CLINICAL AND ANAMNESTIC CHARACTERISTICS OF WOMEN WITH MISCARRIAGE

CLINICAL AND ANAMNESTIC CHARACTERISTICS OF WOMEN WITH MISCARRIAGE

The birth of healthy children is an outstanding task today, so miscarriage is one of the main medical and social problems and, unfortunately, does not tend to decrease, which directly affects demographic situation in our country. Pregnancy failure is a multifactorial pathology caused by a combination of genetic, infectious, immunological, hormonal, psychological, social factors, etc. Further study of this problem and understanding of the main links in its pathogenesis is one of the pri- ority areas of modern obstetrics which makes it relevant.

THE AIM OF THE STUDY is to determine peculiarities of obstetric and gynaecological and somatic anamnesis in pregnant women with clinical manifesta- tions of threatened early abortion on the basis of retrospective analysis.

MATERIALS AND METHODS.

A retrospective clinical and statistical analysis of 190 cases of threatened abor- tion in early pregnancy has been conducted, and the features of obstetric, gy- naecological and somatic anamnesis have been studied. The tactics of pregnancy management has been in accordance with the current Orders of the Ministry of Health of Ukraine. Variational and statistical processing of the results has been carried out using the STATISTICA 13 software.

RESEARCH RESULTS AND THEIR DISCUSSION.

According to the results of the analysis, almost every second woman (89–47%) had a complicated obstetric and gynaecological history. Somatic pathology was detected in 84 (44.2%) pregnant women. The total number of pregnant women with a complicated obstetric and gynaecological or somatic history was 70%, and it should be noted that in every fifth case (21%) they were combined. In contrast, 50 pregnant women (30%) had an uncomplicated history.

In the structure of somatic pathology, the leading place was occupied by diseas- es of the cardiovascular and urinary systems, as well as thyroid diseases. Further analysis allowed us to establish the peculiarities of the obstetric and gynaecologi- cal anamnesis, namely the presence of menstrual irregularities, uterine leiomyoma, inflammatory diseases of the genital organs, infertility treatment, ovarian surgery, spontaneous abortions in the early and late stages and premature birth.

CONCLUSIONS.

Based on a retrospective study, it was found that the vast majority of women with clinical manifestations of miscarriage, namely 70%, have had a burdened ob- stetric and gynaecological or somatic history, and only one third – an unburdened history.