MULTIPLE PREGNANCIES AFTER USE OF ART: ITS RISKS, COMPLICATIONS, GESTATIONAL AGE AND RESULTS
DOI:
https://doi.org/10.11603/1811-2471.2022.v.i2.13012Keywords:
premature birth, obstetrical pessaryAbstract
SUMMARY. Multiple pregnancy is a pregnancy when a woman develops two or more fetuses. Multiple pregnancy is a high-risk pregnancy and belongs to the section of pathological obstetrics due to the risk of adverse effects on the mother and fetus. In the last 15–20 years, the frequency of multiple pregnancy and childbirth is progressively increasing, due to the widespread introduction of treatment for various forms of infertility, as well as the use of assisted reproductive technologies (ART). One of the most difficult problems to solve in multiple births - is frequent, and perhaps predominant, childbirth before 37 weeks of pregnancy. Due to the widespread and progressive introduction of ART in modern obstetrics, the incidence of multiple births will continue to grow. Therefore, early diagnosis of multiple pregnancy, prevention and elimination of obstetric complications during pregnancy and childbirth are the main tasks in addressing the reduction of perinatal losses and maternal pathologies in multiple births.
The aim – to study and analyze the anamnestic features, the frequency of obstetric and perinatal complications in women with multiple pregnancies after the use of ART, which was not carried out (due to patient refusal) prevention of abortion by establishing an obstetrical pessary.
Material and Methods. Analyzed anamnestic features, pregnancy, childbirth, postpartum period and the condition of newborns in 35 women with multiple pregnancy after ART and who did not have an obstetrical pessary for prophylactic purposes due to patients' refusal of this manipulation. Clinical examination methods, standard laboratory examinations and transvaginal cervicometry were performed.
Results. We obtained the results of analysis of somatic and social history in women, identified number of extragenital diseases in pregnant women with multiple births, studies of their gestational age and childbirth, assessment of newborns, indicating a high frequency of various gestational complications in women with multiple births, frequent premature birth, as well as a high risk of antenatal and perinatal complications and losses.
Conclusions. According to the results, it was found that women with multiple pregnancy in our study group had a high percentage of gestational complications, premature birth and, consequently, the birth of children with low body weight with subsequent consequences in the postnatal period.
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