Abstract
Aim. To study anamnestic data and characteristics of gestation course and labor of patients with preterm rupture of membranes and ill-timed discharge of amniotic fluid. Materials and methods . Analysis of 68 case reports. 48 case reports of women with preterm discharge of amniotic fluid (PDAF) at full-term pregnancy were included into the study group, 20 case reports of women with timely discharge of amniotic fluid at full-term pregnancy (TDAF) − control group. Results . The prevalence of abortion, miscarriage, gynecological and extragenital pathology in past medical history was revealed in patients with ill-timed discharge of amniotic fluid. In women with this pathology an operative maternity aid and medical induction of labor were often applied. Conclusion. Our results indicate the need to consider the impact of not only individual risk factors on pathologic rupture of membranes and discharge of amniotic fluid, but the complex influence of risk factors. The findings also suggested that careful pre-conceptional preparation and the timely detection and prevention of complications in pregnancy, and treatment of extragenital pathology, can lead to a decrease in serious complications such as preterm rupture of membranes and thereby reduce the percentage of operative maternity aid.
Highlights
The prevalence of abortion, miscarriage, gynecological and extragenital pathology in past medical history was revealed in patients with ill-timed discharge of amniotic fluid
Our results indicate the need to consider the impact of individual risk factors on pathologic rupture of membranes and discharge of amniotic fluid, but the complex influence of risk factors
The findings suggested that careful pre-conceptional preparation and the timely detection and prevention of complications in pregnancy, and treatment of extragenital pathology, can lead to a decrease in serious complications such as preterm rupture of membranes and thereby reduce the percentage of operative maternity aid
Summary
Федеральное государственное бюджетное образовательное учреждение высшего образования «Ростовский государственный медицинский университет» Министерства здравоохранения Российской Федерации, пер. А также особенности течения беременности и родов у пациенток с преждевременным разрывом плодных оболочек и несвоевременным излитием околоплодных вод. Выявлено преобладание в анамнезе абортов, невынашивания беременности, гинекологических заболеваний и экстрагенитальной патологии у пациенток с несвоевременным излитием околоплодных вод. Результаты наших исследований диктуют целесообразность учета комплексного влияния факторов риска на процесс патологического разрыва плодных оболочек и излития околоплодных вод, а не отдельного влияния каждого из них. Полученные данные также позволили предположить, что тщательная предгравидарная подготовка и своевременное выявление и профилактика осложнений беременности, а также лечение экстрагенитальной патологии, смогут привести к снижению такого серьезного осложнения, как преждевременное излитие околоплодных вод и тем самым снизить процент оперативных вмешательств в родах. Ключевые слова: беременность, роды, несвоевременное излитие околоплодных вод, оперативные пособия в родах, влияние на плод.
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