PROGNOSIS OF UTERINE INERTIA IN WOMEN WITH DIFFERENT SOMATOTYPES
The research purpose was to study the frequency of uterine inertia in women with different somatotypes and to develop a model for predicting the risk of developing of this pathological cоnditiоn. Materials and methods. We examined 390 pregnant women, 110 of them had the macrosomatotype, 173 - meso - , and 107 - microsomatotype. Somatometry of women was performed according to the R.N. Dorokhov method in the period of pregnancy no more than 9 - 10 weeks. The level of total protein in the blood of pregnant women was determined using well - known methods. The Robinson index was calculated. On the Philips Epiq 5 ultrasound scanner, the ratio of the thickness of the myometrium of one uterine wall compared to the other (the ratio of larger to smaller) was calculated, and the uniformity of the myometrium was determined. Results. The uterine inertia is most often diagnosed in women macro - and microsomatotype in comparison with mesosomatotype (p<0.05). The Robinson index and the ratio of the thickness of the myometrium of the uterine walls to each other were higher in the group of women who had uterine inertia, compared with women who did not have uterine inertia, while the concentration of total protein in the blood was lower (p<0.05). Using multiple regression analysis, a prognostic model was obtained for predicting the risk of uterine inertia in women with different somatotypes. Conclusion. The Robinson index, total protein in the blood, the ratio of the thickness of the myometrium of the uterine walls to each other, and the uniformity of the myometrium in ultrasound examination should be attributed to markers of uterine inertia. Using a prognostic model, it is possible to predict the onset of uterine inertia in women with different somatotypes and prevent the onset of pathological cоnditiоn.