RISK OF PATHOLOGICAL CONDITIONS OF PREGNANCY IN MULTIPAROUS PREGNANT WOMEN WITH ANEMIA

Abstract

An analysis was made of the occurrence of preeclampsia among multiparous women with iron deficiency anemia and its impact on the course of pregnancy and childbirth. 80 multiparous pregnant women with iron deficiency anemia were examined, which in 23.7%/19 pregnant women, the main I group/pregnancy was complicated by preeclampsia, and in 76.25%/61 pregnant women, the II group, comparison/without preeclampsia. Pregnancy was complicated by preeclampsia more often in the age group of 30-40 years (84.2% versus 15.8% in the comparison group) in pregnant women with anemia II and III degree (57.9% and 10.5%, respectively), which in turn increased the risk of abortion (52.6% versus 42.6%), premature birth (36.8% versus 9.8%), the risk of fetal hypoxia (68.4% versus 42.6%), intrauterine growth retardation (21.1% versus 3.3%). In addition, when anemia was combined with preeclampsia, the percentage of operative delivery by cesarean section was increased (57.9% versus 27.9% in the comparison group). Analysis of the anamnesis data confirmed that the above complications are more common in women with a complicated obstetric and gynecological history (obstetric in 73.7% versus 41.0% in the comparison group and gynecological in 15.8% versus 3.3%). Timely diagnosis of anemia and conducting high-quality anti-anemic therapy in multiparous pregnant women will prevent complications of pregnancy and childbirth, which in turn will improve obstetric indicators and perinatal outcomes.