Modern aspects of prognostication of obstetric and perinatal complications for primiparous

Abstract

DOI: 10.52705/2788-6190-2024-03.2-02
УДК 618.3:616-053.31-037:616-055.25-06

The objective: to develop and inculcate tactic of prognostication of obstetric and perinatal complications for primiparous.
Materials and methods. By material, that allows to build classifications for creation of the prognostic screening programs of obstetric and perinatal complications for primiparous, information appeared clinical-and-statistical research of motion of pregnancy, births, state of fetus and newborns in 400 primiparous.
Prognostication of risk of obstetric and perinatal complications is basis of screening for a decisionmaking in relation to the change of tactic of conduct of pregnancy, births, grant of necessary help with the purpose of improvement of results of the first pregnancy and first births. In basis of prognostication of possible complications the fixed method of stepwise discriminant analysis, for
the conduct of which fact sheets are used clinical-and-statistical research in relation to prevalence of gestational, maternity and perinatal complications for primiparous in intercommunication with the complex of factors which are studied.
Results. By the method of stepwise discriminant analysis the most significant criteria of prognosis were selected (parity; growth; age; age of menarche woman; a term of pregnancy is at the debut of placenta disfunction; a middle estimation is for Fisher; a ball estimation of deceleration is for cardiotokogram; a concentration of hormones is at the end of the III trimester of pregnancy; a systole-diastolic ratio is in 36-40 weeks; estimation new-born after a scale Apgar on the first and fifth minutes of life of risk of
realization and development of obstetric and perinatal complications for primiparous. Built functions of discriminants, which with authenticity from 59,6 to 92,88% allow to define the risk of realization of placenta disfunction, development of discoordinated labor and fetal distress at the first births.
Conclusions. It is got by us results allow to recommend the developed algorithm for introduction in the practical guard of health.