Characteristics of somatic and obstetric-gynecological anamnesis of pregnant women with various types of surgical correction of isthmic-cervical insufficiency

the purpose of the study: to analyze and form various risk groups of pregnant women according to the somatic and reproductive health of pregnant women with isthmic-cervical insufficiency during its surgical correction. Materials and methods. The results of the analysis of the health of pregnant women with shortening of the cervix, who underwent surgical correction of the cervix by two different methods, are presented. The sample included 80 patients with isthmic-cervical insufficiency with shortening of the cervix, including prolapse of the fetal bladder, at the gestation period of 13-26 weeks. Of these, 60 pregnant women were corrected with a single suture (core group), and 20 had a "double" suture(reference group). A clinical and laboratory examination was carried out. Results. The pregnancy outcomes of each patient in two groups were studied. Based on the data obtained, the percentage of both reproductive and somatic pathology was determined. A high percentage of somatic pathology was revealed in patients with isthmic-cervical insufficiency in the control group, especially diseases of the urinary system. For diseases of the hemostasis system, data were obtained indicating a greater number of cases of iron deficiency anemia in pregnant women of the control group. Pregnant women have a history of problems with reproductive function, such as infertility, spontaneous abortions, inflammatory diseases of the female genital organs. Particularly high numbers were obtained in the control group. The outcomes of pregnancy after the selected surgical manipulation in each group were evaluated. Conclusion. Women with isthmic-cervical insufficiency were more often classified as older reproductive age. Also, women with a high parity of childbirth were at risk according to the isthmic-cervical insufficiency. It turned out that with the parity of childbirth, the timing of the development of isthmic-cervical insufficiency progresses with each new pregnancy. In the case of a "new" pregnancy, the period of occurrence of isthmic-cervical insufficiency is 2-3 weeks earlier than the previous pregnancy. An important factor is the presence of isthmic-cervical insufficiency in previous pregnancies, which already suggests a risk group for the development of isthmic-cervical insufficiency.

obstetric and gynecological history, "double" suture, isthmic-cervical insufficiency, shortening of the cervix, surgical correction of the cervix