ANALISIS OF MORTALITY AMONG PREGNANT WOMEN INFECTED WITH VIRAL HEPATITIS.
GEORGIAN MEDICAL NEWS 2021:39-44. [PMID:
34365423]
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Abstract
Scientific sources indicate that, viral hepatitis ranks third after septic abortion and postpartum sepsis among the causal factors of maternal mortality. It is considered that, women of reproductive age with chronic HBV infection are main source of the spread of the virus. Given these circumstances, a study was conducted with the aim of studying the rates of maternal mortality, history of pregnancy and childbirth during viral hepatitis. It was analyzed dates of birth, individual examination cards, history of newborns of 1267 infectious pathologies of pregnant women over the past 10 years (2009-2018), it was studied anamnestic data based on retrospective material, clinical studies in Baku. According to the medical documents of the examined pregnant women, the data of anamnestic examination and clinical observations were studied, a general, obstetric and gynecological anamnesis of pregnant women was compiled. Statistical calculations were carried out in the SPSS-26 and MS EXCEL2019 programs using discriminant (Pearson's chi-square) and nonparametric variations (H-Kruskal-Wallis) methods. The main group of the study was maternal mortality during infectious pathologies, and the comparative group was maternal mortality in non-infectious pathologies. The author noted 1 (6,7%) maternal mortality during pregnancy. In 3 (20,0%) cases during childbirth and 11 (73,3%) cases in the postpartum period. In the uninfected group, 1 (10,0%) person died during pregnancy, 2 (20,0%) people during childbirth, 7 (70,0%) people died in the postpartum period. The majority of infected pregnant women - 4 (80.0%) died in the postpartum period, 1 (20.0%) person died during childbirth. It was showed that among the risk factors for non-infectious maternal mortality, Rh-negative factors and anemia factors predominated. In maternal deaths from viral hepatitis, overweight may be considered a risk factor. In addition, it was found that maternal mortality was high in pregnant women infected with viral hepatitis, who received more blood transfusions, as a result, the functional activity of the liver transaminases increased, there were clinical signs of jaundice.
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