fcmedicineФундаментальная и клиническая медицинаFundamental and Clinical Medicine2500-07642542-0941КемГМУ10.23946/2500-0764-2019-4-2-42-47fcmedicine-140Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL RESEARCHПереношенная беременностьPost-term pregnancyhttps://orcid.org/0000-0001-5570-1988НовиковаО. Н.NovikovaO. N.

Новикова Оксана Николаевна - доктор медицинских наук, профессор кафедры акушерства и гинекологии им. Г.А. Ушаковой.

650056, Кемерово, ул. Ворошилова, д. 22а

Oxana N. Novikova - Prof., MD, DSc, Professor, Department of Obstetrics and Gynecology.

22a, Voroshilova Street, Kemerovo, 650056

Oxana777_07@mail.ruhttps://orcid.org/0000-0003-3526-7875МустафинаЛ. Р.MustafinaL. R.

Мустафина Лилия Рамильевна - доктор медицинских наук, профессор кафедры гистологии, эмбриологии и цитологии.

Томск

Liliya R. Mustafina - Prof., MD, DSc, Professor, Department of Histology, Embryology and Cytology.

Tomsk

ФГБОУ ВО «Кемеровский государственный медицинскийуниверситет» Министерства здравоохранения Российской ФедерацииРоссияKemerovo State Medical UniversityRussian FederationФГБОУ ВО «Сибирский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSiberian State Medical UniversityRussian Federation201930062019424247Copyright © Новикова О.Н., Мустафина Л.Р., 20192019Новикова О.Н., Мустафина Л.Р.Novikova O.N., Mustafina L.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://fcm.kemsmu.ru/jour/article/view/140Цель

Цель. Изучение частоты и течения беременности и родов у женщин с переношенной беременностью.

Материалы и методы

Материалы и методы. С 2015 по 2017 год в родильном доме ГАУЗ КО «Областная клиническая больница скорой медицинской помощи им. М.А. Подгорбунского» проведен анализ 6506 родов. Выделено две группы: основная (п=130) с переношенной беременностью, сравнения (п=130), родивших в срок 37-41 неделя.

Результаты

Результаты. Частота переношенной беременности составила 2%. Среди патологии у женщин чаще встречалось ожирение. Наиболее частыми осложнениями беременности были хроническая гипоксия плода, гестационная анемия, гестационный сахарный диабет. Течение родов чаще осложнялось несвоевременным излитием околоплодных вод, аномалиями родовой деятельности, более частым абдоминальным оперативным родоразрешением. Новорожденные характеризовались более высокой массой тела при рождении и более низкой оценкой по Апгар при рождении.

Заключение

Заключение. Переношенная беременность сопряжена с высоким риском как материнских, так и перинатальных осложнений. Для профилактики этих осложнений необходимо индуцировать роды в сроках после 41 недели гестации. Вопрос о методах диагностики переношенной беременности и соответственно определении контингента женщин для индукции родов остается дискуссионным до настоящего времени.

Aim

Aim. To assess the incidence and course of labor and delivery in women with post-term pregnancy.

Materials and Methods

Materials and Methods. We studied 6,506 medical records of women admitted to the Birthing Center of the Podgorbunsky Regional Clinical Emergency Hospital during 2015-2017. Out of them, 130 women with post-term pregnancy were assigned to the study group, and 130 women with full-term pregnancy (37-41 weeks) were enrolled in the control group to evaluate the frequency of maternal and neonatal complications.

Results

Results. The incidence of post-term pregnancy was 2%. These patients commonly suffered from obesity. Chronic hypoxia, gestational anemia, gestational diabetes were among the most frequent complications of pregnancy. Women with post-term pregnancies had higher prevalence of premature rupture of membranes, abnormal labor, and cesarean sections while their newborns had higher birth weight and lower Apgar scores.

Conclusion

Conclusion. Post-term pregnancy is associated with a high risk of both maternal and neonatal complications. Labor induction after 41 weeks of pregnancy is an efficient preventive measure.

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The authors declare that there are no conflicts of interest present.