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№4' 2021

OBSTETRICS AND GYNECOLOGY

International Medical Journal, Vol. 27., Iss. 4, 2021, P. 36−41.

DOI (https://doi.org/10.37436/2308-5274-2021-4-7)

ANALYSIS OF RISK FACTORS FOR PERINATAL PATHOLOGY IN LVIV REGION FEMALE RESIDENTS WITH DIABETES

SI "Institute of Hereditary Pathology of the National Academy of Medical Sciences of Ukraine", Lviv, Ukraine

Diabetes mellitus in women is a serious problem due to the unfavorable prognosis for the child's life. The urgency of the issue of disordered carbohydrate metabolism during pregnancy is associated with the complications that may occur in the mother and her fetus at different stages of gestation. The issue of reproductive health in diabetes is very important for modern medicine, because fertility disorders lead to a complicated pregnancy and its adverse consequences. To establish the probable risk factors for perinatal pathology in patients with Diabetes mellitus, a retrospective study was conducted, which included pregnant women aged 18 to 42 years living in the Lviv region. Somatic, reproductive anamnesis and complications of pregnancy were studied. The results suggest that diabetes can occur in women of any reproductive age. Its factors may be the mother's endocrine pathology and medication, risks associated with chronic somatic disease, namely, the urinary system and its combination with endocrine pathology, history of reproductive loss (miscarriage, stillbirth, children with congenital malformations), complications of pregnancy, most often these are polyhydramnios in combination with preeclampsia and impaired uterine and fetal blood flow; premature birth, mostly by cesarean section, the birth of premature babies. Identification of risk factors for perinatal pathology in women with diabetes is necessary to determine its new informative markers in this population. This will allow the establishing of a database for further research, which will facilitate the timely identification of pregnant women at risk, improve pregnancy prognosis, reduce perinatal pathology and also will be of medical and social effect.

Key words: pregnancy, diabetes mellitus, perinatal pathology, risk factors.

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