe ?IOAEOe?EIIAI OAEOI?O

A IAAEIIOOAAII? AAA?OIINO?.

?ACTHIA.

A ?iaio? i?iaaaeaii ?ao?iniaeoeaiee aiae?c 1894 ?noi??e oai?ia ? ?iae?a
aaa?oieo ?c caa?icith ia?a?eaaiiy aaa?oiino?, naiia?eueieie aeeeaeiyie
oa ia?aae/anieie iieiaaie. Anoaiiaeaii, ui ia?oee oa ae?oaee nooiai?
/enoioe i?oae a 3 ?ace /ano?oa niinoa??aathoueny o aaa?oieo, o yeeo
aaeaeiny i?ieiiaoaaoe aaa?oi?noue, oiae? ye o?ao?e ? /aoaa?oee nooiai?
/enoioe i?oae iaee i?noea a 1,8 ?ace /ano?oa o ae?iie, o yeeo
aaa?oi?noue cae?i/eeany naiia?eueiei aeeeaeiai /e ia?aae/anieie
iieiaaie.

Oe?eani?yiiaaia aecia/aiiy oa?aeoa?o i?e?ioei?e ai?noo i?oae oa
aei?iaeiaa naiaoe?y aaa?oieo ? iaeiei ?c ?aca?a?a, yeee aeicaieeoue
cieceoe /anoioo iaaeiiooaaiiy aaa?oiino?.

Iaei??th ?c aeooaeueieo i?iaeai a no/aniiio aeooa?noa? caeeoa?oueny
i?iaeaia iaaeiiooaaiiy aaa?oiino?. Aeaia i?iaeaia ia? ia eeoa iaaee/i?,
aea e nioe?aeuei? aniaeoe, ui coiiaeaii iecueeei ??aiai ia?iaeaeoaaiino?
oa a?aenooi?noth oaiaeaioe?? aei cieaeaiiy /anoioe iaaeiiooaaiiy ye a
iao?e e?a?i?, oae ? ca ei?aeiiii. Ii aeaieo AIIC, /anoioa niiioaiieo
aeeeaei?a neeaaea? 15-20%, a ia?aae/anieo iieia?a — 4,5-7,3%. Ia oii?
caaaeueiiai cieaeaiiy ia?iaeaeoaaiino? ciaioaiiy ??aiy naiia?eueieo
aeeeaei?a oa ia?aae/anieo iieia?a noa? aaaiiei ?aca?aii, eio?ee aea?
iiaeeea?noue cia/ii iie?aueoe neeaaeio aeaiia?ao?/io neooaoe?th a e?a?i?
[4].

A?aeiii, ui iaaeiiioai? ae?oe no?aaeaeathoue ia o?ce/io, ?ioaeaeooaeueio
oa aiioe?eio iaiiaiioe?ii?noue. Ieoiia aaaa iaaeiiioaieo ae?oae a
no?oeoo?? ia?eiaoaeueii? nia?oiino? aeinyaa? 50-70%. Iieaciee
ia?oaiia?iaeaeoaa-iino? o iaaeiiioaieo a 5-15 ?ac?a aeua i?ae o
aeiiioaieo ae?oae, a ?aiiuei? iaiiaoaeueii? nia?oiino? aeua a 25-30
?ac?a [6].

I?iaeaia iaaeiiooaaiiy aaa?oiino? ? iie?ao?ieia?/iith. Iaiao?aeii
a?aecia/eoe, ui aei nueiaiaei?oiueiai aeiy iaaeyniaieo i?e/ei
ia?a?eaaiiy aaa?oiino? ? aaaaoi ? /anoioa ?o caeeoa?oueny aenieith —
12-41,2% [5]. Na?aae oaeoi??a, ui i?eaiaeyoue aei ia?a?eaaiiy
aaa?oiino?, ana ae oaee aaaiia i?noea caeia? ?ioaeoe?eiee oaeoi?. Oae ca
aeaieie A.E.Noaiaie?anueei? /1994/ iayai?noue aai?oaeueii? oa
aeno?aaai?oaeueii? ?ioaeoe?? a i?aai?ci? ae?iee neeaaea? 31,5% na?aae
an?o i?e/ei ia?a?eaaiiy aaa?oiino? [3].

