CHARACTER OF THE COURSE OF THE SECOND HALF OF PREGNANCY IN WOMEN WITH LABOR DYSTOCIA
Abstract
Aim. To study the features of the course of the second half of pregnancy, influencing the development of labor dystocia.
Materials and methods. In total, 236 women were examined. They were divided into 2 groups. Group 1 consisted of women whose labor was complicated by labor dystocia (N=96). Group 2 consisted of women in whom childbirth proceeded without complications (control, N=140).
Results. In women with labor dystocia in the second half of pregnancy has been a more frequent development of polyhydramnios (14.58±3.60% versus 5.71±1.96%, p<0.05), chronic uteroplacental insufficiency (44.79±5.08% versus 20.00±3.38%, p<0.05), chronic intrauterine fetal hypoxia (23.96±4.36% versus 12.86±2.83%, p<0.05), moderate preeclampsia (31.25±4.73% versus 10.71±2.61%, p<0.05). Sexually transmitted infections were more common (6.25±2.47% versus 0.71±0.71%, p<0.05) and a combination of several types of complications (54.17±5.09% versus 13.57±2.89%, p<0.05).
Conclusion. As a result of this study, it was revealed that in women with labor dystocia, already in the second half of pregnancy, there were some changes in laboratory and clinical parameters, which can be used to build an individual prognosis for this complication in a lobor
About the Authors
U. G. ShokirovaRussian Federation
Shokirova Umeda Gaibulloevna - Assistant at the Department of Obstetrics and Gynecology
S. P. Pakhomov
Russian Federation
Department of Obstetrics and Gynecology
O. P. Lebedeva
Russian Federation
Department of Obstetrics and Gynecology
А. S. Ustyuzhina
Russian Federation
A. V. Matrosova
Russian Federation
Department of Obstetrics and Gynecology
References
1. Aylamazyan E. K. Akusherstvo: uchebnik. 10-e izdanie [Obstetrics: a textbook. 10th edition]. Moscow, GEOTAR-Media Publ., 2019. 450-467 p.
2. Zefirova T. P. Anomalii rodovoy deyatelnosti: mekhanizmy formirovaniya i faktory riska [Anomalies of labor activity: mechanisms of formation and risk factors]. Prakticheskaya meditsina – Practical medicine, 2010, No. 4 (43), pp. 44-48.
3. Marizoeva M.M. Course of pregnancy in women with varicose disease.
4. Nepso Yu. R. Osobennosti techeniya beremennosti i rodov u zhenshchin s gestatsionnym sakharnym diabetom i diskoordinatsiey rodovoy deyatelnosti [Peculiarities of the course of pregnancy and labor in women with gestational diabetes mellitus and discoordination of labor activity]. Sovremennye problemy nauki I obrazovaniya - Modern problems of science and education, 2016, No. 4. Availed at: http://www.science-education.ru/ru/article/view?id=25005
5. Pirmatova D. A. Features of the course of pregnancy and childbirth in women with gestational diabetes mellitus. Bulletin of the Academy of Medical Sciences of Tajikistan. 2020. Vol. 10. No. 2 (34). pp. 163-167.
6. Radzinskiy V. E. Akusherskiy risk. Maksimum informatsii – minimum opasnosti dlya materi i mladentsa [Obstetric Risk. Maximum information - minimum danger to mother and baby]. Moscow, 2011. 285 p.
7. Radzinskiy V. E. Akusherstvo: uchebnik [Акушерство: учебник]. Moscow, GEOTAR-Media Publ., 2016. 496–511 p.
8. Saveleva G. M. Akusherstvo. Natsionalnoe rukovodstvo. 2-e izd. pererab. i dop [National Guide. 2nd ed. revised and enlarged.]. Moscow, GEOTAR-Media Publ., 2018. 1088 p.
9. Chikh I. D. Chastota riska razvitiya sakharnogo diabeta u lits reproduktivnogo vozrasta i ego rol v razvitii reproduktivnykh poter [Frequency of diabetes mellitus risk in people of reproductive age and its role in the development of reproductive losses]. Zdravookhranenie Tadzhikistana – Healthcare of Tajikistan, 2019, No. 3 (342), pp. 52-60.
10. Abildgaard H., Ingerslev M. D., Nickelsen C., Secher N. J. Cervical dilation at the time of cesarean section for dystocia - effect on subsequent trial of labor. Acta Obstetricia et Gynecologica Scandinavica, 2013, No. 92 (2), pp. 193-197.
11. Ragusa A., Gizzo S., Noventa M. et al. Prevention of primary caesarean delivery: comprehensive management of dystocia in nulliparous patients at term. Archives of Gynecology and Obstetrics, 2016, Vol. 5, No. 294 (4), pp. 753-761.
12. Sandström A., Cnattingius S., Wikström A. K. et al. Labour dystocia-risk of recurrence and instrumental delivery in following labour-a population based cohort study. International Journal of Obstetrics and Gynaecology, 2012, Vol. 119 (13), pp. 1648-1656.
13. Zhuk S. I., Shchurevska O. D. Maternal psychosocial stress and labor dystocia. Wiadomości Lekarskie, 2020, No. 73 (7), pp. 1334-1338.
Review
For citations:
Shokirova U.G., Pakhomov S.P., Lebedeva O.P., Ustyuzhina А.S., Matrosova A.V. CHARACTER OF THE COURSE OF THE SECOND HALF OF PREGNANCY IN WOMEN WITH LABOR DYSTOCIA. Health care of Tajikistan. 2021;(1):73-78. (In Russ.)