RETROSPECTIVE ANALYSIS OF THE COURSE OF PREGNANCY AND CHILDBIRTH IN WOMEN WITH LATE GESTOSIS ON THE BACKGROUND OF THE METABOLIC SYNDROME

Abstract

The article highlights the issues of the course of pregnancy and childbirth in women with late gestosis on the background of the metabolic syndrome. Preeclampsia continues to be an urgent and important problem of our time, occupying a leading place in the structure of maternal and perinatal morbidity and mortality.

The aim of the study – to improve the effectiveness of diagnosis, prevention of late gestosis against the background of metabolic syndrome.

Materials and Methods. We conducted and analyzed a retrospective analysis of 640 birth histories, registration observation cards for pregnant women, in whom the course of pregnancies was hampered by preeclampsia against the background of the metabolic syndrome for three years (2016–2018).

Results and Discussion. The course of pregnancies in women with late gestosis on the background of the metabolic syndrome was complicated in 72.38 % of women, namely: placental insufficiency (27.83 %), pelvic presentation of the fetus (13.4 %), preterm birth in the period of 32–34 weeks of pregnancy (24.74 %), premature detachment of a normally located placenta (3.09 %), premature rupture of membranes (15.46 %). The course of labor is complicated by primary weakness of labor activity (4.12 %), secondary weakness of labor activity (3.09 %), bleeding in the third stage of labor (2.06 %), entanglement of the umbilical cord around the fetal neck (10.3 %), distress fetus (13.4 %), delayed placenta and membranes without bleeding (2.06 %), perineal rupture (1.03 %) during delivery and obstetric cervical rupture (2.06 %). In 27.62 % of women, pregnancy against the background of metabolic syndrome was uneventful.

Conclusions. Thus, data from a retrospective analysis of the clinical course of pregnancy and childbirth in women over the past 3 years indicate an increase in the complications of pregnancies and childbirth in women with late gestosis against the background of the metabolic syndrome. Therefore, it is important for prevention to conduct complex pregravid preparation and determine the predictors of this pregnancy complication.