Actual aspects of medical­and­social description of primiparous in different age

Abstract

DOI: 10.52705/2788-6190-2024-04.1-05
УДК 618.2-055.25-058

The objective: to learn the medical-and-social aspects of primiparous in different age.
Materials and methods. It was conducted retrospective and prospective analysis of motion of pregnancy, births and puerperium in 100 women more senior 35 years (1 group) and 100 girlsteenagers to 18 years (2 groups), which completed pregnancy births. The casual selections of histories of births served the group of comparison in 100 women in age 20–25 (3 groups). On every patient the specially developed map, information about age, professional harms, social and family status of mother, age and health of father of child, extragenital pathology, information about character of menstrual and genital function, sequence number of pregnancy, results of clinical inspections, anthropometric descriptions of women, body mass index, sizes of pelvis.
At the analysis of motion of pregnancy frequency of complications of pregnancy was determined taking into account the results of instrumental and laboratory methods of inspection, for the estimation of the state and development of fetus information of ultrasonic research was used, doppler.
Results. The group of women more senior 35 years had very much unfavorable obstetricgynaecological anamnesis as compared to the group of women 20-25 years, that could not influence on motion of pregnancy and future births. Especially complicated obstetric-gynaecological anamnesis primiparous had more senior 35 years due to higher frequency of infertility, uterine fibroids and dysfunctional violations menstrual-ovarian to the cycle. These factors, presumably, in a great deal defined an offensive and maturing of pregnancy in more late age.
On the basis of foregoing it is possible to come to the conclusion, that medical-and-social portrait of pregnant in age 35 and more senior characterized by predominance of women, which have complicated somatic and obstetric-gynaecological anamnesis, higher education, work and financially weaker.
Conclusions. At forming of tactic of conduct of these women it is necessary to take into account features somatic and obstetric-gynaecological anamnesis, which can influence on motion of pregnancy and its result.