The medical and social status of women with placental insufficiency
Abstract
The study of placental insufficiency has not lost its relevance for many years and continues to be a priority in modern obstetrics. The aim is to assess the social and medical risk factors for the development of placental insufficiency among pregnant women. Material and methods. The results of 145 questionnaires of women were the material for the study.
Placental insufficiency was found in all women. The survey was conducted in the form of an anonymous oral survey, using data from kart "Doğum tarixi No. AZS‐096" and the self‐assessment scale of C.D. Spielberg, Y.L. Khanin. Results. The average age of
the respondents was 30.4±3.48 years. Of the respondents, 62.8% were over the age of 30, which significantly exceeded the number of patients aged < 30 years (p<0.001). Repeat births were significantly more common among the participants (p<0.001). Acute respiratory diseases were more common among extragenital diseases (30.0%), and preeclampsia was more common among complications accompanying pregnancy (33.1%). The structure of gynecological diseases was dominated by chronic salpingoophoritis – 45.5%, cervical erosion – 14.5%.
References
Hacıyeva R.S., Əliyeva P.M. Cift çatışmamazlığın artmasında sitokinlərin rolu. Tibb və elm, 2016; 4(6): 47‐52.
Christians JK, Grynspan D. Placental villous hypermaturation is associated with improved neonatal outcomes. Placenta 2019; 76: 1‐5. doi: 10.1016/j.placenta.2019.01.012.
Пестрикова Т.Ю., Юрасова Е.А., Ткаченко В.А. Плацентарная недостаточность как базовая патология осложнений и исходов гестационного периода. Российский вестник акушерагинеколога. 2020;20(1):5‐15. doi: 10.17116/rosakush2020200115.
Zur RL, Kingdom JC, Parks WT, Hobson SR. The placental basis of fetal growth restriction. Obstet Gynecol Clin North Am 2020; 47 (1): 81‐98. doi: 10.1016/j.ogc.2019.10.008.
Lean SC, Heazell AEP, Dilworth MR, Mills TA, Jones RL. Placental Dysfunction Underlies Increased Risk of Fetal Growth Restriction and Stillbirth in Advanced Maternal Age Women. Sci Rep. 2017;7(1):9677. doi: 10.1038/s41598‐017‐09814‐w.
Sugai S, Nishijima K, Haino K, Yoshihara K. Pregnancy outcomes at maternal age over 45 years: a systematic review and meta‐analysis. Am J Obstet Gynecol MFM. 2023; 5: 100885.
Correa‐de‐Araujo R, Yoon SSS. Clinical Outcomes in High‐Risk Pregnancies Due to Advanced Maternal Age. J Womens Health (Larchmt). 2021; 30(2): 160‐167. doi: 10.1089/jwh.2020.8860.
Attali E, Yogev Y. The impact of advanced maternal age on pregnancy outcome. Best Pract Res Clin Obstet Gynaecol. 2021;70:2–9. doi:10.1016/j.bpobgyn.2020.06.006
Glick I, Kadish E, Rottenstreich M. Management of Pregnancy in Women of Advanced Maternal Age: Improving Outcomes for Mother and Baby. International Journal of Women's Health. 2021; 13: 751‐759. doi: 10.2147/IJWH.S283216.
Hamilton BE, Martin JA, Osterman MJK. Births: provisional data for 2019. NVSS Vital Stat Rapid Release. 2020; 8: 1‐10.
