ОСОБЕННОСТИ ТЕЧЕНИЯ БЕРЕМЕННОСТИ И РОДОВ У ЖЕНЩИН, СТРАДАЮЩИХ ХРОНИЧЕСКИМИ ВИРУСНЫМИ ГЕПАТИТАМИ

Abstract

Background. Chronic viral hepatitis (CVH) B and C are considered socially significant infections. More than 290 million people worldwide live with chronic hepatitis B (CHB) and more than 58 million have been infected with hepatitis C virus (HCV). Every year, about 1.5 million people become newly infected. In recent years, chronic hepatitis has occupied one of the leading places in the structure of extragenital pathology in pregnant women. Objective. To evaluate the characteristics of pregnancy and childbirth course in women with CHB, CHC and CHB+СHC. Material and methods. The paper presents the results of a retrospective analysis of 141 individual records of pregnant women with CHB, CHC and CHB+СHC and their birth histories. The average age of pregnant women was 25.1±3.72 years. Results. CHB, CHC and CHB+СHC negatively affect the course of pregnancy: the threat of miscarriage and the frequency of gestosis increase, chronic fetoplacental insufficiency and polyhydramnios are more often detected, premature birth occurs as well. Childbirth in pregnant women with chronic hepatitis is accompanied by the development of complications: hypotonic uterine contractions, premature rupture of membranes. Chronic HCV-infection causes more serious metabolic changes than HBV, which significantly complicate the course of pregnancy and childbirth. Conclusions. CHB, CHC and CHB+СHC negatively affect the course of pregnancy and childbirth.