THE PREVALENCE OF EXTRAGENITAL RISK FACTORS AND THEIR IMPACT ON ADVERSE PREGNANCY OUTCOMES

Abstract

Background. To study the prevalence of extragenital factors and their impact on the risk of adverse pregnancy outcomes in the Krasnoyarsk region. Materials and methods. The data of perinatal monitoring of the Krasnoyarsk territory, which operates on the basis of the Krasnoyarsk regional medical information and analytical center, were used to study the risk factors of adverse pregnancy outcomes. The analysis included data on 122 250 cases of pregnancy in the period from 2014 to 2017 All the analyzed cases of pregnancy were divided into 2 groups: group I – cases of pregnancy with adverse outcomes (8 of 290 cases), group II – cases of pregnancies with favorable outcomes (113 960 cases). The paper analyzes the following factors: the presence of diabetes, hypertension and hypotensive syndrome, chronic specific infection, kidney disease, varicose veins, thrombosis and thrombophlebitis, thyroid and adrenal diseases, heart defects without blood supply, injuries and fractures, disorders of cerebral circulation and myopia in the mother. Result. The results of the study indicate that most factors have an impact on the risk of adverse pregnancy outcomes. To the greatest extent, this risk is influenced by the presence of a positive reaction to lupus anticoagulant, diabetes mellitus, hypertension of II and III severity in the mother. Conclusion. The use of information on the prevalence and impact of extragenital factors on the risk of adverse pregnancy outcomes will allow the most effective routing of pregnant women by levels of care to reduce the number of adverse pregnancy outcomes. The results show that the risk of adverse pregnancy outcomes is influenced by a fairly wide range of factors. In this case, each factor has a different degree of impact on the risk.