Ua a 1892 ?ioe? A.Aeiaea?eaeiii aia?oa aoee iienai? eaeoiaaoeeee, ye
ia?aaaaeath/a neeaaeiaa ii?iaeueii? aaa?iaeueii? i?e?ioei?e. A aeaiee
/an anoaiiaeaii, ui ii?iaeueiee i?e?iaiee neeaae oei?e i?oae aeeth/a?
a?ey 60 ooai?a aaeoa??e ? caeaaeeoue a?ae aaaaoueio oaeoi??a: a?eo
ae?iee, oace iaino?oaeueiiai oeeeeo, naenoaeueii? aeoeaiino?, iayaiino?
aaa?oiino?, aeei?enoaiiy nia?i?oeeae?a, AIN, aioea?ioee?a,
aetheiei?oeei?ae?a, oeeoinoaoee?a, iayaiino? aeayeeo aeno?aaai?oaeueieo
caoai?thaaiue ? o.ae. Aea iciaeith caei?ia’y aaaaea?oueny ia?aaaaeaiiy
eaeoiaaoeee /aei 95%/ a i?e?iaiiio iaecaae? i?oae [1].

Iaoa??ae ? iaoiaee aeine?aeaeaiiy.

Aeoiaey/e ?c aeua neacaiiai, ie ae??oeee i?iaiae?coaaoe oa?aeoa?
i?e?ioei?e i?oae o aaa?oieo ?c caa?icith ia?a?eaaiiy aaa?oiino?,
naiia?eueieie aeeeaeiyie oa ia?aae/anieie iieiaaie, acyaoe ca iniiao
aeai? i?e?ineii?? iace?a ?c ai?noo i?oae. Iacee i?eaioiaeyee ca
noaiaea?oiith iaoiaeeeith; oeyoii oa?aoaaiiy 1% aiaeiei ?ic/eiii
iaoeeaiiaiai neiueiai. I?iaaaeaiee ?ao?iniaeoeaiee aiae?c 1894 ?noi??e
oai?ia ? ?iae?a aaa?oieo ?c caa?icith ia?a?eaaiiy aaa?oiino?,
naiia?eueieie aeeeaeiyie oa ia?aae/anieie iieiaaie, eio?? ciaoiaeeeeny
ia noaoe?iia?iiio e?eoaaii? a Eieiieenueeiio iieiaiaiio aoaeeieo ca
ia??iae 1995-1999 ?iee.

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy.

Anoaiiaeaii, ui /anoioa iaaeiiooaaiiy aaa?oiino? a na?aaeiueiio neeaaea?
15,8%. Na?aae ianoaaeaieo a ia?oiio o?eiano?? aoei 850 ae?iie /44,9%/, a
ae?oaiio o?eiano?? — 455 /24%/, a o?aoueiio o?eiano?? — 589 /31,1%/. ?c
1894 ianoaaeaieo ae?iie o 1045 /55,2%/ aaa?oi?noue aoea caa?aaeaia.
Iacaaaeath/e ia i?iaaaeaia e?eoaaiiy aaa?oi?noue ia?a?aaeany o 849
ae?iie, ui neeaaea? 44,8%. Aeai? i?i e?euee?niee neeaae aaa?oieo ii
o?eiano?ao aaa?oiino? iaaaaeaii a oaaeeoe? 1.

Oaaeeoey 1.

A?oie ianoaaeaieo E?euee?noue ianoaaeaieo ae?iie, %

1 o?eiano? 2 o?eiano? 3 o?eiano?

Aaa?oi?noue caa?aaeaia 365 /43%/ 369 /81%/ 311 /52,8%/

Aaa?oi?noue ia?a?aaeany 485 /57%/ 86 /19%/ 278 /47,2%/

C iaaaaeaieo aeaieo aeieeaa?, ui /anoioa iaaeiiooaaiiy aaa?oiino?
iaeaeua a ia?oiio o?eiano??, a iaeieae/a a ae?oaiio o?eiano??, ui
a?aeiia?aea? aeaiei e?oa?aoo?e [1,2]. I?iaaaeaiee aiae?c na?ae/eoue i?i
oa, ui iaea?eueo /anoi iaaeiiooaaiiy aaa?oiino? a?aei?/a?oueny o ae?iie
o a?oe? a?ae 18 aei 25 ?ie?a a ia?oiio o?eiano?? aaa?oiino?.

