RETROSPECTIVE ANALYSIS OF PREGNANCY COURSE IN WOMEN WHO GAVE BIRTH TO CHILDREN WITH CONGENITAL HEART DEFECTS
DOI:
https://doi.org/10.11603/24116-4944.2018.2.9206Keywords:
вагітність, вроджена патологія системи кровообігу, новонароджені діти, ретроспективний аналіз.Abstract
The aim of the study – to learn the peculiarities of the pregnancy course in women who gave birth to children with congenital heart defects (CHD).
Materials and Methods. A comparative retrospective analysis of the primary medical documentation of 170 cards of a pregnant woman giving birth to a child with a CHD for 5 years (2011–2015) and 170 stories of a pregnant woman giving birth to live healthy children .
Results and Discussion. The study of parity of pregnancy did not show a significant difference in the number of women in the first, second and third in the order of pregnancy in both observation groups. However, among women who gave birth to children with CHD, significantly more were given birth for the fourth time and more. Completion of pregnancy in the vast majority of women in the main group was physiological (65.9 %), and in 34.1 % cases – by caesarean section. While in all 100 % of the women in the control group, the birth was physiological. Analysis of the course of pregnancy in women of both groups showed a significantly higher percentage of complications in pregnant women in the main group. Significantly more often in the main group were registered preeclampsia, pyelonephritis, polyhydramnios and anhydrite.
Conclusions. The results of the studies showed that pregnant women with fetal CHDs are at risk of perinatal complications. Among the spectrum of pregnancy complications, preeclampsia, pyelonephritis, polyhydramnios and anhydrite, and fetal distress during labor. The results obtained will make it possible to form risk factors for congenital heart disease in the fetus.
References
Znamenska, T.K., Boichuk, T.M., & Hodovanets, Yu.D. (2013). Orhanizatsiia ta perspektyvy rozvytku perynatalnoi dopomohy v Ukraini [Organization and prospects of development of perinatal care in Ukraine]. Neonatolohiia, khirurhiia ta perynatalna medytsyna – Neonatology, Surgery and Perinatal Medicine, III, 1 (7), 13-18 [in Ukrainian].
Horbatiuk, O.M., & Liaturynska, O.V. (2014). Orhanizatsiia ta perspektyvy rozvytku perynatalnoi dopomohy v Ukraini [Organization and prospects of development of perinatal care in Ukraine]. Neonatolohiia, khirurhiia ta perynatalna medytsyna – Neonatology, Surgery and Perinatal Medicine, IV, 4 (14), 5-10 [in Ukrainian].
Zaporozhan, V.M., Mishchenko, V.P., & Rudenko, I.V. (2012). Suchasni aspekty profilaktyky hestatsiinykh uskladnen [Modern aspects of prevention of gestational complications]. Zhurnal NAMN Ukrainy – Journal of the National Academy of Sciences of Ukraine, 18, (3), 372-378 [in Ukrainian].
Kosilova, S.Ye. (2016). Akusherski ta perynatalni uskladnennia, yak faktory ryzyku zatrymky. Obstetric and perinatal complications as risk factors for fetal growth retardation]. Bukovynskyi medychnyi visnyk – Bukovyna Medical Bulletin, 20, 2 (78), 48-50 [in Ukrainian].
Pasiieshvili, N.M. (2016). Analiz perynatalnoi zakhvoriuvanosti ta smertnosti v umovakh perynatalnoho tsentru ta shliakhy ii znyzhennia [Analysis of perinatal morbidity and mortality in the conditions of the perinatal center and ways of its reduction]. Science Rise, 1, 3 (18), 37-43 [in Ukrainian].
Rossberg, N., Stangl, K., & Stangl, V. (2016). Pregnancy and cardiovascular risk: A review focused on women with heart disease undergoing fertility treatment. Eur. J. Prev. Cardiol., 17, 567-623.
Till, S.R., Everetts, D., & Haas, D.M. (2015). Incentives for increasing prenatal care use by women in order to improve maternal and neonatal outcomes. Cochrane Database Syst. Rev., (12), 2228-2231.
Avramenko, T.V., Savchenko, S.Ye., Kolomiichenko, T.V., & Karpenko, O.P. (2012). Vedennia vahitnosti ta polohiv u zhinok z vrodzhenymy vadamy ploda. [Conducting maternity and births in women with congenital fetal malformations]. Tavrіcheskiy medіko-bіologicheskіу vestnіk – Taurian Medical and Biological Herald, 2 (1), 11-14 [in Ukrainian].
Demidova, N.S., & Rybalka, A.N. (2012). Povyshenie effektivnosti prenatalnoy diagnostiki vrozhdennykh porokov razvitiya i nasledstvennykh zabolevaniy ploda [Increase the efficiency of prenatal diagnosis of congenital malformations and hereditary diseases of the fetus]. Tavricheskiy mediko-biologicheskiy vestnіk – Taurian Medical and Biological Herald, 2 (1), 93-97 [in Ukrainian].
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