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  • 170 -2 (30/4) 2020 — Nadirkhanova N.S., Asatova M.M., — CLINICAL FEATURES OF PREGNANCY AND HILDBIRTH IN WOMEN WITH PNEUMONIA

170 -2 (30/4) 2020 — Nadirkhanova N.S., Asatova M.M., — CLINICAL FEATURES OF PREGNANCY AND HILDBIRTH IN WOMEN WITH PNEUMONIA

CLINICAL FEATURES OF PREGNANCY AND CHILDBIRTH IN WOMEN WITH PNEUMONIA

Nadirkhanova N.S., -Tashkent Institute of Postgraduate Medical Education, Republican Specialized Scientific and Practical Medical Center of Obstetrics and Gynecology Tashkent, Uzbekistan.

Asatova M.M., -Tashkent Institute of Postgraduate Medical Education, Republican Specialized Scientific and Practical Medical Center of Obstetrics and Gynecology Tashkent, Uzbekistan.

Resume,

Background. Currently, there is insufficient data on the clinical, laboratory, and instrumental features of pneumonia in pregnant women that characterize hemodynamic disorders leading to the development of multiple organ failure, which makes difficult to target intensive treatment of this category of patients. Despite the available data on changes in laboratory parameters for influenza, their correlation relationships as predictors of the development of pneumonia remain insufficiently studied.

Aim. Analysis of the community-acquired pneumonia cases and their outcomes in pregnant women.

Materials and methods. A prospective observational study was conducted. The cases of community-acquired pneumonia and their outcomes in pregnant women was studied. Pregnant women were admitted to the City Perinatal Center No. 1 of Tashkent and the Regional Perinatal Center in Bukhara city from 2009 to 2014. The sample includes 180 pregnant women.

Results. 47.2% of pregnant women had severe community-acquired pneumonia. 14.4% of pregnant women with normal body temperature and without wheezing had pneumonia, the diagnosis of which was made on the basis of signs of intoxication, the presence of weakened breathing and radiological criteria – the presence of inflammation. With progression of severity of pneumonia decreased hematocrit, urine volume and total protein, increased leukocytosis and the process of intravascular thrombosis. In parallel with progress of intoxication pregnancy is complicated by the threat of spontaneous abortion, premature discharge of amniotic fluid. The frequency of perinatal complications of hypoxia increased in parallel with the progression of the severity of pneumonia. In pregnant women with severe pneumonia, significantly lower fetal weight and growth rates and Apgar scores of 4-5 points in the first minute and after 5 minutes were observed.

Keywords: Community-acquired pneumonia, pregnant women, pregnancy outcomes.

First page

636

Last page

642

For citation: Nadirkhanova N.S., Asatova M.M., Clinical features of pregnancy and childbirth in women with pneumonia//New Day in Medicine 2(30)2020 636-642 https://cutt.ly/dvPxao7

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