Ways of Prognosis and Reduction of Obstetric and Perinatal Complications at Pregnancy Chronic Pyelonephritis
Aida A. Sagindykova1, Zeinep O. Bazylbekova2 and Bayan A. Sagindykova3

1Department of Obstetrics and Gynecology Khoja Akhmet Yassawi International Kazakh-Turkish University 161200, Sattarkhanov Ave. 29, Turkestan, Republic of Kazakhstan.

2Scientific Center for Obstetrics, Gynecology аnd Perinatalogy Dostyk Ave. 125, Almaty, Republic of Kazakhstan.

3South-Kazakhstan State Pharmaceutical Academy 160000б, Al-Farabi Square 1A, Shymkent, Republic of Kazakhstan.

Corresponding Author E-mail: sagindykova.bayan@yandex.ru

Abstract: The paper deals with the results of the researches focused on reduction of obstetric and perinatal complications at pregnancy chronic pyelonephritis. For prognosis and preventions of obstetric and perinatal complications it is recommended to highlight a high-risk group of progression of these complications at chronic pyelonephritis and creation of the algorithms for prognosis of this pathology. According to the algorithm of female examination, the first stage of examination requires surveying using the prognostic clinical and anamnestic table of risk factors on progression of obstetric and perinatal complications. At the second stage the laboratory blood analysis of the high-risk patients is conducted, at that the results of the biochemical research are considered integrally. At the third stage the identified regularities are corrected. In order to define the effectiveness of pathogenetically substantiated pyelonephritis and improvement of renal function as well as assessment of pathogenetic significance and correlation between the qualitative parameters of blood chemistry values (erythrocyte, Hb, Ht, ESR, EPO, C cystatin, creatinine, uric acid etc.) with clinical manifestations complicating chronic pyelonephritis we explored the possibility of the r-HuEPO application.

Keywords: Chronic pyelonephritis; pregnancy; erythropoetin; prognosis; diagnosis; treatment

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