Features of gestation and deliveries of women with the first medicalabortion in anamnesis

Abstract

The objective: study of obstetric and perinatal results of delivery of women with the first medical abortion in anamnesis. Materials and methods. For the performance of the put goal 119 women are plugged in research. In a basic group 67 entered repeatedly pregnant primiparous of women which cut the first pregnancy short medical abortion in the first trimester. The group of comparison was made 52 primary pregnant women without the burdened obstetric anamnesis. A basic group is subdivided into two sub-groups: The I sub-group is women (23) which had complication after breaking of the first pregnancy medical abortion; The II sub-group is women (44) which did not have complication after medical abortion. On every postpartum woman the specially developed questionnaire was filled with the results of clinical and functional and laboratory methods of researches. Results. Most and groups of comparison patients of basic got up on an account in womanish consultation to 12 weeks of pregnancy (83,0% and 72,8%). The basic variants of gestational complications is a threat of breaking to pregnancy, gestational anaemia, preeclampsia and placenta disfunction. Pregnancy made off births through natural family ways in 80,7% patients basic and at a 92,2% group of comparison. Caesarian section it is done at 19,3% and 7,8% women respectively, including at prematurely born pregnancy – in 0,7% (35 weeks) and in 1,9% (32 and 35 weeks). Frequency of premature births made in a basic group – 5,2% and in the group of comparison – 2,9%. Most number of operations caesar sections in a basic group (53,9%) are done in the planned order, in the group of comparison (75,0%) – in a time-urgent order. Among certificates for an operation caesar sections in more than in a that and other group (57,7% and 75,0%) extragenital diseases and complications of pregnancy prevailed the half of supervisions. In a basic group for 67 women pregnancy made off birth 67 living new-born, in the group of comparison for 103 women gave birth 103 living new-born. Conclusions. The results of the conducted researches testify to the substantial difference of features of flow of pregnancy and births for women, having medical abortion in anamnesis and not having the burdened anamnesis. It is possible to assert that row of complications, developing during pregnancy for the women of basic group related to the before carried operation of medical abortion (threat of breaking to pregnancy, anomalies of childbirth, dense attachment of placenta, intrauterine infecting of fetus). The got results specify on the necessity of improvement of algorithm of conduct of pregnancy and births for women with the first medical abortion in anamnesis.