THE COURSE OF PREGNANCY, CHILDBIRTH AND PERINATAL OUTCOMES IN WOMEN WITH THREATENED INTERRUPTION OF PREGNANCY AND THE STATUS OF INTERNALLY DISPLACED PERSONS, LIVING IN THE LUHANSK REGION
DOI:
https://doi.org/10.11603/24116-4944.2019.2.10926Keywords:
internally displaced persons, pregnancy, threatened interruption of pregnancy, childbirth, condition of newbornsAbstract
The aim of the study was to evaluate the course of pregnancy, childbirth and perinatal outcomes in women with threatened interruption of pregnancy (TIP) and the status of internally displaced persons (IDPs), living in the Lugansk region, to improve treatment and preventive measures and prevent obstetric and perinatal complications in such women.
Material and methods. A prospective clinical and statistical analysis of the course of pregnancy and childbirth of 42 pregnant women in first and second trimesters of pregnancy which had IDPs status and who were hospitalized regarding TIP in the hospitals located in the Luhansk region was performed (group I). The control group consisted of 64 pregnant women with non-complicated obstetric anamnesis and physiological course of pregnancy with similar gestational period of pregnancy and place of residence (group II).
Results and Discussion. It has been established that in pregnant women of group I the proportion of diseases of the cardiovascular system, urinary tract, ENT organs, and genital inflammatory diseases was significantly higher; a complicated course of pregnancy and childbirth was registered. The number of cases of acute respiratory viral infection, isthmic-cervical insufficiency, nonspecific vaginitis significantly exceeded the indicators of group II, asymptomatic bacteriuria, recurring threatened interruption of pregnancy, gestational pyelonephritis and ureaplasma infection were found only in pregnant women of group I, the number of cases of anemia there was no significant difference. 7 (16.67 %) women of group I and 3 (4.69 %) – group II (p = 0.048) had preterm birth at 33-37 weeks of gestation, operative delivery was registered in 13 (30.95 %) and 8 (12.50 %) cases, respectively (p = 0.02). Рremature rupture of the membranes was found in 1.91, weakness of labor – in 3.4, premature detachment of the normally located placenta – in 6, fetal distress – in 1.5 more often in women of group I, central placenta previa was noted only in group I.
Conclusions. The presence of a history of chronic female genital inflammatory diseases, sexually transmitted infections, acute respiratory viral infection during pregnancy, threatened interruption of pregnancy in the first and second trimesters, allows pregnant women to be at high risk of developing gestational complications in order to conduct timely treatment. The complicated course of the first and second trimesters of pregnancy had a direct effect on frequency increase of premature termination of pregnancy and operative delivery in women of group I compared with women of group II.
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