Comparative aspects of perinatal consequences after auxiliary genesial technologies

Abstract

DOI: 10.52705/2788-6190-2021-4-2
УДК 618.5-059:618.177-089.888.11

The objective: to study influence of auxiliary genesial technologies on the perinatal results of delivery at a singleton and multifetation.
Materials and methods. For the decision of the put purpose there was the conducted analysis of birth 346 children – in the group of the induced pregnancy after auxiliary genesial technologies (from them 134 in the group of multifetation) and 415 living children in the group of spontaneous pregnancy (from them 142 in the group of multifetation).
Results. The analysis of the state of new-born rotined that at the induced monocyesis the followings pathosiss meet more frequent, than at involuntary pregnancy: asphyxia at birth (4,7% against 1,1%, p<0,05), neonatal icterus (31,6% against 18,6%, p<0,05), intraventricular hemorrhage (3,3% against 0,73%, р<0,05). At multifetation after auxiliary genesial technologies at new-born
also more frequent registered asphyxia at birth, neonatal icterus, respirator distress-syndrome, intraventricular hemorrhage, however statistically reliable differences it is not discovered. By disorders which meet more frequent than all, this group of children had a delay of intrauterine development (29,3%), asphyxia at birth (90,5%), neurological changes (53,6 %).
Conclusions. Auxiliary genesial technologies are not instrumental in the increase of frequency of innate anomalies of development at a fruit, and also to growth of level of perinatal morbidity. Far more frequent a large value has a premonstratensian background of matrimonial pair, reasons of nfertility, efficiency of diagnostics and treatment, and also variant of the in-use programs of
auxiliary genesial technologies. The presence of multifetation after auxiliary genesial technologies promotes the risk of development of placenta disfunction and delay of fetation, that negatively influences on the perinatal results of delivery.