Ozone Prophylaxys Of Septic Complications In Obstetrics

M. I. Kovalev y V. M. Zuev.

Department of obstetrics and gynecology, Moscow Medical Sechenov Academy, Moscow, Russia.
The frequency of operation has a tendency to increase. The number of women in our clinics, operated by cesarean is 19,2 %. The increase in the quantity of operation leads to the rise in the number of septic complications after the operations. The purpose of this investigation was to develop an effective, available and inexpensive method of prophylaxis of the septic complications after the cesarean. 110 women, who had birth through cesarean, were subject to prospective observation. All patients were treated on the 1st, 2nd, 3rd and 4th postoperative day by intravenous ozone solution (2 mg/L ozone in 400 mL 0,9 % NaCl). The results showed that the use of ozone solution can reduce the number of septic complications (endometritis, fever, etc.) by 30 % in the postoperative period. The prophylactic effect is more expressed among women with urgent surgical intervention and among patients from group with high risk of infection. Along with the decrease in the total number of complications, the decrease of the most serious complications with high temperature has been observed. No cases of sides effects or intolerance have been observed during the use of ozone. Because of the simplicity of its use, its moderate cost and high effectivity, ozone therapy can be recommended for its use in any obstetrical hospital.