Вісник проблем біології і медицини -2023 -Вип. 2 (169) / Bulletin of problems in biology and medicine -2023 -Issue 2 (169) 178
КЛІНІЧНА ТА ЕКСПЕРИМЕНТАЛЬНА МЕДИЦИНА / CLINICAL AND EXPERIMENTAL MEDICINEwas fixed in 10% neutral formalin, and after wiring, the tissue was transferred to paraffin. Histological preparations were prepared. The slides were stained with hematoxylin-eosin and Van Gieson's stain.Results of the study. Microscopic examination of the extraplacental tissues of the afterbirth, which are represented by three membranes -amniotic, chorionic and intimate adjacent decidual, in case of premature amniotic fluid discharge is characterized by heterogeneity of structure. Thus, in contrast to the membranes in case of timely amniotic fluid discharge, in case of premature rupture of the membranes at their edge, there is a pronounced swelling of all elements of the membranes.Destruction of epithelial cells and their degenerative changes were observed in the amnion. There was no clear boundary between the amnion and the smooth chorion. In many preparations, with premature amniotic fluid discharge and an increase in the anhydrous interval of more than 8 hours, dystrophic changes in the epithelium, expressed transformations into a continuous cuticular cluster, were noted.In case of premature amniotic fluid discharge, focal, and less often diffuse infiltration with segmented leukocytes was detected in the membranes. It was detected in the decidual layer of the periepithelial membranes during a prolonged waterless period of more than 6-8 hours.Thus, a prolonged waterless period is not always accompanied by leukocyte infiltration of the parietal membranes. However, with an increase in the water-free interval of more than 6 hours, the first manifestations of parietal deciduitis may appear, and after 8 hours -chorioamnionitis. These data are consistent with the results of our simultaneous bacteriological studies.Conclusions. The detected changes in the amnion and chorion, with a minimal anhydrous interval, are characterized by destruction of epithelial cells, degenerative changes, lack of a clear boundary between the amnion and chorion, changes in the intercellular space, swelling.