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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2022-16-16-84-91</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-7094</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРЕГРАВИДАРНАЯ ПОДГОТОВКА И БЕРЕМЕННОСТЬ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PREGRAVID PREPARATION AND PREGNANCY</subject></subj-group></article-categories><title-group><article-title>Применение вагинальной терапевтической системы с простагландином для индукции родов</article-title><trans-title-group xml:lang="en"><trans-title>The use of a vaginal therapeutic system with prostaglandin for induction of labor</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8572-1971</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баев</surname><given-names>О. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Baev</surname><given-names>O. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Олег Радомирович Баев, д.м.н., профессор, руководитель отделения, профессор кафедры</p><p>1-ое родильное отделение</p><p>119991</p><p>ул. Трубецкая, д. 8, стр. 2</p><p>кафедра акушерства, гинекологии, перинатологии и репродуктологии</p><p>117997</p><p>ул. Академика Опарина, д. 4</p><p>Москва</p></bio><bio xml:lang="en"><p>Oleg R. Baev, Dr. Sci. (Med.), Professor, Head of the Ward, Professor of the Department</p><p>1st Maternity Ward</p><p>119991</p><p>8, Bldg. 2, Trubetskaya St.</p><p>Department of Obstetrics, Gynecology, Perinatology and Reproductology</p><p>117997</p><p>4, Academician Oparin St.</p><p>Moscow</p></bio><email xlink:type="simple">o_baev@oparina4.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3990-6224</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гусар</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gusar</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Владислава Анатольевна Гусар, к. м. н., старший научный сотрудник</p><p>отдел системной биологии в репродукции</p><p>лаборатория прикладной транскриптомики</p><p>117997</p><p>ул. Академика Опарина, д. 4</p><p>Москва</p></bio><bio xml:lang="en"><p>Vladislava A. Gusar, Cand. Sci. (Med.), Senior Researcher</p><p>Department of Systems Biology in Reproduction</p><p>Laboratory of Applied Transcriptomics</p><p>117997</p><p>4, Academician Oparin St.</p><p>Moscow</p></bio><email xlink:type="simple">v_gusar@oparina4.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1415-3318</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гайдарова</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Gaydarova</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Асият Руслановна Гайдарова, аспирант</p><p>117997</p><p>ул. Академика Опарина, д. 4</p><p>Москва</p></bio><bio xml:lang="en"><p>Asiyat R. Gaydarova, Postgraduate Student</p><p>117997</p><p>4, Academician Oparin St.</p><p>Moscow</p></bio><email xlink:type="simple">a_gadzhieva@oparina4.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4194-8730</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Эдильберг</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Edilberg</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ирина Викторовна Эдильберг, аспирант</p><p>117997</p><p>ул. Академика Опарина, д. 4</p><p>Москва</p></bio><bio xml:lang="en"><p>Irina V. Edilberg, Postgraduate Student</p><p>117997</p><p>4, Academician Oparin St.</p><p>Moscow</p></bio><email xlink:type="simple">i_edilberg@oparina4.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И. М. Сеченова (Сеченовский Университет) ; Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В. И. Кулакова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) ; Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В. И. Кулакова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>09</day><month>10</month><year>2022</year></pub-date><volume>0</volume><issue>16</issue><fpage>84</fpage><lpage>91</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Баев О.Р., Гусар В.А., Гайдарова А.Р., Эдильберг И.В., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Баев О.Р., Гусар В.А., Гайдарова А.Р., Эдильберг И.В.</copyright-holder><copyright-holder xml:lang="en">Baev O.R., Gusar V.A., Gaydarova A.R., Edilberg I.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/7094">https://www.med-sovet.pro/jour/article/view/7094</self-uri><abstract><p>   Введение. Индукция родов – одна из наиболее частых процедур в современном акушерстве, позволяет снизить частоту кесарева сечения и улучшить исходы беременности. Однако эффективность и безопасность методов индукции родов различаются. В настоящее время в России сертифицирована к применению для родовозбуждения система вагинальная терапевтическая (СВТ) с динопростоном.   