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

Ch K Kalkanbaeva; N Dzh Shoonaeva; R S Asakeeva; F R Niyazova; A K Dzhakypova

doi:10.17750/KMJ2017-913

Kazan medical journal ›› 2017, Vol. 98 ›› Issue (6) : 913 -917. DOI: 10.17750/KMJ2017-913

Theoretical and clinical medicine

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

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Abstract

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.

Keywords

obesity / pregnancy / dysmenorrhoea / gynecological diseases / extragenital pathology

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Ch K Kalkanbaeva, N Dzh Shoonaeva, R S Asakeeva, F R Niyazova, A K Dzhakypova. Assessment of premorbid background in pregnant women with obesity of various degrees. Kazan medical journal, 2017, 98(6): 913-917 DOI:10.17750/KMJ2017-913

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