Women have a prophylaxis of unmaturing of pregnancy with the underweight

Abstract

DOI: 10.52705/2788-6190-2022-03-1
УДК 618.39-06:616-055.2-056.57-084

The objective: а research purpose is a decline of frequency of unmaturing of pregnancy for womenwith the underweight on the basis of study of clinical-and-echographic and biochemical features,and also improvement of algorithm of diagnostic and treatment-and-prophylactic measures.

Materials and methods. It is conducted clinical-and-laboratory and functional inspection 200 women with the underweight, from what 100 got the generally accepted diagnostic and treatmentand-prophylactic measures and 100 – an algorithm is improved by us. 30 expectant mothers madea control group. With the purpose of decline of frequency of unmaturing and other complications ofpregnancy it is necessary to use the followings moments: a hormonal and metabolic correction isindividually directed. Clinical, echographic, cariotocographic, doppler, biochemical, morphologicaland statistical.

Results. The results of the conducted researches testify that in the structure of underweightfor women to pregnancy of decline of feed (IMT – 19,1±0,4) is 50%; oligotrophy I degree (IMT– 18,0±0,5) – 41% and oligotrophy of II-III of degree (IMT - 16,3±0,9) – 9% respectively. Totalfrequency of genital pathology to pregnancy for women with the underweight is 51,5%; violationsof menstrual function (16,5%) prevail among different nosology forms, in other cases of salpingooophoritis(9,5%); violation of genesial function (8,5%) and gynaecological operations are carried(9,5%). Set, that for pregnant with the underweight of growth of mass of body takes place, mainly(70–80%), due to thin mass. Fatty fabric makes small part (to 20%) of raise of weight, thatindemnification of underweight is not at pregnancy and the insufficient raise of weight takes placeat pregnancy for patients with low mass of body.

Conclusion. The use of the improved algorithm of diagnostic and treatment-and-prophylacticmeasures allows to reduce frequency of threat of terminating pregnancy in І trimester (from 20% to10%; р<0,001), vomit of pregnant (from 14% to 6%; р<0,001), iron-deficiency anaemia in І trimester(from 36% to 16%; р<0,001), arterial hypertension (from 20% to 12%; р<0,001), bacterial vaginosis(from 10% to 4%; р<0,001). candidiasis (from 8% to 4%; р<0,001), threatened miscarriage in aІІ trimester (from 44% to 24%; р<0,05), iron-deficiency anaemia (from 74% to 50%; р<0,001),placenta disfunction (from 32% to 20%; р<0,05), intrauterine hypoxia (from 30% to 18%; р<0,001),delays of growth of fetus (from 12% to 6%; р<0,05), preeclampsia of middle and heavy degree (from22% to 6%; р<0,001). Frequency of urgent births is increased on 4%, and premature – goes downon 6% respectively.