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OBESITY AND METABOLIC SYNDROME AS A CAUSE OF OBSTETRICAL PATHOLOGY

IVANOV I. I., KOSOLAPOVA N. V., LYASHENKO E. N., PROCHAN E. N., SHANMUGARAJ K., KEERTHANAA B.

The problem of obesity is a threat to the health of the population. According to WHO, 1.7 million people on the planet are overweight, and by 2025, 40% of men and 50% of women will be obese. The urgency of the problem lies in the fact that the number of obese people is progressively increasing. In the modern world, obesity and associated type 2 diabetes mellitus, which characterize the development of the metabolic syndrome, are recognized by WHO as non-infectious epidemics due to widespread, high risk of cardiovascular complications, early disability and premature mortality. The purpose of the study is to find out the effects of obesity and metabolic syndrome in women on pregnancy, childbirth, body weight and the condition of newborns. A retrospective analysis of 190 medical records of a pregnant woman, a woman in labor and a parturient who received medical care in a hospital who gave birth in the period from 2015 to 2017 was carried out in the maternity ward of the Simferopol Central Clinical Hospital. Obesity was detected in 4.3% of women from all those who gave birth during this period, of them 1 degree of obesity was diagnosed in 44.7%, grade 2 - in 37.9%, grade 3 - in 17.7% of the subjects, and the pregnant women with obesity 2 and 3 degrees indicate the development of their metabolic syndrome according to WHO criteria. The frequency of chronic arterial hypertension, gestational hypertension and preeclampsia in pregnant women with grade 2 and 3 obesity and metabolic syndrome is significantly higher than in grade 1. There was also a significant increase in deliveries by cesarean section in obese women. In addition, we have identified there is a development of large fetus. Key words: Pregnancy; Childbirth; Condition of newborn; Obesity; Metabolic syndrome.

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