DOI: 10.18413/2658-6533-2020-6-2-0-12

Features of the course of childbirth in preeclampsia of varying severity at the present stage

Background: Identification of complications of childbirth in preeclampsia will enable to improve perinatal outcomes in this group of women, as well as determine the criteria for early and timely diagnosis of these disorders in order to optimize obstetric tactics and terms of delivery. The aim of the study:The analysis of features of a course of childbirth in preeclampsia of varying severity at the present stage. Materials and methods: The clinical analysis of a course of childbirth in 440 patients of "fertile" age with preeclampsia (main group) was carried out. 200 patients of similar age without preeclampsia made up the control group. Results:Every fifth patient with “moderate” preeclampsia and every sixth in the control at birth had a uterine dysfunction amid premature amniotic fluid discharge and impaired fat metabolism. The number of premature births depended on severity of preeclampsia. In the “moderate” form, delivery was detected prematurely in every fifth patient, in the “severe” form in half, and in the control, in every fifteen. Every fourth patient with preeclampsia had an operative birth. With an increase in the severity of this pathology, the number of Cesarean sections increased, which were performed in 45 (11.9%) patients with a "moderate" form, in all patients with "severe" and in 24 patients (12%) in control. The main indications for surgery with "moderate" preeclampsia were abnormalities of labor, with "severe" – placental insufficiency, in patients with control – a clinically narrow pelvis. Conclusion:Timely diagnosis and treatment of preeclampsia will reduce the number of complications in childbirth, which optimizes obstetric tactics and significantly improves the long-term prognosis.

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