Characteristics of pregnancy in women with discoordinated labor activity

Abstract

The purpose was studying the characteristics of pregnancy in women with discoordinated labor activity. Clinical material and examination methods: According to the objective, 60 pregnant women with DLA were examined. All women were assigned the degree of cervical effacement starting from 39‐40 weeks of pregnancy. M.S.Burnehill scale modulated by E.A.Chernukha was used to determine the degree of cervical effacement. All pregnant women were evaluated by the non‐stress method of antenatal CT scan, fetal heart rate and uterine contraction activity. The average age of pregnant women and women in labor included in the study was 27.3±0.7 (18‐40) years. Results of the study: Uncomplicated course of pregnancy was determined in 35% of women with DLA in the first trimester. Among the detected complications, anemia was identified in 69,2%, early toxicosis in 59%, vegetative‐vascular dystonia in 30,8%, hereditary thrombophilia in 25,6%, and threatened miscarriage in 23,1%. Of the 43 women with DLA in 41 had (95.3%) primary infertility, 23 (53.5%) asymptomatic bacteriuria, 21 (48.8%) miscarriage, 34 (79.1%) anemia, hormonal treatment with progesterone agents in 19 (44.2%), gestational pyelonephritis in 17 (39.5%), hereditary thrombophilia in 10 (23.3%), vegetative‐vascular dystonia in 9 (20.9%), hypothyroidism (with hormonal therapy) was determined in 5 (11.6%).