STAGES OF REHABILITATION FOR WOMEN AFTER EARLY REPRODUCTIVE LOSS; [ЭТАПЫ РЕАБИЛИТАЦИИ ЖЕНЩИН ПОСЛЕ РАННИХ РЕПРОДУКТИВНЫХ ПОТЕРЬ]

Introduction. For all early reproductive losses, the need for restorative treatment is common. Aim. The purpose of the study is to analyze the experience of the gynecological hospital in Ryazan on a 3-stage comprehensive rehabilitation of women with early reproductive losses. Material and Methods. The development of this algorithm was carried out on the basis of an analysis of the results of research and the experience of leading research centers. A sociological survey was carried out among 128 obstetrician-gynecologists working in the gynecological department of the hospital and antenatal clinics in Ryazan. Results and discussion. The results of a sociological survey among obstetricians-gynecologists confirmed the importance of rehabilitation measures after early reproductive loss, as well as assessing the health status of women, including in terms of psycho-emotional status. At the same time, 44.8 % of respondents believed that the rehabilitation of women after early pregnancy loss should be carried out in a day hospital, 23.9% in a round-the-clock hospital, 21.6% - on an outpatient basis, 9.7% of the surveyed doctors found it difficult to answer. A description is given of the content of each of the three stages (stationary, restorative and supportive) of the developed and tested scheme of complex rehabilitation. Based on the results of the third stage, the doctor gives a comprehensive assessment of the woman’s reproductive health after the loss of pregnancy, together with the patient determines her further reproductive plan: either prescribe reliable contraception or prenatal preparation. Conclusion. Implementation The three-stage rehabilitation scheme makes it possible to provide full-scale specialized medical care for the restoration of reproductive health and psycho-emotional sphere to women with early reproductive loss, as well as to form their further reproductive plans. © The Author(s) 2023.