Factors of risk of gestational increase of mass of body for women different age

Abstract

DOI: 10.52705/2788-6190-2025-3-05
УДК 618.3/5-056.5-055.2-06

Research purpose. To set the factors of risk of gestational increase of mass of body for women different age.
Materials and methods. Cohort study is conducted 529 patients which were on an account concerning pregnancy in antenatal clinic. 356 women were plugged the method of continuous selection in retrospective research and 173 - in prostective. The criteria of including served as: age more senior 18 years, anamnestic and laboratory null, indicative on saccharine diabetes, absence of severe somatic pathology data. Criteria of exception: multiple pregnancy, termination pregnancy to 37 weeks gestation, gestational diabetes. All women designed the «Informed consent to participating in research».
Results. Conducting the analysis of gestational dynamics of weight, we found out, that surplus or lack of gestational increase of mass of body was mortgaged already in a 1 trimester. Increase of primary mass more, than on 2,5 kg increases the risk of surplus raise almost at 2,5 time (relative risk = 2,4, 95% confidence interval 1,3-4,0; р<0,05). And vice versa, those women which lost mass and did not pick up thread it to 12 weeks, with the same authenticity risk to increase not enough the weight (relative risk =2,4, 95% confidence interval 1,2-5,1; р<0,05). However because in practice initial not mass of woman, but its value, is fixed at the first appearance (on the average on 8-9 week), the «collected kilograms» often are not taken into account, that results in diagnostic errors: a diagnosis is set only to the end of the second to the trimester, when already difficultly be that cardinal to change.
In addition, the traditional going near determination of increase of mass (a difference of mass is between two appearances of woman in consultation) can mislead a doctor, as feel like considerable vibrations. The insufficient informing of similar method induced us to develop gravigram, that allow objectively to estimate gestational gain in weight for patients with different mass and in good time to appoint measures which correct.
Conclusion. In modern terms the pathological increase of mass of body (insufficient and surplus) belongs to the frequent states which are registered during pregnancy. Risk factors: inadequate feed pregnant, smoking, pregravid violation of lipid exchange, incomplete proceeding in mass of body after previous births.