Alirzaeva H. A.

MEDICAL AND SOCIAL FACTORS OF DEVELOPMENT OF PREECLAMPSIA IN PREGNANT WOMEN WITH IRON DEFICIENCY ANEMIA


About the author:

Alirzaeva H. A.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scentific article

Annotation:

The aim of this study was to study the medical and social aspects of preeclampsia in pregnant women with iron deficiency anemia. The material of the study was the results of prospective observation of 127 pregnant women, which addressed the issues of social and material conditions, family status, professional characteristics, obstetric and gynecological and somatic history. All examined were divided into two groups. The main group consisted of 97 women diagnosed with preeclampsia on the background of iron deficiency anemia. The control group consisted of 30 women whose pregnancy was not complicated by the development of preeclampsia and iron deficiency anemia. The study did not include pregnant women with cancer, HIV infection, severe somatic disease, mental illness. Results. The study made it possible to present the medical and social characteristics of pregnant women with preeclampsia. The analysis of the age parameters of the examined patients revealed that the average age of pregnant women with preeclampsia was statistically higher and amounted to 28.1±0.95 years [95% CI 27.91-28.29], and in women of the control group – 25.3±0.82 years [95% CI 25.01-25.59] (p<0.05). In the group with preeclampsia, women under 20 years were 15.5% (n=15), at the age of 21-25 years – 24.7% (n=24), 26-30 years – 19.6% (n=19), 31-35 years – 25.8% (n=25), 36-43 years – 14.4% (n=14). Women with preeclampsia were statistically significantly more likely to be legally married. According to the results of the data obtained, 88 (90.7%) women with preeclampsia were found to be married, compared to 23 (76.7%) in the control group (p<0.05). When determining the place of residence, it was found that 64 (66.0%) women live in urban areas, 33 (34.0%) patients live in rural areas. Among the women of the control group lived in the city 27 (90.0%), in rural areas – 3 (10.0%) people. At the time of the study 34 (35,0%) women of the main group indicated financial difficulties, in the control group – 11 (36,7%). 48 (49.5%) patients with preeclampsia assessed their financial situation as an average, 14 (46.7%) in the control group. 15 (15.4%) women of the main group and 5 (16.6%) women of the control group indicated material prosperity in the family. There were no significant differences in the level of formations between the patients of the main and control groups (p>0.05). Carried out researches have allowed to establish that in the primary group secondary education had to 60.8% of women (n=59), the highest was 25.8% (n=25), elementary education and 13.4% (n=13). Among pregnant women with higher education, the number of women with preeclampsia was significantly lower compared to women with secondary and primary education (25.8% and 74.2%, respectively, p<0.05). Probably, low socioeconomic status is associated with chronic diseases, which is a risk factor for preeclampsia. In the control group, secondary education had 36.7% (n=11), higher education – 56.6% (n=17), primary education – 6.7% (n=2). Conclusion. Somatic history in pregnant women with preeclampsia was burdened with chronic hypertension, obesity and chronic inflammatory diseases of the urinary tract. There was a high incidence of gynecological diseases: inflammatory diseases of the pelvic organs and fibroids. The obstetric history of women with preeclampsia recorded a history of preterm and complicated labor, caesarean section, infertility and previous preeclampsia.

Tags:

preeclampsia, social status, somatic pathology, obstetric and gynecological history

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Publication of the article:

«Bulletin of problems biology and medicine» Issue 1 Part 1 (148), 2019 year, 89-92 pages, index UDK 618.3-06-08

DOI: