Адаптационный гомеостаз у беременных с умеренной преэклампсией

Abstract

Objective. To study the features of adaptive homeostasis in women with normal pregnancy and moderate preeclampsia (MPE). Patients and methods. Sixty-eight pregnant women were under study. General non-specific adaptive responses and adaptive cardiovascular responses were examined in 30 women with normal pregnancy and in 38 women with MPE. Results. Both general and organ adaptive responses were found to have a close correlation with the course of labor, the immediate postpartum period, and perinatal outcomes. Identification of general non-specific adaptive responses in the group of patients with MPE indicated the development of moderate stress response in 37%. Anti-stress responses accounted for 67%, mostly due to the training response. Conclusion. The analysis of comprehensive indicators of systemic and organ adaptation in pregnant women with MPE revealed the maladaptation of their regulatory mechanisms and signs of exhaustion of adaptation and energy reserves. The detected changes in systemic and organ adaptation have a negative effect on pregnancy and perinatal outcomes. Key words: moderate preeclampsia, adaptation, course of labor, prenatal outcomes