EFFECTIVENESS OF CARE IN PREGNANCIES WITH THREATENED ABORTION: COMPLIANCE WITH CLINICAL GUIDELINES

Abstract

To evaluate the efficacy of diagnostic and therapeutic interventions provided to pregnant women facing the threat of miscarriage, a retrospective review was conducted involving 150 cases of patients with gestational age up to 22 weeks who underwent inpatient treatment in gynecological departments of Volgograd. All women had been diagnosed with "Threatened abortion" according to ICD-10 classification (code O20.0). The analysis revealed that one in three patients (n = 51; 34%) did not receive the full range of diagnostic procedures outlined in clinical guidelines, including pelvic ultrasound in the first trimester and cervicometry in the second trimester. The most frequent issues were related to inappropriate therapeutic strategies. Polypharmacy was identified in 110 cases (73.3%), where patients were prescribed 6 to 10 different medications. Moreover, in 92 women (61.3%), the prescribed drugs were not listed in the official medical care protocols for this condition. Among these patients, 60 (40%) required rehospitalization due to recurrent symptoms, and in 17 cases (28.3%) the pregnancy could not be sustained.