95 -2 (88) 2026 - Karimova F.D., Atahanov Sh.E., Radzhabova Z.A., Rakhmanova I.I. - SOME ASPECTS OF TRAUMA DURING CHILDBIRTH IN PREGNANT WOMEN WITH CHRONIC INTRAUTERINE INFECTION

SOME ASPECTS OF TRAUMA DURING CHILDBIRTH IN PREGNANT WOMEN WITH CHRONIC INTRAUTERINE INFECTION

Khodzhiev B.B. - Center for Professional Development of Medical Personnel Uzbekistan

Boltaeva M.M. - Center for Professional Development of Medical Personnel Uzbekistan

Radzhabova Z.A. - Center for Professional Development of Medical Personnel Uzbekistan

Rakhmanova I.I. - Center for Professional Development of Medical Personnel Uzbekistan

Resume

This study investigates the clinical and histologic characteristics of cervical ruptures during labor in women with chronic intrauterine infections. After analyzing the data of 82 women after delivery, the authors of the study found a high incidence of cervical rupture, especially in first-pregnant women, as well as extragenital diseases and a history of gynecological problems. The study emphasized that 64.6% of cases had first-degree tears and 35.4% had second-degree tears, often accompanied by varying degrees of bleeding. Histologic studies revealed inflammatory changes in all cases of cervical rupture, and necrotic areas were observed in 63.4%. The findings indicate that cervical ruptures are a significant source of postpartum infections and can lead to long-term anatomical and functional complications. Emphasizing the importance of surveillance of women with complicated pregnancies, the authors of this study advocate proactive measures for infection screening and postpartum cervical screening to reduce the risks associated with cervical trauma. Purpose of the study: to determine the characteristic clinical and histologic features of the cervix after its rupture during labor. Materials and Methods. 82 postpartum women with cervical rupture in labor were examined. The age of the women ranged from 19 to 36 years, with a mean age of 26.8±6.26 years. Out of the total number of postpartum women, 80.5%, i.e. majority, were primiparous. Cervical rupture of the first degree was diagnosed in 64.6% of cases, and in 35.4% of cases - of the second degree. The causes of cervical rupture were premature straining - 31.7% of cases, abortion history - 28.0% of cases, presence of infections in the uterus - 25.7%, combination of 2 causes - 8.5% of cases, 3 causes - 6.1% of cases. The control group consisted of 25 women of similar age but without cervical rupture during labor. Cervical ruptures were diagnosed during examination of the birth canal in the early postpartum period. Anamnestic data on gynecologic diseases and the course of pregnancy were collected from the examined women. Biopsy specimens obtained at colposcopy were subjected to histologic examination.Results. Histologic analysis revealed inflammatory changes in all cases, and in 63.4% - necrotic areas, indicating a high risk of infections. Complications during labor were common, including prolonged labor and labor weakness, especially in women with concomitant extragenital diseases. Overall, cervical rupture was associated with significant postpartum risks, emphasizing the need for careful observation and management. Conclusion. These findings suggest a strong association between cervical trauma and subsequent inflammatory changes that can lead to serious postpartum complications, including infections. Strategies for proactive monitoring and management of women at risk need to be implemented to reduce these risks. Ultimately, addressing the factors contributing to cervical rupture may improve maternal health in the postpartum period.

Key words: Cervical rupture, labor, chronic intrauterine infection, pregnancy.

First page

496

Last page

501

For citation:Karimova F.D., Atahanov Sh.E., Radzhabova Z.A., Rakhmanova I.I. - SOME ASPECTS OF TRAUMA DURING CHILDBIRTH IN PREGNANT WOMEN WITH CHRONIC INTRAUTERINE INFECTION//New Day in Medicine 2(88)2026 496-501 https://newdayworldmedicine.com/en/new_day_medicine/2-88-2026

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