The women of the different age-related groups have clinical aspects of the first births

Abstract

DOI: 10.52705/2788-6190-2024-03/1-04

UDC 618.3/.07-06-055.25-039.11/.12-037-084

Research purpose. A study of comparative aspects of obstetric and perinatal pathology is at the first births in the different age-related groups. 

Materials and methods. It was conducted complex clinical-and-laboratory and functional inspection 300 primiparous, part on three groups : 1- 100 primiparous under age 18; 2 – 100 primiparous in age after 30 and control are 100 primiparous in age 20-25.

Results. Analysing directly the perinatal results of delivery it is possible to mark that the index of perinatal mortality made in a 1 group of 30‰ ; in 2 – 40‰ and in control respectively 10‰. Among principal reasons of fetus losses it follows to specify in the presence of heavy pneumopathy on a background deep prematurity (3 from 8 cases in all groups); congenital infection (2 from 8 cases) and on one supervision of acute intranatal asphyxia, aspiration amniotic fluid and congenital malformation, in good time not diagnosed. At morphometric researches of placentas of young primiparous found out higher, than in a control group, value of relative area of vessels of villi, indexes of regeneration of syncytium and contact of syncytium with a maternal blood stream. In the placentas of age-old primiparous found out the higher indexes of relative areas of intervillus area and vessels of villi, at the same time, less values of relative area of syncytial nodes and index of regeneration of syncytium.

Conclusion. The conducted researches ground to plug young and age-old primiparous in the groups of high risk in relation to development of concrete  obstetric and perinatal pathology. It dictates the necessity of development of the differentiated going near tactic of conduct of these women on the stage of planning of family, in women consultation and in obstetric permanent establishment.