PECULIARITIES OF CHILDBIRTH COURSE IN PREGNANT WOMEN, DEPENDENT ON TOBACCO SMOKING
DOI:
https://doi.org/10.11603/24116-4944.2019.1.10184Keywords:
pregnancy, tobacco smoking, childbirth, perinatal complicationsAbstract
The aim of the study – to reduce the incidence of pregnancy complications and childbirth in women under tobacco use.
Materials and Methods. 75 pregnant women underwent examination. The age of pregnant women ranged from 17 to 26 years. Pregnant women in the main group were divided into 2 subgroups: group 1-A consisted of 45 pregnant women who smoked cigarettes during pregnancy; group 1-B consisted of 30 pregnant women who smoked cigarettes before pregnancy and did not abuse tobacco during their current pregnancies. The control group consisted of 40 healthy pregnant women who did not smoke and were not under the influence of smoking during pregnancy. The groups of pregnant women are formed in accordance with the principles of randomization. The examination of pregnant women was conducted in accordance with local protocols and regulating orders of the Ministry of Health of Ukraine.
Results and Discussion. It was found that this cohort of pregnant women refers to a high risk group of perinatal complications. It was established that smoking in pregnant women increases the frequency of fetoplacental dysfunction, increases the level of anemia in pregnant women, the risk of abortion, fetal distress, preeclampsia, which complicate the clinical course of childbirth and increase the incidence of perinatal complications.
Conclusion. Tobacco smoking during pregnancy and childbirth in pregnant women promotes complications of gestation, greatly increases the risk of anemia, placental dysfunction, premature childbirth and fetus condition.
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