Course and outcome of pregnancy in patients with infectious hypersecretory diarrhea

Аннотация

Objective: To characterize the peculiarity of the course of pregnancy and labor in patients with hypersecretory diarrhea of infectious nature.

Полный текст

Methods: Clinical, biochemical, statistical.

Results: Due to hypersecretory diarrhea a threat of pregnancy termination developed in all women in the 1^st trimester; in 36% of pregnant women in the 2^nd trimester and in 83% - in the 3^rd trimester. Spontaneous abortion was observed in 16%, preterm labor — in 12% of women. The appearance or worsening of the course of gestosis was revealed in 42% of pregnant women, premature placental separation — in 26%. Frequency of fast and precipitate labor made up 18%. I degree dehydration was seen in 56%, II degree in 13% of women. A decrease in plasma Na⁺¹ concentration by 10% was noted in of the patients, by 15% and more in 21% of pregnant women. Almost in 1/3 of patients an increase in urea and residual nitrogen was recorded. The frequency of complications depends on the degree of dehydration. In patients with hypersecretory diarrhea the frequency of complications in pregnancy and labor was less by 2-2.5 times.

Conclusion: Pregnant women with hypersecretory diarrhea must be classified under the group of very high risk for complicating pregnancy and labor.