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  • Features of the course of pregnancy and childbirth in HIV-infected women with heart defects

    Редактор | 2020, Original articles, Practical medicine part 18 №2. 2020 | 1 апреля, 2020

    F.K. TETELYUTINA, E.R. FAZLEEVA, T.V. SUSHENTSOVA, Yu.N. BADRIEVA, E.V. VASIL’KOVA

    Izhevsk State Medical Academy of the Ministry of Health of the Russian Federation, Izhevsk

      Contact:

    Tetelyutina F.K. ― MD, Professor, Head of the Department of Obstetrics and Gynecology

    Address: 281 Kommunarov Str., 426034, Izhevsk, Russian Federation, e-mail: [email protected]

     Objective: to identify the features of the course of pregnancy and childbirth in HIV-infected women with acquired heart defects.

    Material and methods. Somatic and reproductive status of 73 pregnant women aged 19 to 38 years was examined, of them: 29 HIV-infected and 44 without HIV infection.

    Results. The study of somatic, psycho-emotional and reproductive health of 29 HIV-infected pregnant women showed a high incidence of somatic diseases, complications of pregnancy on the part of the mother and fetus, especially with heart defects due to infectious endocarditis with cardiac arrhythmias; in 42.9% of cases pregnancy ended prematurely, in 28.6% of cases – with antenatal fetal death.

    Conclusion. The course of pregnancy and childbirth in HIV-infected women is characterized by statistically significant changes in the somatic state and complications of pregnancy on the part of the mother and fetus, especially with heart defects due to infective endocarditis and cardiac arrhythmias.

    Key words: pregnancy, childbirth, HIV infection.

    REFERENCES

    1. Medvedeva V.V., Mal’gina G.B. Features of the somatic, obstetric and gynecological history in HIV-infected patients with infertility who applied for ART. Problemy reproduktsii, 2016, vol. 22, no. 5, pp. 70-75 (in Russ.).
    2. Pokrovskiy V.I., AIDS is the global problem of the century. On the prospects for the development of scientific research on the problem of AIDS. Vestnik Rossii. AMN, 2002, vol. 10, no. 15, pp. 3-8 (in Russ.).
    3. Krasnopol’skikh V.I., Mravyan S.R., Petrukhin V.A., Kovalenko T.S. Pregnancy with heart defects: a look at the problem. Arkhiv akusherstva i ginekologii im. V.F. Sechenova, 2015, vol. 2, no. 3, pp. 40-44 (in Russ.).
    4. Kazachkova E.A., Kazachkov E.L., Vorob’ev I.V., Voropaeva E.E. Comparative characteristics of the medical and social portrait, the course of pregnancy and perinatal outcomes in women with cardiovascular pathology of various risks. Ural’skiy meditsinskiy zhurnal, 2016, no. 05 (138), pp. 29-32 (in Russ.).
    5. Vorob’ev I.V., Pashirova N.V. The state of the placental complex and perinatal outcomes in women with heart disease. Akusherstva i zhenskikh bolezney, 2016, vol. LXV, spetsvypusk, pp. 9-10 (in Russ.).
    6. Dzhonson D., Shalonina T.G., Kostyan I.R., Alekhina K.A. Features of pregnancy with HIV infection . Med. nauka Armenii «GITUTYuN» NAN RA, 2012, vol. 52, no. 1, pp. 116-124 (in Russ.).

    Метки: 2020, childbirth, E.R. FAZLEEVA, E.V. VASIL’KOVA, F.K. TETELYUTINA, HIV infection, Practical medicine part 18 №2. 2020, pregnancy, T.V. SUSHENTSOVA, Yu.N. BADRIEVA

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