The course of pregnancy and the outcomes of labor in the combination of oligoamnion with a flattened shape of the fetal bladder
https://doi.org/10.23946/2500-0764-2020-5-1-52-56
Abstract
Aim. To study pregnancy and the outcomes of labor in women with oligohydramnios and flattened fetal bladder.
Materials and Methods. We retrospectively analysed childbirth histories of 100 women admitted to Belyaev Kemerovo Regional Clinical Hospital either diagnosed with oligohydramnios combined with a flattened fetal bladder or having normal pregnancy course (n = 50 per group).
Results. Patients with oligohydramnios and a flattened fetal bladder more frequently had past medical history of pelvic inflammatory disease (60% versus 30% in healthy women, p = 0.001) as well as dilation and curettage (32% versus 10% in healthy women, p = 0.003). Such patients had higher rate of a urinary tract infections during pregnancy (26.0% versus 4.0% in healthy women, p = 0.001). Childbirth in this patient group was more frequently complicated by a discoordinated labor (40.0% versus 0% in healthy women, p = 0.001). Pathology examination of the placenta confirmed the high frequency of chronic inflammatory process and chorioamnionitis in patients with oligohydramnios and a flattened fetal bladder.
Conclusion. Patients with oligohydramnios and a flattened fetal bladder are a risk group of urinary tract infections during pregnancy and chorioamnionitis.
Supporting agencies: There was no funding for this project
About the Authors
V. I. Chernyaeva
Kemerovo State Medical University
Russian Federation
Russian Federation
Dr. Valentina I. Chernyaeva - MD, PhD, Associate Professor, Department of Obstetrics and Gynecology.
22a, Voroshilova Street, Kemerovo, 650056
E. A. Shakirova
Kemerovo State Medical University
Russian Federation
Russian Federation
Dr. Elena A. Shakirova - MD, PhD, Associate Professor, Department of Obstetrics and Gynecology.
22a, Voroshilova Street, Kemerovo, 650056
O. B. Karelina
Kemerovo State Medical University
Russian Federation
Russian Federation
Dr. Olga B. Karelina - MD, PhD, Associate Professor, Department of Obstetrics and Gynecology.
22a, Voroshilova Street, Kemerovo, 650056
O. D. Teterina
Kemerovo State Medical University
Russian Federation
Russian Federation
Dr. Olesya D.Teterina - Clinical resident, Department of Obstetrics and Gynecology.
22a, Voroshilova Street, Kemerovo, 650056
O. A. Zotova
Belyaev Kemerovo Regional Clinical Hospital
Russian Federation
Russian Federation
Dr. Olga A. Zotova - PhD, Obstetrician-Gynecologist.
22, Oktyabr'skiy avenue, Kemerovo, 650056
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Review
For citations:
Chernyaeva V.I., Shakirova E.A., Karelina O.B., Teterina O.D., Zotova O.A. The course of pregnancy and the outcomes of labor in the combination of oligoamnion with a flattened shape of the fetal bladder. Fundamental and Clinical Medicine. 2020;5(1):52-56. (In Russ.) https://doi.org/10.23946/2500-0764-2020-5-1-52-56
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