2019 № 3 Prevalence of socio-biological risk factors in pregnant women of Krasnoyarsk region and their impact on adverse pregnancy outcomes
The aim of the study was to study the prevalence of socio-biological risk factors in pregnant women of the Krasnoyarsk territory and their impact on the risk of adverse pregnancy outcomes. The analysis includes data on 122 250 cases of pregnancy in the period from 2014 to 2017 in the Krasnoyarsk region. All analyzed cases of pregnancy were divided into 2 groups: group I – cases of pregnancy with unfavorable outcomes (8 290 cases), group II – cases of pregnancy with favorable outcomes (113 960 cases). The paper analyzes the following factors: mother’s age less than 18 years or 40 years or more, father’s age 40 years or more, the presence of the mother and father of occupational hazards, bad habits (smoking 1 pack of cigarettes a day, alcohol abuse), mother’s height 158 cm or less, as well as the mother’s body weight 25% higher than normal. To assess the impact of the studied factors on the risk of adverse pregnancy outcomes, the odds ratio was calculated. The results of the study indicate that the presence of occupational hazards in the mother and her age less than 18 years do not affect the risk of adverse pregnancy outcomes. To the greatest extent, this risk is influenced by the presence of bad habits in the mother (smoking and alcohol abuse) and the father (alcohol abuse), as well as the presence of occupational hazards in the father. The use of information on the impact of various factors on the risk of adverse pregnancy outcomes will allow the most effective routing of pregnant women by levels of care to reduce, ultimately, the number of these outcomes. The results show that the risk of adverse pregnancy outcomes is influenced by a fairly wide range of factors. In this case, each factor has a different degree of impact on the risk. Given these circumstances, it is necessary to further develop an integrated assessment of the risk of adverse pregnancy outcomes.
2016 № 1 Incidents of morbidity and outcomes of pregnancy among women in Moscow in the period between 2010 and 2014 years
Analysis of pregnancy outcomes in Moscow in the period between 2010 and 2014 years demonstrated a growth of some pregnancies 9.2%. Whereas there was recorded an increase in the number of abortions by 5.7% and extra-uterine pregnancies by 15.6%. The number of pregnant women with various pathologies has increased from 78.5% (2010) to 80.7% (2014). Wherein the total morbidity rate among pregnant women decreased from 206.41 to 191.65 in 2014, and the forecasted estimate demonstrates a possible growth. There is also a decline in cases of diseases of the genitourinary system by 4.8%, cases of anaemia by 7.6% and blood circulatory system disease by 1.3%. At the same time, there was recorded a growth in the number of venous complications by 5.1% from 5.86 (2010) to 6.16 (2014) per 100 who ended their pregnancy, and growth of endocrine system diseases.