Issue: 2024, Vol. 29, No. 2
FEATURES OF THE ANAMNESIS, GESTATION COURSE AND PERINATAL OUTCOMES IN WOMEN WITH RECURRENT MISCARRIAGE
- Keywords
- habitual miscarriage, threat of miscarriage, second trimester of pregnancy
- Abstarct
- The objective was to identify the characteristics of the anamnesis, course of gestation and perinatal outcomes in women with a history of recurrent pregnancy loss (RPL) and the threat of termination in the second trimester. Material and methods. A total of 140 patients were examined at the Gynecological Clinic and Women’s Consultation No. 1 of the Federal State Budgetary Institution “Ivanovo Research Institute of Maternal and Child Health named after V.N. Gorodkov”. The main group included 70 women with a history of RPL and a threat of miscarriage in the second trimester; the control group included 70 patients without RPL and a threat of miscarriage at the time of the examination. Medical records assessed the course of pregnancy, the postpartum period, and the condition of the newborn. Results and discussion. Women in the main group were found to more often consume alcoholic beverages before and during pregnancy; they had premature births (PB), hypertension, aggravated gynecological history (surgical interventions on the pelvic organs, chronic inflammatory diseases of the pelvic organs, uterine fibroids) on the maternal side. The course of gestation in this category was complicated by isthmic -cervical insufficiency in the second trimester that threatens PB. Pregnancy in patients with PB more often ended in PB. Newborns from women with PB more often had intrauterine hypoxia, birth asphyxia and congenital pneumonia; they were treated in pediatric intensive care units and transferred to other pediatric hospitals. Conclusion. Pregnant women with a history of RPL require careful monitoring throughout the entire gestation period in order to early diagnose and prevent pregnancy complications and improve perinatal outcomes.
Vestnik2_2024-32-38