[Standards of multimodal monitoring in obstetrical clinic].

Safety issues of anaesthesia care in obstetrics are extremely important, because they influence the possibility of reducing the complications in mothers, foetus and newborns. Monitoring of haemodynamics is a necessary part of anaesthesia care. A correct estimation of haemodynamics in pregnant with gestosis is possible only when analyzing the rates of peripheral resistance and a cardiac index. 72 pregnant patients with gestosis were examined, 48 of above had a moderate form. In latter group, a hypokinetic type of haemodynamics was revealed in 4% of patients, normokinetic type in 86% and a hyperkinetic type in 10%. In 24 patients with severe gestosis the distribution was as 82%, 18% and 0% respectively. Measuring the central haemodynamic parameters with a bio-impedance spectrometry allows to choose the hypotensive therapy in a more accurate way to ensure the control of its effectiveness, and to consider the need in early delivery in proper time when in aggravation of gestosis, providing better outcomes for women and children.

[Characteristics of humoral immunity to rubella virus in residents of Moscow in 1998-1999]. / Pokazateli gumoral'nogo immuniteta k virusu krasnukhi u zhitelei Moskvy v 1998-1999gg.

A total of 400 blood samples were collected from residents of Moscow in 1998-1999, 369 from adults aged mainly 19-31 years and from children aged 5-12 years. The mean incidence of antirubella antibody was 76.5%; the value varied in different age groups. The highest percentage of antibody detection was observed in men aged 19-25 years (91.8%) and the lowest in pregnant women aged 18-38 years (66-67%). Estimation of antihemagglutinin titers in international Units showed that antibody titer 1:40 and higher protected from infection; such titers were detected in 73.6% examinees. In pregnant women the level of immunological defense was very low (only 56%), which necessitates urgent vaccination of adolescent girls and young women. The results of EIA were compatible with the results of indirect hemagglutination test (IHAT), but EIA was much more sensitive in cases with low titers of IHAT.