PECULIARITIES OF PREGNANCY, CHILDBIRTH AND THE POSTPARTUM PERIOD IN WOMEN WITH ENDOMETRIOSIS

Abstract

Endometriosis - a widespread disease in women of reproductive age and perimenopausal. Endometriosis is a chronic progressive disease and recurrent disease, which affects 12 to 60% of women of reproductive age. In women with different forms of endometriosis pregnancy occurs according to the latest research with significant abnormalities. According to other authors, 30 - 40% of patients with endometriosis suffer from infertility. Objective. To evaluate the peculiarities of pregnancy, childbirth and the postpartum period in women with endometriosis. Material and methods. In Chernivtsi city maternity hospital №1 were examined 60 pregnant women of reproductive age from 21 to 42 years (average age was 31,5 ± 3,26 years), the main group included 30 women with clinical signs of endometriosis and in control - 30 women without gynecological and somatic disorders. The study of pregnancy in the examined groups showed that in the study group threatened miscarriage occurred 5,9 times more frequently than among patients in the control group. In assessing obstetric complications was found that 76,7% of women with endometriosis, birth complicated by premature rupture of the amniotic membranes, 15% - fetal distress, 8,3% - primary and secondary weakness of labor activity, 3 women was hypotonic bleeding. According Apgar scale the results were better in the control group. Early and late postnatal complications noted the following: uterine bleeding 5% childbirth main group and 1,2% - childbirth control group, subinvolution of uterus in 8,3% and 3,6% respectively. Lohiometra occurred in 30% of patients with endometriosis and 3,6% of patients in the control group. The hospital asked about lactostasis 13,3% childbirth main group and 7,1% in the control group of women in childbirth. Conclusions. 1. Preterm labor occurred 10,4 times more in women with endometriosis than the control group. 2. Labor by Ceserean section was a third of the patients of the main group. 3. Condition of newborns of women with endometriosis were not significantly different from the condition of infants in the control group.