Keywords
preventable deaths of pregnant women
stress
How to Cite
Abstract
In press
Background. According to the WHO, about 830 women die every day worldwide from preventable causes related to pregnancy and childbirth. In the recent years, Kharkiv region remains one of the problematic regions of adverse pregnancy outcomes according to the integrated assessment of the Ministry of Health of Ukraine. Against the backdrop of an unfavorable demographic situation, the problem of researching various aspects of the pregnancy period is becoming more and more urgent. Most of the complications that occur during pregnancy are considered from the side of general medical approaches, including hormonal disorders, infectious complications, immunological disorders, etc.
The aim of the work was to study and assess the influence of risk factors on pregnancy complications.
Materials and Methods. For the study, the pregnant women were distributed into two groups: the Main Group (MG) included 299 pregnant women who had complications during pregnancy, and the Control Group (CG) – 199 pregnant women with a normal pregnancy. The median (minimum; maximum) age was in MG was 32 (21; 44) years, in CG – 31 (24; 45) years (p>0.05). The median values of the pregnancy period during the survey were 28 weeks for the MG and 26 weeks for the CG (p>0.05).
Results and Conclusions. It was determined that biological, socio-economic and socio-psychological lifestyle factors have the greatest influence. The presence of diseases of the cardiovascular system (including hypertension) and diseases of the genitourinary system in a pregnant woman increased the risk of complications during pregnancy by 31.4 times in MG; and by 23.3 times – in CG. The presence of stress in everyday life and, as a result, the deterioration of the psychological state of the pregnant woman increased the chances of pathology of the course by 42.6 and 40.7 times, respectively. Low financial status of the family increased the risk by 16.5 times.
Keywords: pathology of pregnancy, preventable deaths of pregnant women, stress.
References
Marushko RV, Goida NG, Dudina OO. Characteristics of obstetric care in Ukraine. Ukrainian Journal of Perinatology and Pediatrics. 2021;1(85):30-41. DOI: 10.15574/PP.2021.85.30. [In Ukrainian].
Zherebak NM, Gnatko OP, Skuriatina NG. Pattern of early gestational complications in pregnant women with chronic gastritis. Actual Problems of Pediatrics, Obstetrics and Gynecology. 2018;(2):37-41. DOI: 10.11603/24116-4944.2018.2.9606. [In Ukrainian].
Romanenko IYu. The course of pregnancy, childbirth and perinatal outcomes in women with threatened interruption of pregnancy and the status of internally displaced persons, living in the Luhansk region. Actual Problems of Pediatrics, Obstetrics and Gynecology. 2019;(2):63-9. DOI: 10.11603/24116-4944.2019.2.10926. [In Ukrainian].
Annual report on the state of health of the population of Ukraine and the epidemic situation for 2022. Kyiv: Ministry of Health of Ukraine; 2023. 39 р. Available at: http://surl.li/thbzc [in Ukrainian].
Lemish NY, Bobyk YY. Extragenital diseases in women with gestational diabetes mellitus. Bukovinа Medical Herald. 2016;20(2(78)):70-3. Available at: http://e-bmv.bsmu.edu.ua/article/view/2413-0737.XX.2.78.2016.78/80622 [in Ukrainian].
Dobrianska VYu. Predictors of the development of obstetrics complications and the management algorithm of pregnant women with connective tissue dysplasia of the heart. Scientific digest of association of obstetricians and gynaecologists of Ukraine. 2022;1(49):16-25. DOI: 10.35278/2664-0767.1(49).2022.266321 [In Ukrainian].
Dobrianska VYu, Heryak SM, Malanchuk LM, Shved MI, Korda IV. Cardial manifestations of non-differentiated connective tissue dysplasia and their influence on pregnancy. Scientific digest of association of obstetricians and gynaecologists of Ukraine. 2021;1(47):14-22 DOI: 10.35278/2664-0767.1(47).2021.242663 [In Ukrainian].
Syusyuka VG, Medical and psychological correction and rehabilitation of pregnant women with somatoform dysfunction of vegetative nervous system. Zaporozhye medical journal. 2014;1(82):55-9. Available at http://zmj.zsmu.edu.ua/article/view/23703/21254
Lemish NYu, Somatic and reproductive history of pregnant, with complications from group of great obstetrical syndromes. Ukrainian Journal Health of Woman. 2022. 1(158):18-24; DOI: 10.15574/HW.2022.158.18. [In Ukrainian].
Lototska OV, Gavlich OYe, The importance of rational diet for the health of pregnant women. Bulletin of Social Hygiene and Health Protection Organization of Ukraine. 2021;3(89):9-17. DOI: 10.11603/1681-2786.2021.3.12620. [In Ukrainian].
Jones GL, Mitchell CA, Hirst JE, Anumba DOC; Royal College of Obstetricians and Gynaecologists. Understanding the relationship between social determinants of health and maternal mortality: Scientific Impact Paper No.67. BJOG. 2022;129(7):1211-28. DOI: 10.1111/1471-0528.17044. PMID: 35139580.
Maternal health. WHO [Internet]. Available at: https://www.who.int/health-topics/maternal-health [accessed 20 Mar 2024].
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