Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации8531UnclassifiedFEATURES OF THE COURSE OF PREGNANCY AND CHILDBIRTH IN PATIENTS WITH ANEMIADutovaOlesya Ivanovnaolesya.dutowa@gmail.comhttps://orcid.org/0000-0002-4908-9793Voronezh State Medical University named after N.N. Burdenko2004202312S216190203202315042023Copyright © 2023, Dutova O.2023<p><strong>The relevance: </strong>Gestational anemia is one of the most common problems that complicate the course of pregnancy and childbirth. Due to the high prevalence and the huge number of caused complications, anemia during pregnancy is one of the most pressing problems of modern obstetrics. Despite the increased attention of scientists to this condition, there is no tendency to decrease the frequency of occurrence at the moment.</p>
<p><strong>Objective</strong>: to study the features of somatic and obstetric-gynecological anamnesis in patients with anemia during gestation.</p>
<p><strong>Research methods:</strong> in the period from 01.12.2020 to 20.02.2021, the analysis of exchange cards, birth histories, and newborn histories was carried out in 57 patients delivered on the basis of the 2nd building of the VOKB№1 maternity hospital. We performed a statistical assessment of complications of somatic and obstetric-gynecological anamnesis, the course of pregnancy and childbirth, an anthropometric assessment and the incidence of complications in newborns. The main group consisted of 37 patients with gestational anemia, the control group consisted of 20 patients (without gestational anemia).</p>
<p><strong>Results of the study:</strong> Patients with hemoglobin levels below 110 g/l in 89,3% had a complicated somatic history, which is 2 times higher than in the control group. Infertility, erosion, cervical dysplasia, STDs, abortions, and miscarriages were much more frequently diagnosed in the anamnesis. In the process of analyzing the course of pregnancy, placental abnormalities of varying severity, signs of intrauterine fetal hypoxia were most often diagnosed. Complications of childbirth in the main group were diagnosed 30% more often than in the control group.</p>
<p><strong>Conclusion (заключение): </strong>The obtained results indicate the need for special vigilance to individuals with gestational anemia; early diagnostics and treatment of anemic conditions will significantly reduce obstetric and neonatal complications.<br /><br /></p>pregnancy outcomeschildbirthanemiacomplicationsисходы беременностиродыанемияосложнения[Акушерство: национальное руководство / Э. К. Айламазян [и др.]. Москва, 2019. с. 319-333. Akusherstvo: nacional'noe rukovodstvo/ E. K. Ajlamazyan [et al.]. Moscow 2019. –s. 319-333. (in Russian)]][Ray S, Neogi SB, Singh R, Devasenapathy N, Zodpey S. Is IV iron sucrose a cost-effective option for treatment of severe anaemia in pregnancy as compared with oral iron? Health Policy Plan 2021;35:1339–46. doi:1093/heapol/czaa110][Ю. А. Петров, Горяева А. Э. Железодефицитная анемия у беременных // Журнал прикладных и фундаментальных исследований. – 2018. – № 5 – 1. – 240–244 с. [YU. A. Petrov, Goryaeva A. E. Iron deficiency anemia in pregrant women // Zhurnal prikladnyh i fundamental'nyh issledovanij. – 2018. – №5 – 1. – 240–244 s. (in Russian)].][Pavord S, Daru J, Prasannan N, Robinson S, Stanworth S, Girling J, et al. UK guidelines on the management of iron deficiency in pregnancy. Br J Haematol 2020;188:819–30. doi:10. 1111/bjh.16221][World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. World Health Organization; 2022.][Anemia in pregnancy. ACOG Practice Bulletin No. 233. American College of Obstetricians and Gynecologists. Obstet Gynecol 2021;138:e55–64. doi:1097/aog.0000000000004477]