Features of motion of pregnancy and births for women different age with obesity

Abstract

DOI: 10.52705/2788-6190-2025-02.2-03
УДК 618.3/5-6-06:616-056.52-039

The objective: to estimate the features of motion of pregnancy and births for women different age with obesity.
Materials and methods. A prospective inspection is conducted 80 multiparous women different age with superfluous mass of body or obesity (basic group); middle age of patients made 30,6 ± 0,5. It is marked at the study of the inherited inclination, that for pregnant with violation of lipometabolism of obesity in both of parents met in 2 times more frequent than for the patients of control group (35% mothers and 18,8% father). It is marked by us, that half of patients of basic group yet to the first pregnancy had surplus mass of body (47,5%), or suffered obesity And degree (10%). The middle index of mass of body for women with obesity to the first pregnancy exceeded these groups of control and made 25,9 ± 0,4 kg/m2. For first gestation of patient with violation of lipometabolism added greater weight (15,8 ± 0,4 kg) for certain, against 11,2±0,4 kg/m2 in the group of control. Pregnant with obesity the second births must were take place in 67,5% supervisions, third – in 32,5%. Determination of body mass index rotined to looked after gestation, that after births of woman of basic group not able to go back to initial weight and before this pregnancy had surplus mass of body (30%) or obesity of different degrees: I – 37,5%, II – 27,5% and III – 5%; the middle body mass index made 32,7 ± 0,5 kg/m2. To the complex of the conducted researches clinical, laboratory and instrumental methods were included.
Results. The analysis of perinatal results rotined that for pregnant frequency of premature births grew with violation of lipometabolism: in 4,5% patients with surplus mass of body, in 10% – with obesity I degree and in 17,9% – with obesity II and III degree. The greater number of premature births for patients with obesity is related to that in the last for certain more frequent preeclampsia developed and prolongation of pregnancy was not always possible. For puerperas with obesity of complication
of motion of births arose up for certain more frequent than for patients from the group of control. Every fourth puerperas with obesity I degree had the ill-timed outpouring of amniotic fluid (23,3%), at every fifth is a primary and second weakness of childbirth (20%), and also intrauterine fetal hypoxia (20%). For patients with obesity II and III degree frequency of the indicated complications of births was observed in 1,5–2 times more frequent (32,1%, 42,9% and 42,9% respectively).
Conclusions. Women different age with obesity make a risk group in relation to development of preeclampsia, placenta dysfunction, fetal growth retardation and anomalies of childbirth. Frequency of complications of gestation and births straight proportional to the degree of weight of violation of lipometabolism and in 2–3 times higher than for patients with normal mass of body.