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КЛИНИЧЕСКИЕ ХАРАКТЕРИСТИКИ ТЕЧЕНИЯ НОВОЙ КОРОНАВИРУСНОЙ ИНФЕКЦИИ СOVID-19 У БЕРЕМЕННЫХ
Аннотация
По данным Федеральной службы государственной статистики, материнская смертность в РФ за 2020 г. выросла с 9,0 до 11,2; в отдельных субъектах РФ данный показатель повышается до 18,9, что свидетельствует о необходимости дальнейшего анализа и внедрения в практическую деятельность последних научных данных. В данном обзоре представлены данные из современных публикаций, посвященных клиническим проявлениям коронавирусной инфекции у беременных, проблемам лучевой диагностики и осложнениям беременности. Среди последних наиболее часто встречаются тромбоэмболические события, плацентарные нарушения, вызванные микротромбозами и, как следствие, увеличением преждевременных родов и гипертензивных расстройств. Приведены данные о трехкратном увеличении гестационной гипертензии и развитии преэклампсии у беременных, инфицированных COVID-19. Становятся известны убедительные данные об эффективности применения низкомолекулярных гепаринов в качестве профилактики перинатальных осложнений. Приведены данные о возможном влиянии дополнительного приема фолатов и витамина Д на течение новой коронавирусной инфекции у беременных. Вопросы перинатальных исходов и профилактики осложнений остаются наиболее актуальными и нуждаются в дальнейшем изучении.
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