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.
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