Ni?aa?aeiioaiiy i?ae iaoeaioeyie i?noa ? naea aoei a?aeiia?aeii oaeei:
710 /37,5%/ ? 1184 /62,5%/, ui a?ae??ciy?oueny a?ae e?oa?aoo?ieo aeaieo,
aea aeaco?oueny ia ia?aaaaeaiiy aeeoaeueie i?noa. Oea i/aaeaeii
iia’ycaii c iniaeeainoyie ianaeaiiy Eieiieenueeiai ?aeiio iaoi? iaeano?.
Ia?oiaaa?oi? neeaaeathoue 958 /50,6%/, a iiaoi?iiaaa?oi? — 936 /49,4%/
aeiaaee?a. O 890 /46,9%/ aaa?oieo a?aei?/aeany aiai?y ??ciiai nooiaiy
aaaeeino? .O a?oi? aeine?aeaeaiiy ia?aaaaeaee aeiiiainiiaea?ee 1042
/55%/ ? ae?iee, ye? aeeiioaaee aaaeeo o?ce/io i?aoeth 388 /20,5%/.

I?iaiae?coaaaoe ?acoeueoaoe i?e?ineii?/iiai aeine?aeaeaiiy ?c ai?noo
i?oae ia oei?o, iaie aeyaeaii ??cea ca?eueoaiiy /anoioe aeiaaee?a
o?aoueiai ? /aoaa?oiai nooiai?a /enoioe i?oae o aaa?oieo ?c caa?icith
ia?a?eaaiiy aaa?oiino? ii??aiyii ?c eiio?ieai a 3,2 ?aca /? < 0,01/. sseui caa?iooe oaaao ia ye?niee neeaae oei?e, oi niinoa??aa?oueny cia/ia cieaeaiiy e?eueeino? eaeoiaaoeee /aei 45%/ ? c?inoaiiy eieiai? oei?e /aei 36%/ ii a?aeiioaiith aei eiio?ieueii? a?oie aaa?oieo ?c ii?iaeueiei ia?aa?aii aaa?oiino?. O ca'yceo c oei, ui /?oei i?inoaaeo?oueny iaoieia?y aaeoa??aeueii? oei?e i?oae i?e caa?ic? ia?a?eaaiiy aaa?oiino?, naiia?eueieo aeeeaeiyo oa ia?aae/anieo iieiaao, ie i?iaiae?coaaee ye?niee neeaae oei?e ai?noo i?oae ca aeaieie i?e?ineii?? /ia?aaaaeaiiy eaeoiaaoeee, eieiai?, ci?oaii? oei?e, iayai?noue ae??aeaeaeiaeo a?eae?a, o?eoiiiiaae, aiiieie?a/ o ae?iie ?c caa?icith ia?a?eaaiiy aaa?oiino?, aea aiia aoea caa?aaeaia ? o ae?iie ?c naiia?eueieie aeeeaeiyie oa ia?aae/anieie iieiaaie. E?eoaaiiy caa?ice ia?a?eaaiiy aaa?oiino? o an?o aeiaaeeao i?iaiaeeeinue aac a?aeiia?aeii? naiaoe?? i?oae ianooiiei eiiieaenii i?aia?ao?a: caniie?eeeaeie na?aaeieeaie /aeno?aeo aaea??aie, ia?nai, naianii/, niaciie?oeeaie /ii-oia, iaiaaa?ei, ieao?o?e?i, aa?aea?i, iaai?y noeueoao/, ai?iiiaie /oie?eoe?i, i?iaanoa?ii, oi??ii?/iee aiiaaeio?ii?i, aeaenaiaoacii, i?aaei?cieii/, aaoa-aae?aiii?iaoeeaie /ia?oonenoai, a?i?i?ae/, aeieaoi?aie eaeueoe??aeo eaiae?a /?ciio?i/, ?ia?a?oi?aie i?inoaaeaiaeeineioaoace /?iaeiiaoaoeei/, aeanainea?e?coth/eie i?aia?aoaie /ae?iaae?ie, noi?anoei/, a?- oai?iioa?ai?y, na?eeyae oeeee iaoee, aeio?ainieaioaoe?y eineooa oe??e /ieia?ea. O aeiaaeeao, aea aaa?oi?noue aoea i?ieiiaiaaia, ia?aaaaeaiiy eaeoi-aaoeee neeaaeaei 42,3% aeiaaee?a, eieiai? oei?e - 20,5%, ci?oaii? - 17,1%, a?eaee aecia/aeeny o 15,4%, o?eoiiiiaaee - 4,7%. O ae?iie, aea aaa?oi?noue ia aaeaeiny caa?aaoe, neeaae i?e?ioei?e aoa, a?aeiia?aeii, oaeei: 14,2%, 38,7%, 30,7%, 12,2%, 4,2%. Ia?oee oa ae?oaee nooiai? /enoioe i?oae a 3 ?ace /ano?oa niinoa??aathoueny o aaa?oieo, o yeeo aaeaeiny i?ieiiaoaaoe aaa?oi?noue. A o?ao?e ? /aoaa?oee nooiai? /enoioe i?oae cono??