COMPARATIVE ASSESSMENT OF THE OBSTETRIC HISTORY OF MOTHERS OF BOTH CHILDREN BORN SICK AND ILL AND HEALTHY NEWBORNS

Abstract

In order to assess the obstetric anamnesis of mothers of children born sick and ill, a comparison was made of these women’s data with mothers of healthy newborns. To achieve this goal, a survey of 973 mothers was conducted in the departments of pathology of newborns and premature babies and some children’s outpatients clinics in Saint-Petersburg. It was found that mothers of sick newborns, on average, had a later period of registration for pregnancy at the antenatal clinic than mothers having healthy children (9.94 ± 0.04 weeks versus 8.62 ± 0.04 weeks (t = 23.40; p < 0.01), while the former were significantly less likely to register before 6 weeks of pregnancy (t = 3.44; p < 0.01). Mothers of sick children had a significantly lower average duration of pregnancy (34,48 ± 1.21 weeks vs. 37.34 ± 0.94 weeks (t = 65.57; p < 0.01)). An assessment of the presence of chronic diseases (pathological conditions) in the mother, diseases that occurred during pregnancy, and complications in the delivery process showed that in mothers having children who were born sick and fell ill they were observed statistically significantly more often than in mothers of healthy newborns (t = 4.56, t = 4.92 and t = 3.04, respectively; p < 0.01). In addition, in the structure of chronic pathology, mothers of sick newborns more often had diseases of the eye and its adnexae (3.4 times), diseases of the endocrine system, feeding disorders and metabolic disorders (3.1 times) as well as diseases of the genitourinary system (in 2.3 times). A comparative assessment of the frequency of diseases (pathological conditions) that occurred in mothers during pregnancy in the main and control groups showed statistically significant differences in the incidence of anemia (35.0 % vs. 21.3 % (t = 2.51; p < 0.05); hypertension (15.3 % vs. 2.2 % (t = 2.09; p < 0.05); gestational diabetes mellitus (10.8 % vs. 7.9 % (t = 2.08; p < 0.05). In the main group, mothers were more likely to have fetal pathology (6.3 times), the threat of abortion (4.9 times), Rhesus conflict (4.2 times) and the threat of preterm birth (3.0 times).