Clinical aspects of discoordinated labor activity for primiparous different age

Abstract

DOI: 10.52705/2788-6190-2025-01.1-04
УДК 618.3:616-053.31-037:616-055.25-06

Research purpose. To learn the clinical aspects of discoordinated of labor activity for primiparous of different age.
Materials and methods. For implementation of the advanced study 100 women were inspected different age with the worn pregnancy in a term 38-41 week. All patients during hospitalization signed the informed consent to the conduct of inspection and treatment. Retrospectively all women parted on three clinical groups. 40 women in which a labor activity began spontaneously in time and made of physiology births entered in the first (I) clinical group (control). The second (II) group is presented by 20 women also with spontaneous urgent births which was completed by an operation caesarean section to the section through discoordination of labor activity (II clinical group). Its most frequent display is a dystocia of cervix, that and defined our interest to this pathology. In the third (III) group 40 women born by an operation caesarean section in the planned order, in the term of the worn pregnancy through myopia of high degree of both eyes, scar on an uterus (III clinical group).
Results. For all women of the II group discoordinated labor activity developed in latent or at the beginning of active phase of the first period of births. It was characterized by hypertone of myometrium, which retractive activity of uterus was distorted on a background. Tone of myometrium, including, lower segment, internal and external pharynx of uterus were enhanceable, the rhythm of labor activity was wrong, the periods of reduction and weakening of uterus (systole and diastole of birth pangs) were observed both protracted or short, amplitude (force of birth pangs) was uneven, labor activity sickly. Characteristic for the women of this group were vegetative violations of different degree of expressed: nausea, vomit, tachycardia or braducardia, vegetative vascular dystonia, pallor or expressed hyperemia of person, sweating.
Conclusion. The results of the conducted researches testify that discoordinated labor activity has specific clinical aspects for women different age. It must be taken into account at development of algorithm of diagnostic and treatment-and-prophylactic measures for the women of group of high risk recognition age of patients.