SIGNIFCANCE OF THE INTRA-ABDOMINAL HYPERTENSION IN REALIZATION OF OBSTETRIC END PERINATAL PATHOLOGY AT PREGNANT WOMEN WITH OBESITY


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Abstract

Objective. Revealing correlation of level of intra-abdominal pressure with frequency and structure obstetrics and perinatal complications at pregnancy women with obesity. Material and methods. The clinical current of pregnancy, outcomes of labors and dynamics of intra-abdominal pressure at 60 patients with normal weight of a body, 60 patients with overweight and 93 women with obesity were studied. Results. The magnitude intra-abdominal pressure (IAP) at pregnant women had close interrelation with the trophic status of the patients were established. The reference values of IAP at pregnant women with obesity corresponded to I—II degree of an intra-abdominal hypertension. The quantity obstetric and perinatal complications in larger correlates degrees with level IAP, rather than with initial BMI. Ascending of IAP during pregnancy is closely connected with rate of an increase of the body weight. Frequency obstetric and perinatal complications is closely connected with value IAP, but in larger degrees with temp of change IAP during pregnancy.

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About the authors

I. A SALOV

V.I. Razumovsky Saratov State Medical University

Saratov

E. M SHIFMAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Rassian Agency for Medical Technologies

Moscow

D. V MARSHALOV

V.I. Razumovsky Saratov State Medical University

Saratov

A. P PETRENKO

V.I. Razumovsky Saratov State Medical University

Saratov

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