THE PROBLEM OF CHRONIC VENOUS INSUFFICIENCY IN PREGNANT WOMEN

Ismayılova N. F.

SOCIAL MEDICINE AND ORGANIZATION OF HEALTHCARE PROTECTION

Scentific article

Goal. To identify similarities and differences in approaches to the diagnosis and treatment of CVI in pregnant women among gynecologists with different professional training and work experience based on a survey conducted in Baku. Methods. A survey was conducted of 113 gynecologists working in maternity hospitals, gynecological departments of hospitals, gynecological and maternity departments of private clinics and women’s consultations in Baku. The questionnaire was developed by the staff of the Department of “General Surgery with courses of Cardiovascular Surgery and Neurosurgery” of the Azerbaijan State Institute of Advanced Medical Education named after A.Aliyev and consisted of 32 questions reflecting the main aspects of the problem of CVI in pregnant women, and answers to each question. The questionnaire consisted of 32 questions reflecting the main aspects of the problem of CVI in pregnant women, and the answers to each question. The average age of doctors was 46.2±1.09 years, the average work experience was 19.7±1.09 years. Results. The answers of most gynecologists testified to the use of compression stockings. Dopplerography due to convulsions and edema in pregnant women is performed by about 2/3 of doctors. When asked whether pregnant women were interviewed about the presence of any complaints characteristic of venous insufficiency of the lower extremities, the overwhelming majority of doctors (79.6%) replied that it is necessary to check this information in every pregnant woman. In 18.6% of cases, doctors stated that they would conduct a targeted examination only if complaints indicating CVI were detected. Only 2 gynecologists answered that there is no need to conduct this survey in all pregnant women. The appointment of compression stockings by pregnant women occurs more often for therapeutic than preventive purposes. The importance of the RAL-GZ-387 certificate for the use of compression stockings is more convincing in the assessments of doctors with academic degrees than practitioners. Conclusions. The level of attention to the diagnosis of CVI among gynecologists inBaku is satisfactory. It is planned to systematically conduct sanitary and agitation work among pregnant women on the main measures of prevention of CVI and awareness-raising activities in the direction of expanding clinical examinations of pregnant women to increase the effectiveness of compression therapy

chronic venous insufficiency, pregnancy, compression knitwear, questionnaire.

1. Gardenghi LA, Dezotti NR, Dalio MB, Joviliano EE, Piccinato CE. Gestational lower limb edema and venous reflux in healthy primigravidae. Int Angiol. 2017;36(6):569-573. DOI: 10.23736/S0392-9590.17.03865-2.
2. Taylor J, Hicks CW, Heller JA. The hemodynamic effects of pregnancy on the lower extremity venous system. J Vasc Surg Venous Lymphat Disord. 2018;6(2):246-255.
3. Lohr JM, Bush RL. Venous disease in women: epidemiology, manifestations, and treatment . J Vasc Surg. 2013;57(4):37-45.
4. Ropacka-Lesiak M, Jarosław K, Bręborowicz G. Pregnancy-dependent blood flow velocity changes in lower extremities veins in venous insufficiency. Ginekol Pol. 2015;86(9):659-665.
5. NICE. Varicose veins: diagnosis and management [Internet]. NICE; 2013. Available from: www.nice.org.uk/guidance/CG168.

«Bulletin of problems biology and medicine» Issue 2 Part 2 (165), 2022 year, 209-213 pages, index UDK 576.344:618.3(584.3)

10.29254/2077-4214-2022-2-2-165-209-213