/athoueny a 1,8 ?ace /ano?oa o aeiaaeeao, aea aaa?oi?noue cae?i/eeany naiia?eueiei aeeeaeiai /e ia?aae/anieie iieiaaie, iacaaaeath/e ia i?iaaaeaia eiiieaenia e?eoaaiiy. O 13,5% aeiaaee?a aeyaeaii aioo??oiueioo?iaia ?io?eoaaiiy iiaiia?iaeaeaieo. Aeniiaee. I?iaaaeaiee aiae?c iaaee/ii? aeieoiaioaoe?? oa ?acoeueoaoe i?e?ineii?/iiai aeine?aeaeaiiy ai?noo i?oae aeathoue iiaeeea?noue i?aeoaa?aeeoe cia/io ?ieue ?ioaeoe?eiiai oaeoi?o o iaaeiiooaaii? aaa?oiino?. Ie aaaaea?ii, ui oe?eani?yiiaaia aecia/aiiy oa?aeoa?o i?e?ioei?e ai?noo i?oae oa aei?iaeiaa naiaoe?y aaa?oieo ? iaeiei ?c ?aca?a?a, yeee aeicaieeoue cieceoe /anoioo iaaeiiooaaiiy aaa?oiino? oa i?aeaeueoe aoaeoeai?noue e?eoaaiiy oe??? eaoaai??? aaa?oieo. NIENIE E?OA?AOO?E 1. Aaeoa?eaeueiue aaaeiic.Iaoiae.?aeiiaiaeaoeee.-Eeaa,1998. 2. Ieoaeeaiei I.O., Noaiaie?anueea A.E. A?iaeieia?y.-E.:Caei?ia’y, 1999.-520 n. 3.Iaa?aeeeaaeia aeooa?noai /Ca ?aae.A.E.Noaiaie?anueei?, A.I.Aaioee?anueeiai.-E.:Caei?ia'y,1994.-384 n.,?e. 4.Iaaeiiooaaiiy aaa?oiino?. Ca??iee oac.-Ee?a,1997. 5.Na?ia A.I., No?eaeaeia A.I., Ia?eei N.A. I?aeoe/aneia aeooa?noai: ?oeiaiaenoai aeey a?a/ae. - I.:Iaaeeoeeia,1989.-512 n., ee. 6.Oocaieeia A. A. I?eioeeiu e iaoiaeu aaaeaiey i?aaeaeaa?aiaiiuo ?iaeia: Aaoi?ao. aeen. ... ae.i.i.-E.,1984. Caa. eaoaae?ith aeooa?noaa oa a?iaeieia?? ?OAeIA (i?io.ae.i.i. Aoaeeaie ?.?.) Ani??aio eaoaae?e aeooa?noaa oa a?iaeieia?? ?OAeIA (No?oe A.O.) Aae?ane aaoi??a. 1.Aoaeeaie ?aai ?aaiiae/ - i?io., ae.i.i., caa.eaoaae?ith aeooa?noaa ? a?iaeieia?? ?aaii-O?aie?anueei? aea?aeaaii? iaaee/ii? aeaaeai??. 76000, i.?aaii-O?aie?anuee, aoe.Iacaeaaeiino? 36/74, oae.2-36-50. 2.No?oe Aieiaeeie? Oaaei?iae/ - ani??aio eaoaae?e aeooa?noaa ? a?iaeieia?? ?aaii-O?aie?anueei? aea?aeaaii? iaaee/ii? aeaaeai??. 78200, ?aaii-O?aie?anueea iae., i.Eieiiey, aoe.N?/iaeo no??eueoe?a 25/8, oae.3-40-80. Key words: interruption of pregnancy, premature labor, microbial flora. The Role of the Infectious Factor in the Interruption of Pregnancy. I.I. Gudyvok, V.F. Struk Summary It was made a retrospective analysis of 1894 stories of diseases and deliveries of the pregnants with the threat of interruption of pregnancy, spontaneous abortion and premature labor. The first and the second degrees of purity of vagina are observed 3 times oftener in the pregnants, whose pregnancy was managed to prolong, and the third and the fourth degrees of purity of vagina are 1,8 time oftener in the cases, where pregnancy was ended in spontaneous abortion or premature labor. We consider, that careful study, of the character of microflora of vagina and the prenatal sanation are the factors which help to lower the frequency of interruption of pregnancy.

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