FEATURES OF PRECONCEPTION PREPARATION FOR WOMEN OF DIFFERENT NATIONALITIES
DOI:
https://doi.org/10.11603/24116-4944.2017.1.7292Keywords:
folic acid, cyanocobalamin, vitamin D, pregnancy prevention.Abstract
The aim of the study – to make a differential approach to preconception preparation and management of pregnancy in women of different nationalities.
Materials and methods. There were examined 120 women of reproductive age: Slavonic (group I), Vietnamese (group II), Chinese (group III), Arabic (group IV). We studied the medical history of physical, marital, and gynecological anamnesis. The level of folic acid, cyanocobalamin, common vitamin D were determined.
Results and discussion. The Ukrainian women had cardio-vascular diseases in 63.3 %, metabolic and endocrine disorders – 46.7 %, the pathology of the gastrointestinal tract – 36.7 %. Anemia took place in 66.7 % of Vietnamese women, 70.0 % – Arabian countries, the disease of the urinary excretory system were in 26.7 % and 40.0 % of patients correspondingly. More than 50 % (53.3 %) of women of the I group had a history of childbirth, 65.3 % – Arabic nationality, 50.0 % – Chinese, 33.3 % – Vietnamese. Medical abortions were noted in 30.0 % of Russian women, 6.7 % – Chinese women. Spontaneous abortion in women of Vietnamese nationality made 26.7 %, infertility – 23.3 %. Secondary amenorrhea was 6.7 %, oligomenorrhea – 16.7 %, while, insufficiency of the luteal phase – in 16.7 % of the Vietnamese women. Low levels of folic acid in blood examined ranged from 26.7 to 53.5 %, cyanocobalamin – from 3.4 to 16.7 %, vitamin D – from 33.3 to 53.3 % of cases. The most expressive abnormal parameters identified in women of group II and group III.
Conclusions. Preconception preparation and management algorithm for pregnant women of different nationalities must be based on the individual characteristics of the organism. When planning a pregnancy the level of folic acid, cyanocobalamin, vitamin D should be determined in the blood of women for the purpose of early diagnosis of subclinical vitamin deficiency and possible prevention of gestational complications. Women with low levels of folate, cyanocobalamin, vitamin D in the blood before pregnancy should be examined in the I and II half of pregnancy for the purpose of timely correction.
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