[Average and high myopia in pregnant women at delivery].
A total of 315 pregnant women were under observation: 290 (92.1%) of women with myopia made up the main group, and 25 (7.9%), which had no extragenital pathologies or any pregnancy complications, were in the control group. It was for the first time that an algorithm of pregnancy and delivery monitoring for myopic patients was worked out: the algorithm comprises ophthalmologic examinations including rheoophthalmography carried out during the delivery. The specific features of the ocular hemodynamics and intraocular pressure as well as their dependence on the parameters of central hemodynamics and volumetric cerebral blood velocity at all stages of spontaneous delivery were studied. The role of prolonged epidural anesthesia, as a method normalizing the hemodynamics of the ciliary tract, was defined to optimize the delivery by women with average and high myopia. The above stated makes it possible to prevent possible complications (in the organ of vision) in patients with average and high myopia and to decrease the frequency of operative delivery from 21.8% to 1.3%.
Travkin
A G
AG
Akh vlediani
K N
KN
Petrova
T Kh
TKh
D000328:Adult; D000465:Algorithms; D000767:Anesthesia, Epidural; D002560:Cerebrovascular Circulation; D036861:Delivery, Obstetric; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007429:Intraocular Pressure; D009216:Myopia / Q000175:diagnosis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis