Open AccessFEATURES OF THE COURSE OF PREGNANCY, CHILDBIRTH AND POSTPARTUM PERIOD IN PATIENTS WITH ADENOMYOSIS
Author(s) -
Е. И. Кравцова,
И. И. Куценко,
А. А. Авакимян
Publication year - 2020
Publication title -
medicinskij vestnik ûga rossii
Language(s) - English
Resource type - Journals
eISSN - 2618-7876
pISSN - 2219-8075
DOI - 10.21886/2219-8075-2020-11-1-41-45
Subject(s) - adenomyosis , pregnancy , obstetrics , medicine , myometrium , postpartum period , childbirth , pathological , gestation , endometrium , uterus , gynecology , endometriosis , pathology , biology , genetics
Objective: to assess the course of pregnancy, childbirth and postpartum period in patients with adenomyosis 1 and 2 degrees. Materials and methods: the course of pregnancy and its outcomes were analyzed in 153 primordial women with a history of adenomyosis of 1–2 degrees (I group), the control group (II group) — 150 conditionally healthy primordial women. Results: in preterm patients with adenomyosis of 1 and 2 degrees, in the absence of problems with conception and somatic pathology, statistically significantly increases the number of early reproductive losses and premature birth during pregnancy statistically significantly more often formed placental insufficiency and increases the frequency of hypertension disorders, increases the frequency of pathology of labor and postpartum period, mainly associated with increased blood loss. Conclusion: complications of gestation, pathology of labor and postpartum period in patients even with 1 stage of adenomyosis are largely associated with histological, immunohistochemical and immunological features of the structure of the transition zone «endometrium-myometrium». Pathological processes occurring in the zone of remodeling of spiral arterioles may lead to abnormal chorion formation, which causes most obstetric complications.