Email this article 
Post a Comment Construction of integral index for comprehensive assessment and analysis of risk factors for lower limb varicose veins during pregnancy
- Authors: Shevlyukova T.P.1, Chabanova N.B.1, Ermakova A.A.1, Ermakova P.A.1
-
Affiliations:
- Tyumen State Medical University
- Issue: Vol 37, No 6 (2020)
- Pages: 25-32
- Section: Original studies
- URL: https://journals.rcsi.science/PMJ/article/view/59583
- DOI: https://doi.org/10.17816/pmj37625-32
- ID: 59583
Cite item
Full Text
Abstract
Objective. To develop a model of an integral index for complex assessment of varicose vein risk factors and estimate the influence of pregnancy on the occurrence of chronic vein diseases. Varicose veins (VV) and chronic venous insufficiency are one of the most widespread human diseases. This pathology in pregnancy has a clear picture, which is quite different from varicose veins in non-pregnant women.
Materials and methods. Analysis of 1974 individual medical cards of pregnant women and puerperas of Maternity Hospital № 2 for the period of 2016–2019 was carried out. Out of them, 456 cards had a diagnosis of varicose veins of the lower limbs. The method was based on statistical analysis and integral indices.
Results. The following risk diapasons were determined: low risk (favorable prognosis) – 0.44–0.85; medium risk (favorable prognosis is possible) – 0.86–1.28; high risk (unfavorable prognosis) – 1.29–2.13. The quantity of pregnancies is not an unfavorable prognosis for women. Long statistical loads give unfavorable prognosis (1.34–1.43); family predisposition is an unfavorable prognosis (1.66); lifting loads depending on the quantity in grams (1000 – favorable sign; 5000–10 000 – unfavorable (1.21–1.870)); wearing tight clothes is not an unfavorable prognosis (0.88); hypodynamia – medium risk (1.14); diet – low and medium risk (0.75–0.95), obesity – high risk (1.24–2.15).
Conclusions. The obtained results permitted to detect the most significant risk factors for varicose veins during pregnancy. Medium and high-risk indices are the following: long statistical loads, family predisposition, lifting loads, hypodynamia, diet and obesity. They influence the development of varicose veins. There is a possibility to present a prospective prognosis for pregnant women and develop a complex of measures to decrease risks for chronic vein diseases taking into account individual features of patients.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
T. P. Shevlyukova
Tyumen State Medical University
Author for correspondence.
Email: tata21.01@mail.ru
MD, PhD, Professor, Department of Obstetrics and Gynecology
Russian FederationN. B. Chabanova
Tyumen State Medical University
Email: tata21.01@mail.ru
MD, PhD, Professor, Department of Obstetrics and Gynecology
Russian FederationA. A. Ermakova
Tyumen State Medical University
Email: tata21.01@mail.ru
student, Medical Faculty
Russian FederationP. A. Ermakova
Tyumen State Medical University
Email: tata21.01@mail.ru
student, Medical Faculty
Russian FederationReferences
- Russian clinical recommendations for the diagnosis and treatment of chronic vein diseases of the lower extremities third edition). Flebologija 2018; 3: 146–240 in Russian).
- Kiran Shankar H. Clinical study of varicose veins of lower limbs. International Surgery Journal 2017; 4: 633.
- Ivanov E.V., Shevljukova T.P., Val'c I.A., Abukerimova A.K., Leonova S.M. Vascular pathology of veins in women during gestation. Universitetskaja medicina Urala 2018; 4 15): 10–12 in Russian).
- Bogachev V.Ju., Ershov P.V. Profile of a Russian patient with chronic vein disease. Stacionarozameshhajushhie tehnologii: ambula tornaja hirurgija 2015; 1–2: 13–19 in Russian).
- Obstetrics: national guidance. Pod red. Je. K. Ajlamazjana, V.I. Kulakova, V.E. Radzinskogo, G.M. Savel'evoj. Moscow GJeOTAR-Media 2018; 1200 in Russian).
- Rojas Valenciano L.P. et al. Generalities regarding varicose veins in lower limbs and their treatment during pregnancy: a narrative review. Enfermería Actual de Costa Rica 2018; 35: 144–158.
- Bogachev V.Ju., Lobanov V.N., Dzhenina O.V. Conservative treatment of chronic vein disease. We discuss the new Recommendations of the European Society of Vascular Surgeons. Stacionarozameshhajushhie tehnologii: Ambulatornaja hirurgija 2016; 1–2: 25–28 in Russian).
- Ivanov E.V., Nizamov F.H., Mihajlova A.V. Pregnancy and childbirth in women suffering from lower extremity varicose veins. Medicinskaja nauka i obrazovanie Urala 2012; 3–2 71): 5–7 in Russian)
- Aly S.G. et al. Varicose Veins: Prevalence and Associated Risk Factors among Women of Childbearing Age Attending a Primary Health Care Unit in Cairo. Egypt 2020; 4 1): 58–76.
- Makarova E.L., Olina A.A., Padrul' M.M. Assessment of risk factors for the development of overweight and obesity in women of reproductive age. Analiz riska zdorov'ju 2020; 2: 38–46 in Russian).
- Kamilova M.Ja., Kasymova Sh.S. Perinatal outcomes in pregnant women with different manifestations of varicose disease. Vestnik Akademii medicinskih nauk Tadzhikistana 2017; 1 21): 43–46 in Russian).
- Makarova E.L., Padrul' M.M. Obesity and hypovitaminosis of D3 as risk factor of emergence of postnatal complications. Permskij medicinskij zhurnal 2019; 36 5): 5–10 in Russian).
- Rodríguez-Nora B, Álvarez-Silvares E. Actualización del tratamiento de la insuficiencia venosa en la gestación [An update on the treatment of venous insufficiency in pregnancy]. Semergen 2018; 44 4): 262–269.
- Marizoeva M.M., Sadriev O.N., Kalmykov E.L., Sultanov D.D., Bobdzhonova O.B. Course of delivery in women with varicose veins. Ros. med.-biol. vestn. im. akad. I.P. Pavlova 2017; 1: 97–102 in Russian).
- DePopas E., Brown M. Women's Health: Varicose Veins and Lower Extremity Venous Insufficiency: Seminars in interventional radiology. Thieme Medical Publishers 2018; 35 1): 56.
- Burleva E.P., Oboskalova T.A., Leshhinskaja A.Ju., Onohina M.E., Kovalenko E.G. Experience in multidisciplinary management of pregnant women with venous thrombosis. Ural'skij medicinskij zhurnal 2020; 6 189): 26–33 in Russian).
- Marizoeva M.M., Ne#matzoda O., Sultanov D.D., Nazirova G.O., Ismatova U.S., Bobdzhonova O. B. Pregnancy course in women with varicose veins. Vestnik Avicenny 2017; 2: 142–146 in Russian).
Supplementary files
