PECULIARITIES OF HEMOSTASIS IN PREGNANT WOMEN DURING MANIFESTATION OF NEW CORONAVIRUS INFECTION COVID-19 IN THE THIRD TRIMESTER OF GESTATION
The new coronavirus infection COVID-19, especially in its severe forms, is associated with high risks of developing coagulopathy and thrombotic complications. These data are based on the information available to date on the course of the new coronavirus infection in patients outside of pregnancy. Information on the nature of coagulation shifts in pregnant women against the background of the manifestation of a new coronavirus infection COVID-19 of varying severity in the available literature is limited and contradictory.Purpose of the study. To determine the features of the indicators of the hemostasis system in women with manifestation of NCI COVID-19 of varying severity in the 3rd trimester of pregnancy.Organization and methods. A retrospective comparative analysis of data from the birth histories of 96 patients with NCI COVID-19, manifested in the 3rd trimester of pregnancy, who were hospitalized in the maternity hospital of GBUZ OKB №2 in Chelyabinsk from September to December 2020, was carried out and constituted the main study group. 30 pregnant women without NCI COVID-19 who were admitted in the 3rd trimester of gestation to the maternity hospital GAUZ OKB №3 in Chelyabinsk in October 2020 were included in the comparison group. The collection of material was carried out by the method of continuous sampling.Results and conclusion. In pregnant women with NСI COVID-19, manifested in the 3rd trimester of gestation, there are multidirectional changes in the indicators of the hemostasis system,regardless of the severity of the disease, which may indicate the development of protective mechanisms that prevent the processes of excessive thrombus formation against the background of NСI COVID-19.