Assessment of premorbid background in pregnant women with obesity of various degrees

Cover Page


Aim. Comparative evaluation of premorbid background in pregnant women with obesity of various degrees. Methods. A comparative evaluation of premorbid background in 82 pregnant women with obesity class 1 (49 patients), class 2 (22) and class 3 (11) and 65 somatically healthy females was performed on the basis of somatic and obstetric and gynecological history. Results. In obese females in 30.5% of cases menstruation disorders were observed, most pronounced in obesity class 3 that exceeds the number in control group by 3.0 times. Out from gynecological diseases, in pregnant women with obesity class 2 and 3 the most common were colpitis - 2.0 and 2.6 times more prevalent, adnexitis - 1.5 and 1.2 times more, cervical erosion - 1.8 and 2.4 times more, endometritis - 2.2 and 1.5 times more, secondary infertility - 3.0 and 6.1 times more prevalent than in the control group. In comparison with the control group, in obesity class 2 and 3, respiratory diseases were diagnosed 1.3 and 2.5 times more often; cardiovascular disease - 2.9 and 5.9 times more, arterial hypertension - 3.0 and 12.1 times more, chronic gastritis - 1.3 and 1.7 times more, chronic cholecystitis - 1.2 and 2.4 times more, and chronic pyelonephritis - 1.8 and 2.4 times more often. Conclusion. In pregnant obese women a high prevalence of gynecological and somatic diseases was detected, that creates unfavorable conditions for pregnancy; the obtained results have a prognostic value in terms of pre-conceptional preparation of obese women.

Ch K Kalkanbaeva

Kyrgyz State Medical Academy named after I.K. Akhunbaev Bishkek, Kyrgyzstan

N Dzh Shoonaeva
Kyrgyz State Medical institute of retraining and improvement of professional skill Bishkek, Kyrgyzstan

R S Asakeeva
Clinical maternity hospital №2 Bishkek, Kyrgyzstan

F R Niyazova
Kyrgys-Russian Slavic University named after B.N. Yeltsin Bishkek, Kyrgyzstan

A K Dzhakypova
Kyrgyz State Medical Academy named after I.K. Akhunbaev Bishkek, Kyrgyzstan

  • Дедов И.И., Мельниченко Г.А. Ожирение: этиология, патогенез, клинические аспекты. М.: МИА. 2006; 456 с.
  • Despres J.P., Arsenault B.J., Cote M. et al. Abdominal obesity: the cholesterol of the 21st century? Can. J. Cardiol. 2008; 24 (Suppl. D): 7-12. doi: 10.1016/S0828-282X(08)71043-2.
  • Леваков С.А., Боровкова Е.И. Беременность на фоне ожирения и метаболического синдрома. Вопр. гинекол., акушерства и перинатол. 2014; 13 (5): 5-10.
  • Stotland N.E., Washington A.E., Caughey A.B. Prepregnancy body mass index and the length of gestation at term. Am. J. Obstet. Gynecol. 2007; 197 (4): 378.e1-378.e5. doi: 10.1016/j.ajog.2007.05.048.
  • Макаров И.О., Боровкова Е.И., Байрамова М.А. Течение беременности и родов у пациенток с ожирением. Акушерство, гинекол. и репрод. 2011; (1): 23-28.
  • Бурлев В.А., Тимошина И.В., Ильясова Н.А. и др. Жировая железа: молекулярные и функциональные особенности у беременных женщин. Пробл. репродукции. 2012; (5): 9-17.
  • Djiane J., Attig L. Role of leptin during perinatal metabolic programming and obesity. J. Physiol. Pharmacol. 2008; 59 (Suppl. 1): 55-63. PMID: 18802216.
  • Прилепская В.Н., Иллагова Е.В. Ожирение: клиника, диагностика, лечение. М.: Медпресс-информ. 2007; 64 с.
  • Комшилова К.А., Дзгоева Ф.Х. Беременность и ожирение. Ожирение и метаболизм. 2009; (4): 9-13.
  • Иллагова Е.В. Ожирение и репродуктивная функция: современный взгляд на проблему. Пробл. репродукции. 2012; (4): 23-27.


Abstract - 90

PDF (Russian) - 24

© 2017 Kalkanbaeva C.K., Shoonaeva N.D., Asakeeva R.S., Niyazova F.R., Dzhakypova A.K.

Creative Commons License

This work is licensed
under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Свидетельство о регистрации СМИ ЭЛ № ФС 77-70434 от 20 июля 2017 года выдано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор)