Клініко-статистичний аналіз перебігу гестації, пологів та післяпологового періоду при індукованій вагітності

Abstract

Women’s health are an integral part of the health of the nation and of strategic importance for the sustainable development of society. Ensuring that a woman receives all the necessary nutrients, vitamins and minerals, both before and during pregnancy, is crucial for the health of both mother and child. Even a balanced diet has deficiency on the main vitamins by 20-30%. Deficiency of vitamins and minerals during pregnancy causes harm to the health of not only the mother but also the child, is one of the causes of premature birth, congenital malformations, violations of physical and mental development of children. The need to correct a woman’s diet and the administration of vitamin and mineral complexes is due to a deficit of necessary nutrients that occurs during pregnancy and during lactation. The objective: the purpose of the study: to reduce the frequency of obstetric and perinatal complications in women at risk, through the preventive intake of a complex of vitamins and microelements and in preconception period, during pregnancy and in the period of lactation. Materials and methods. Thus, the I group consisted of 54 women who received the proposed prophylaxis treatment, which included the use of a complex of vitamins and microelements in the preconception period, in the 1st and 2nd trimester (during gestation for 8–12 weeks, 22–26 weeks) and in the postpartum period 1 tablet per day with food potassium iodide 200 mg. The second group consisted of 50 women who used commonly recognized prophylaxis treatment, including folic acid drugs and iodine preparations. Results. Clinical and statistical analysis of gestational flow showed that in the first half of pregnancy there was a significant decrease in the frequency of complications in pregnant women of group I: early gestosis, anemia, placental dysfunction, threatened miscarriage. In the second half of pregnancy in group I, the incidence of gestational anemia, threatened miscarriage, preeclampsia, placental dysfunction in comparison with the second group, where the rates were significantly higher, was significantly reduced. In group I there was a lower incidence of gestational anemia and preeclampsia of moderate to severe degrees. Conclusions. The results of this study showed that on the background of prophylactic use of the vitamin-mineral complex in preconception period and during pregnancy in women with induced pregnancy in the complex of therapeutic and prophylactic measures, the frequency of obstetric and perinatal complications is significantly reduced. Key words: periconceptional preparation, induced pregnancy, vitamin and mineral complex, the course of gestation, lactation.