FEATURES OF PREGNANCYAND CHILDBIRTH IN WOMEN HAVING MISCARRIAGE AND A HISTORY OF CHRONIC CERVICITIS
The research aims to study the peculiarities of the course of pregnancy and childbirth in women with non-developing pregnancy and a history of chronic cervicitis, after their comprehensive examination and targeted treatment. The study included 118 women registered at the dispensary in women's clinics in St. Petersburg. The main study group included 58 women with a history of non-developing pregnancy against the background of chronic cervicitis, the comparison group included 60 patients with no history of non-developing pregnancy, chronic cervicitis, dysbiotic and inflammatory diseases of the vagina and other obstetric and gynecological pathology. In women with a non-developing pregnancy and a history of chronic cervicitis, after a comprehensive examination and treatment, early threatening miscarriage is significantly more often observed, compared with women of the control group, in 20 (34.5%) and 5 (8.3%) cases, respectively (p>0.05). Threatening premature birth is also significantly more common in the study group, in 14 (24.1%) cases, than in the comparison group, in 6 (10%) (p>0.05). Premature birth, at gestation up to 37 weeks, occurs more often in the main group 14 (24.1%), compared with the control group -10 (16.7%), however, statistically these differences are not significant (p>0.05). When analyzing the frequency of other complications of pregnancy and childbirth, no statistically significant difference was obtained in the study and control groups (p>0.05). The approved complex of examination and treatment in women after a non-developing pregnancy of the first trimester of bacterial etiology and chronic cervicitis is effective and restores reproductive function in most patients. Upon the onset of pregnancy, the women of the study group constitute a risk group for miscarriage and require careful monitoring and treatment in the antenatal clinic and gynecological and obstetric hospitals.