Perinatal consequences for women with reproductive losses in anamnesis

Abstract

DOI: 10.52705/2788-6190-2024-02-17
УДК 618.177-089.888.11-06:616-053.31-036.1

The objective: to investigate perinatal consequences for women after assisted reproductive
technologies and by reproductive losses in anamnesis.
Materials and methods. In basis of work a complex inspection is fixed 100 pregnant after
assisted reproductive technologies and them new-born (basic group). Group to comparison made
50 women of analogical age, in which pregnancy came in natural way. Middle age of pregnant
in groups made 29,0±4,1 years and 33,1±3,3 for men. The protracted sterile period results in
a volume, that the most favourable age missing for the offensive of pregnancy, and it comes
in a late reproductive period on a background somatic and gynaecological diseases which
accumulated. In the complex of the conducted researches were included clinical, echographic,
doppler, cardiotocographic and endocrinology.
Results. State of new-born at birth estimated after a scale Apgar. Middle estimation on 1 and
differentiated 5 minute and made in a basic group 6,8±0,1, in the 5 minute 8,1±0,1; in the group of
comparison – 6,4±0,2, in the 5 minute – to a 7,5±0,1 points (p<0,05). At the analysis of the state
of new-born after a scale Apgar, we saw that in the group of comparison the more than 50% newborn
had in the 1 minute an estimation after a scale Apgar less than 7 points, thus in 3 cases –
there are less than 4 point. In the 5 minute in the group of comparison for certain greater there was
an amount of children with an estimation less than 7 points as compared to a basic group 16,9%
as compared to 2,9% (р<0,001). In the 1 minute the state of new-born on points was appraised
as satisfactory (more 8–10 points) in a basic group in 53 (76,1%), in the group of comparison
in 21 (35,5%) (р<0,001). A heavy stay in the 1 minute (4 point and less) was diagnosed only in
the group of comparison in 3 (5,2%) new-born, that is conditioned by prematurity, hypoxia and
functional immaturity of organs and systems.
Conclusion. The analysis of the state and early adaptation of new-born from puerperas after
assisted reproductive technologies rotined that perinatal results in a basic group and group of
comparison had some differences which depend on expressed of initial pathological changes,
from the variant of overcoming of infertility, from indemnification to extragenital pathology and,
certainly, from the conduct of pregnancy, in particular from the grounded choice of charts of
hormonal support.