FEATURES OF DELIVERY AND PERINATAL OUTCOMES IN WOMEN WITH DISEASES OF THE GENITOURINARY SYSTEM

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Relevance. Every year there is an increase in somatic pathology in women of childbearing age, as well as an increase in the frequency of complications of pregnancy and childbirth in this contingent [1].
Purpose of the study. To study and analyze the features of delivery and perinatal outcomes in women with diseases of the genitourinary system.
Materials and methods. 136 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. The results were processed using the programs Statistica 10.0, Microsoft Excel.
Results. The main group consisted of multiparous women (63.2%), the control group - primiparas (36.8%). The average age of pregnant women in the main group was 28.7±0.8 years and ranged from 23 to 40 years, in the control group - 20.2±0.6 years with individual fluctuations from 16 to 37 years.
In the main group, each woman accounted for an average of 1.8±0.1 pregnancies and 1.5±0.1 births, in the control group - 1.1±0.1 pregnancies and 1.2±0.1 births.
In the fundamental group, the obstetric and gynecological anamnesis was aggravated in every second woman (50.0%). In the control group, every fourth pregnant woman is gynecologically healthy (25.0%).
Of the pregnancy complications in women of the main group, the most frequently observed were: the threat of preterm birth (48.5% versus 12.2% of the control group), fetoplacental insufficiency (31.2% versus 7.3% in control), intrauterine infection of the fetus (15. 2% versus 11.7% of the control group).
The outcome of pregnancy in the main group was vaginal delivery (69.3% versus 89.4% of the control group), caesarean section (30.7% versus 10.6% in the control group). The most common indications for operative delivery were: a scar on the uterus after a previous cesarean section (68.6%), a clinically narrow pelvis (20.7%), breech presentation of the fetus (8.6%), etc. outflow of amniotic fluid, and every eighth - anomalies of labor activity.
All births in both groups ended in a live birth. In the main group, the average body weight of newborns was 3443±230 g, in the control group it was 6.5% less. In the control group, 4.3% of newborns were underweight, in the main group, all children had normal body weight. Every second child in both groups was rated 8/9 (66.6%) on the Apgar scale.
Conclusions. Multiparous women were twice as likely to experience pregnancy complications as compared to the control group. The ratio of vaginal delivery:caesarean section in the main group was 2:1, control - 8:1. There were no significant differences in perinatal outcomes between the two groups.

About the authors

Zhanna Viktorovna Stankut

Author for correspondence.
Email: Stankut.l@mail.ru
ORCID iD: 0009-0000-4145-2466
Belarus, 80, Gorky srt., Grodno, 230009,Republic of Belarus

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