OPTIMIZATION OF PREGRAVIDARY PREPARATION AND MONITORING OF PREGNANCY IN WOMEN WITH HISTORY OF EARLY GESTOSIS

Abstract

In preparing women with a history of early gestosis for the next pregnancy, an important point is to determine the individual trigger factor and its maximum correction before pregnancy. Objective. To determine the effectiveness of the proposed set of treatment measures in pregnancy planning and in the first trimester of pregnancy in women with a history of early gestosis to reduce the incidence of gestational complications. Materials and methods. We examined 150 women – 100 re-pregnant women with a history of early gestosis (50 women received standard treatment, and 50 – we developed a set of treatment and prevention measures at the pre-pregnancy stage and in the first trimester of pregnancy) and 50 with physiological course in the first trimester. Research results and their discussion. In group II pregnant women the frequency of complications was significantly lower compared to group I patients: vomiting of pregnant women – 20 % against 62 %, the risk of abortion – 14 % against 36 %, the risk of premature birth – 18 % against 26 %, anemia – 18 % against 24 %, placental dysfunction – 24 % against 28 %. In women from group II, the symptoms of mild vomiting of pregnant women prevailed, and in women from group I – severe vomiting. Conclusions. The use of the proposed set of therapeutic measures in pregnancy planning and during gestation has a positive effect on the subsequent course of pregnancy, there is a lower frequency of complications of gestation and improved perinatal outcomes.