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PREDICTORS OF ADVERSE EVENTS IN PREGNANT WOMEN WITH DEFICIENCY OF BODY WEIGHT

Journal: Journal of the Grodno State Medical University (Vol.21, No. 3)

Publication Date:

Authors : ;

Page : 288-293

Keywords : underweight; pregnancy; leptin; pregnancy complications; extrasystole;

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Abstract

It is known that underweight is associated with an increased risk of pregnancy complications on the part of the mother. The purpose of the study is to identify predictors of adverse events during pregnancy in underweight women. Material and methods. 82 pregnant women with body weight deficiency were examined. The control group consisted of 35 pregnant women with normal body weight. All patients included in the study underwent conventional clinical, instrumental and laboratory examinations, including the collection of anamnestic data, physical examinations, a set of laboratory studies, transthoracic echocardiography, Holter monitoring of the electrocardiogram. Results. Maternal risk predictors of pregnancy complications and their threshold values were identified: BMI >18.135 kg/m2, triglycerides >1.765 mmol/l, LDL >2.79 mmol/l, leptin <8.8 ng/ml, potassium <4.15 mmol/l, rhythm disturbances (extrasystole) >400 per day. Conclusions. Pregnancy against the background of underweight is characterized by such complications as threatened miscarriage, toxicosis, HFPN, abnormal amount of amniotic fluid (polyhydramnios, oligohydramnios), preeclampsia, gestational arterial hypertension, placental abruption, placental hypertrophy. A prognostic model has been developed to assess the risk of maternal complications during pregnancy in underweight pregnant women.

Last modified: 2023-07-21 21:30:18