THE COURSE OF GESTATION IN WOMEN WITH A HISTORY OF REPRODUCTIVE LOSS UNDER MARTIAL LAW CONDITIONS
The state of reproductive health is one of the most important factors affecting demographic situation in the country. The issues of prognosis, diagnosis and pre- vention of pregnancy complications are extremely important in modern obstetrics. As the main goal is to minimise obstetric and perinatal complications of gestation they are of particular importance in the management of pregnancy in women with a history of reproductive loss.
THE AIM.
Тo assess the frequency and structure of complications of gestation in women with a history of reproductive loss under martial law.
MATERIALS AND METHODS.
The study was conducted with 68 pregnant women. The main group included 38 pregnant women who registered with an antenatal clinic for pregnancy and began their participation in this study after the start of the military invasion of Ukraine, 44.7% of whom had the status of internally displaced persons. The con- trol group included 30 women with no history of reproductive losses. The tactics of pregnancy management were in accordance with the current Orders of the Ministry of Health of Ukraine. Variational and statistical processing of the results was performed using the STATISTICA 13 software.
RESEARCH RESULTS.
A comparative analysis of the course of gestation in women of the study groups revealed a significant prevalence of miscarriage in pregnant women of the main group compared to the control group. Thus, it was found that 28.95% of women in the main group were hospitalised with a clinical picture of miscarriage at a gestational age of up to 12 weeks. This figure was 6.67% in the control group. The incidence of threatened abortion in the period from 12 to 22 weeks of pregnancy in the intervention group was 34.20%, and in the control group – 13.33%. The rate of women hospitalisation with a clinical symptoms of hreatened preterm birth from 22 to 37 weeks of gestation was higher in women with a history of repro- ductive loss compared to the control group (36.8% vs. 26.7%). The most frequent complication of gestation in women of both study groups was anaemia during pregnancy, which occurred in 20 (52.63%) women with a history of reproductive losses and in 16 (53.33%) women without such experience. It should also be noted the high incidence of acute respiratory diseases during pregnancy (26.32% in the study group and 26.67% in the control group). Only among pregnant women in the study group asymptomatic bacteriuria (13.16%) and gestational pyelonephritis (5.26%) were diagnosed.
CONCLUSIONS.
The results of the study show that women with a history of one reproductive loss have a complicated pregnancy with an increased incidence of miscarriage in both early and late pregnancy during period of martial law. Therefore, the problem of reproductive losses requires further research to prevent and/or minimise obstet- ric and perinatal complications.
The state of reproductive health is one of the most important factors affecting demographic situation in the country. The issues of prognosis, diagnosis and pre- vention of pregnancy complications are extremely important in modern obstetrics. As the main goal is to minimise obstetric and perinatal complications of gestation they are of particular importance in the management of pregnancy in women with a history of reproductive loss.
THE AIM.
Тo assess the frequency and structure of complications of gestation in women with a history of reproductive loss under martial law.
MATERIALS AND METHODS.
The study was conducted with 68 pregnant women. The main group included 38 pregnant women who registered with an antenatal clinic for pregnancy and began their participation in this study after the start of the military invasion of Ukraine, 44.7% of whom had the status of internally displaced persons. The con- trol group included 30 women with no history of reproductive losses. The tactics of pregnancy management were in accordance with the current Orders of the Ministry of Health of Ukraine. Variational and statistical processing of the results was performed using the STATISTICA 13 software.
RESEARCH RESULTS.
A comparative analysis of the course of gestation in women of the study groups revealed a significant prevalence of miscarriage in pregnant women of the main group compared to the control group. Thus, it was found that 28.95% of women in the main group were hospitalised with a clinical picture of miscarriage at a gestational age of up to 12 weeks. This figure was 6.67% in the control group. The incidence of threatened abortion in the period from 12 to 22 weeks of pregnancy in the intervention group was 34.20%, and in the control group – 13.33%. The rate of women hospitalisation with a clinical symptoms of hreatened preterm birth from 22 to 37 weeks of gestation was higher in women with a history of repro- ductive loss compared to the control group (36.8% vs. 26.7%). The most frequent complication of gestation in women of both study groups was anaemia during pregnancy, which occurred in 20 (52.63%) women with a history of reproductive losses and in 16 (53.33%) women without such experience. It should also be noted the high incidence of acute respiratory diseases during pregnancy (26.32% in the study group and 26.67% in the control group). Only among pregnant women in the study group asymptomatic bacteriuria (13.16%) and gestational pyelonephritis (5.26%) were diagnosed.
CONCLUSIONS.
The results of the study show that women with a history of one reproductive loss have a complicated pregnancy with an increased incidence of miscarriage in both early and late pregnancy during period of martial law. Therefore, the problem of reproductive losses requires further research to prevent and/or minimise obstet- ric and perinatal complications.