THE FEATURES OF OBSTETRIC COMPLICATIONS COURSE IN PREGNANT WOMEN WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE DEPENDING ON THE FUNCTIONAL CONDITION OF THE RESPIRATORY SYSTEM
DOI:
https://doi.org/10.11603/24116-4944.2021.2.12592Keywords:
pregnancy, chronic obstructive pulmonary disease, obstetric complicationsAbstract
The aim of the study is to highlight the features of obstetric complications course in pregnant women with chronic obstructive pulmonary disease depending on the functional condition of the respiratory system.
Materials and Methods. 47 pregnant women with chronic obstructive pulmonary disease were examined. Pregnant women from the main group were divided into IA (23 women with mild bronchoobstruction) and IB (24 women with moderate bronchoobstruction) subgroups. 28 healthy pregnant women were consisted in the control group. A comparative analysis of obstetric complications were used and changes in the functional state of the respiratory system which play a role in the development of this patient.
Results. The examination of the main group of pregnant women with chronic obstructive pulmonary disease was showed that a characteristic symptoms of chronic obstructive pulmonary disease have a pronounced tendency to progress in the second half of pregnancy: chronic cough (34.8 % in IA and 62.5 % in IB subgroup), shortness of breath (34.8 % and 41.7 % in accordance), sputum production (26.1 % and 37.5 % in accordance), chest tightness (21.7 % and 33.3 % in accordance) (р≤0,05).
A higher frequency of obstetric and perinatal complications was noted in patients with a decreasing in external respiration rates. Placental dysfunction (56.5 % in IA and 66.7 % in IB subgroups), threatened of preterm birth (34.8 % and 54.2 % in accordance), intrauterine growth restriction (13.0 % and 16.7 % in accordance), low birth weight (30.4 % and 41.7 % in accordance) (p≤0.05).
Conclusions. This paper has clearly shown that a deterioration in respiratory function became the reason of increasing the obstetric and perinatal complications frequency in pregnant women with chronic obstructive pulmonary disease in the second half of gestation. It requires, for the purpose of prevention obstetric pathology, to develop the modern approaches that help to manage such patients.
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