Features of Reproductive Function in Women With Premenstrual Syndrome

Abstract

The objective: of research is to evaluate course of pregnancy and labor in women with premenstrual syndrome (PMS). Patients and methods. The research included 200 women of reproductive age with diagnosis of PMS and 50 women without diagnosis of PMS. Data of reproductive and obstetrical history were collected. Results. We determined that women with PMS have more pregnancies (in 1.59 times, c2=10.74, p=0.001) and labors (in 1.70 times, c2=10.56, p=0.001) compared with controls. Also they have a tendency for development of pathological course of pregnancy and labor. Complications of pregnancy and labor are the most typical for patients with edematous form of syndrome compared with healthy individuals (c2=4.71, p=0.03, OR=3.92, 95%CI=1.27–12.06, p=0.02). These persons have a greater share of late gestosis – in 4,55 times significantly greater incidences – 47.82% versus 10.52% of women in control group (c2=6.51, p=0.01, OR=7.79, 95%CI=1.61–37.65, p=0.01). Conclusion. Special attention should be paid to women with edematous form of PMS, which are significantly more marked the development of late gestosis. These women are at risk of pathological labor – caesarean section, forceps, hypotonic/atonic postpartum uterine bleeding and preterm labor. Key words: premenstrual syndrome, pregnancy, labor, complications.