REHABILITATION OF PARTURIENT WOMEN WITH A HISTORY OF PREECLAMPSIA
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2020.3.11522Keywords:
preeclampsia, postpartum period, blood pressure, rehabilitationAbstract
Summary. The role of hypertensive disorders and preeclampsia during pregnancy in the development of cardiovascular and cerebrovascular diseases in the later life of patients has been proved. The literature widely covers the issues of diagnosis, treatment, prevention of preeclampsia, but there is little information about the rehabilitation of patients in the postpartum period.
The aim of the study – to develop a set of rehabilitation measures taking into account individual characteristics for women who have suffered from preeclampsia.
Materials and Methods. 127 women in labor were under observation. Control group – 40 women with physiological childbirth. Group 1 – 45 patients who suffered from moderate preeclampsia and received the developed comprehensive rehabilitation, group 2 – 42 women in labor. All women underwent general clinical methods of examination on admission to the hospital, in the dynamics of treatment, before discharge, in 1, 3, 6 months, as well as one year after delivery. A comprehensive rehabilitation program was developed for the patients of the main group with the involvement of a nutritionist, psychologist, rehabilitation specialist and physiotherapist.
Results. The course of the postpartum period in women in the control group ended physiologically. In 71 % of patients in the main group, normalization of blood pressure begins with the 5th day of the postpartum period, and only half (52.4 %) of the comparison group. Daily diuresis returns to normal within two weeks in women of group 1, and in 78.6 % of patients in group 2 only on the 30th day of observation. Reduction of proteinuria was diagnosed from the third day after delivery in all patients of the main group and from 5–7 days – in women of the comparison group. The concentration of total protein in women of group 1 was completely normalized on the 15th day of the postpartum period, and in women of group 2 – up to 30 days. Normalization of platelet count in all women of the main group occurred one month after delivery, in the comparison group only six months.
Conclusions. For women who have suffered from preeclampsia in the postpartum period, it is advisable to develop an individual rehabilitation program with the involvement of obstetrician-gynecologist, nutritionist, psychologist, rehabilitologist and physiotherapist, as well as to recommend spa treatment after a year of observation.
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