The experience of pregnancy management by suspicion of fetal intrauterine infection in Ukraine and other countries

Abstract

TORCH-infection is one of the most important and relevant challenges in obstetrics today. This group of infections refers to diseases for which a woman and a man should be examined before conception for the prevention of intrauterine infection of the fetus. The non-specific clinical manifestations of these diseases are the difficulty to their timely and rapid diagnosis.The objective: an analysis and comparison of the basic criteria for the management of pregnant women with suspected intrauterine infection in Ukraine, countries in Western Europe and the United States.Materials and methods. An analysis of literary publications, protocols, Internet resources devoted to the management of pregnancy in the women with suspected intrauterine infection of the fetus. Results. The protocols and clinical guidelines devoted to the management of pregnancy in the women with suspected intrauterine infection of the fetus in various countries, such as Ukraine, Spain, Great Britain and the United States, were analyzed. According to the literature data, this pathology accounts for a significant percentage and the incidence rates for perinatal infections differ in different countries. So, in Sweden, the prevalence is 117 people per 1000 population, Spain – 100, the Czech Republic – 163, the USA – 50, Russia – 1. The article presents recommendations on screening, management of pregnancy and childbirth in the presence of such infections as toxoplasmosis, rubella, chlamydia, syphilis, hepatitis B, genital herpes, human immunodeficiency virus and bacterial vaginosis in the mother. Some differences have been established in the management of pregnant women with infection pathogens in different countries.Conclusions. The results of the analysis of the literature data demonstrate the necessity for further research on the tactics of pregnancy management in case of intrauterine infection, as well as the features of newborn’ conditions in the presence of intrauterine infection.