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The article presents data on the management of pregnancy in women with eye diseases. Ophthalmological manifestations in various pathological conditions on the part of the organs of vision are clearly shown. Presents the procedure for management of pregnancy and childbirth in women with both eye diseases and ophthalmic morpho-functional changes associated with the development of gestational complications. The admissibility of carrying out laser-surgical treatment methods for pathological changes in the organs of vision in a pregnant woman is noted. Ophthalmological changes are indicated, which are taken into account when choosing a mode of delivery.

Background. A "Method of cervical incompetence treatment in pregnant women" (RF patent for invention №2746437, priority dated December 25, 2019) is presented. Method details are described. Aim. To evaluate the efficacy and safety of the novel cervical incompetence (CI) treatment method in pregnant women. Materials and methods. The study included 150 pregnant women divided into three groups, with 50 subjects in each group. Group 1 included pregnant women with CI who received the novel treatment method (narrowing of the dilated cervical canal with a flexible tape with a fixation lock); Group 2 included pregnant women who underwent surgical correction of CI (U-shaped sutures to the cervix); Group 3 included pregnant women with the initial stage of CI, in whom obstetric pessaries were used. Patients in the groups were comparable in age, reproductive behavior, somatic diseases, and obstetric and gynecological history. Results. After CI correction, different early complications were observed in 20, 66, and 34% of pregnant women by groups, respectively. The novel method of narrowing the dilated cervical canal with a flexible loop with a fixation lock is technically a simpler manipulation than surgical suturing of the cervix with a prolapsed amniotic sac. Clinical signs of threatening miscarriage in subsequent gestational periods occurred in 22% of patients in Group 1, 64% of Group 2, and 28% of Group 3. Full-term delivery was reported in 88, 68, and 84%, respectively. Conclusion. The novel method of CI correction is technically simple, clinically- and cost-effective. Furthermore, this method does not involve using medications that can affect the pregnant woman and the fetus.

A historical perspective on the issue of device-based endometrial destruction is presented. The article describes in detail various current methods of thermal coagulation of the uterine mucosa for its destruction. A comparative analysis of hysteroscopic and non-hysteroscopic methods of endometrial destruction in terms of treatment effectiveness, complications, and recurrence prevention is presented. The ways of technological development of instrumental treatment methods of intrauterine disorders are highlighted.