MEDICAL AND SOCIAL ASPECTS OF PREGNANT WOMEN WITH DISEASES OF THE GENITOURINARY SYSTEM

Abstract

The purpose of the study is to study and analyze the medical and social characteristics of pregnant women suffering from diseases of the genitourinary system using a random sampling method. Statistica 10.0 and Microsoft Exsel programs were used to analyze the obtained data. As a result of the study, a regularity in the presence of a burdened obstetric-gynecological and general somatic history in the studied contingent of women was noticed. Also, a complicated course of pregnancy, childbirth and the postpartum period in women with diseases of the genitourinary system was noted.

Full Text

Relevance. Most of the complications of pregnancy and childbirth are associated with the presence of a focus of chronic infection in the body. In terms of frequency of occurrence among all extragenital diseases, renal pathology ranks second [1].
Purpose of the study. To study and analyze the medical and social characteristics of pregnant women suffering from diseases of the genitourinary system.
Materials and methods. 135 birth histories of pregnant women suffering from diseases of the genitourinary system with delivery in the Grodno Regional Clinical Perinatal Center, Grodno, were selected and studied by random sampling. The results were processed using the programs Statistica 10.0, Microsoft Excel.
Results. The average age of pregnant women suffering from diseases of the genitourinary system was 26.2±0.7 years. The dominant groups are 30-34 years old (26.5%) and 20-24 years old (25.0%).
In the studied contingent, the proportion of women living in urban areas accounted for 81.5%, rural - 18.5% of women. Every fifth puerperal (20.0%) was not married. According to pregnant women, 23.0% had bad habits, including 51.6% - smoking, and 48.4% - drinking alcohol. 68.1% of women are employed, 8.9% are college and school students.
Each woman accounted for an average of 1.2±0.1 pregnancies and 1.1±0.1 births. The outcome of previous pregnancies in 81.4% of cases was childbirth, 11.9% - artificial abortion, 4.4% - spontaneous miscarriage, 2.3% - stillbirth.
Assessing the correspondence of body weight and height, when registering pregnant women, the following results were obtained: BMI 18.5-24.9 (65.2%), BMI 25.0-29.9 (23.7%), BMI> 30 (8.1%), BMI <18.5 (3.0%).
The structure of concomitant general somatic pathology is as follows: diseases of the cardiovascular system (51.2%), diseases of the endocrine system (30.0%), disorders of the gastrointestinal tract (15.6%), etc.
The structure of gynecological diseases is presented: cervical erosion (53.3%), colpitis (15.5%), adnexitis (5.2%), vaginitis (2.2%), etc.
31.1% of women experienced pregnancy complications, and every third had a threat of premature birth (33.3%). Term births occurred in 79.3% of women, premature births in 20.7%. In 67.4% of pregnant women, childbirth was resolved through the natural birth canal, 32.6% underwent a caesarean section for the following reasons: a scar on the uterus after a previous cesarean section (68.2%), aggravated obstetric and gynecological anamnesis (22.7% ), etc. All births ended in live births. Newborns were assessed on the Apgar scale: 8/9 (71.1%), 8/8 (20.7%), 9/9 (6.7%), 7/8 (1.5%).
Conclusions. The vast majority of women in the study group had burdened clinical and anamnestic data on the state of reproductive and somatic health. It was noted that the course of pregnancy and delivery in puerperas with diseases of the genitourinary system proceed with a high frequency of complications.