FEATURES COURSE OF LABOR IN WOMEN WITH UROGENITAL INFECTION ON THE BACKGROUND OF EXTRAGENITAL PATHOLOGY
Objective: to study the effect of urogenital infection on the background of extragenital pathology on the course of the birth process. 151 women in labor were examined, the main group - 109 patients with extragenital pathology and urogenital infection, the control group - 42 somatically healthy patients. Clinical data and characteristics of the course of labor were recorded. Statistical processing of digital material was carried out using generally accepted methods. In patients with urogenital infection in the structure of extragenital pathology of the gastrointestinal tract disease were found 2.6 times, chronic tonsillitis - 2.3 times, diseases of the urinary system - 4.5 times, obesity - 2.8 times, diffuse an increase in the thyroid gland - 2.7 times significantly (p < 0.05) more often than in the control. In patients of the main group, anemia of the first degree was observed 3.1 times, and anemia of the second degree was 6.5 times significantly more likely than in the control; more often than in the control, preterm (3.1 times, p < 0.05) and operative labor (1.8 times) were observed. Among the anomalies of labor activity, discoordination was determined significantly more often (p < 0.05) - 3.8 times, primary weakness of labor forces - 2.7 times, pathology of the preliminary period - 2.6 times, secondary weakness of labor forces and prolonged labor - 2.3 times. In childbirth, significantly (p < 0.05), hypertensive disorders (4.2 times), prenatal amniotic fluid discharge (3.8 times), fetal hypoxia (3.1 times) were more often observed. Tight placenta attachment and premature placental abruption were observed only in patients from the main group. The combination of extragenital diseases and urogenital infection has a negative effect on the course of the birth process.