Цель. Провести обзор данных литературы и пилотное исследование эффективности и безопасности системы вагинальной терапевтической с динопростоном для индукции родов.   Материалы и методы. Проведен обзор литературы за 2001–2022 гг., посвященной применению влагалищных систем с постепенным выделением простагландина для индукции родов. Дополнительно проведено проспективное наблюдательное исследование эффективности и безопасности системы с динопростоном у 18 беременных. Критериями оценки служили: частота наступления родов, степень созревания шейки матки по шкале Бишоп, а также частота влагалищных родов.   Результаты. Данные литературы свидетельствуют, что СВТ с динопростоном имеет сопоставимую эффективность по сравнению с другими методами преиндукции/индукции родов. Система с динопростоном имеет меньшую частоту побочного эффекта «тахисистолия», чем система с мизопростолом. По сравнению с механическими методами ее использование сочетается с меньшей частотой применения окситоцина. Применение СВТ с динопростоном показало эффективность 77,8 % (по частоте развития родов или созревания шейки матки). Побочных эффектов, требующих прекращения индукции родов, в нашем исследовании не зарегистрировано.   Выводы. Влагалищная вставка с простагландином Е2 – динопростоном является эффективным и безопасным методом преиндукции родов. Принимая во внимание небольшой размер выборки в нашей работе, представляет интерес продолжение исследований с целью получения более полных данных и в сравнении с другими методами.</p></abstract><trans-abstract xml:lang="en"><sec><title>   Introduction</title><p>   Introduction. Induction of labor is one of the most frequent procedures in modern obstetrics, which reduces the frequency of cesarean section and improves pregnancy outcomes. However, the effectiveness and safety of labor induction methods vary. Currently, the vaginal therapeutic system (SVT) with dinoprostone is certified for use for childbirth in Russia.   Aim. To conduct a review of the literature data and a pilot study of the effectiveness and safety of the vaginal therapeutic system with dinoprostone for induction of labor.</p></sec><sec><title>   Materials and methods</title><p>   Materials and methods. A review of the literature for 2001–2022 devoted to the use of vaginal systems with gradual release of prostaglandin for induction of labor was conducted. Additionally, a prospective observational study of the effectiveness and safety of the dinoprostone system was conducted in 18 pregnant women. The evaluation criteria were: the frequency of labor, the degree of maturation of the cervix on the Bishop scale, as well as the frequency of vaginal delivery.   Results. Literature data indicate that SVT with dinoprostone has comparable efficacy with other methods of pre-induction / induction of labor. The system with dinoprostone has a lower frequency of the side effect of “tachysystole” than the system with misoprostol. Compared with mechanical methods, SVT is assotiated with a lower frequency of oxytocin use. The use of SVT with dinoprostone showed an efficiency of 77.8% (in terms of the of labor start or cervical ripening). No side effects requiring termination of labor induction were registered in our study.   Conclusions. Thus, vaginal insertion with prostaglandin E2 – dinoprostone is an effective and safe method of pre-induction of labor. Taking into account the small sample size in our work, it is of interest to continue research in order to obtain more complete data and in comparison with other methods.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>родовозбуждение</kwd><kwd>преиндукция родов</kwd><kwd>индукция родов</kwd><kwd>динопростон</kwd><kwd>шкала Бишоп</kwd></kwd-group><kwd-group xml:lang="en"><kwd>preinduction of labor</kwd><kwd>induction of labor</kwd><kwd>dinoproston</kwd><kwd>Bishop scale</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Баев О. Р. Неудачная попытка стимуляции родов (подготовка шейки матки к родам и родовозбуждение): клинические рекомендации 2021 / О. Р. Баев [и др.] – М., 2021. – 61 с. Режим доступа: https://mz.mosreg.ru/download/document/10106569. – Baev O. R., Petrukhin V. A., Logutova L. S., Zazerskaya I. E., Solodovnikova N. G., Fatkullin I. F. et al. 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