Comparative assessment of adherence in pregnant and non-pregnant women of reproductive age

Objective: to conduct a comparative assessment of adherence to the treatment of pregnant and non-pregnant reproductive age. Material and methods: 115 women (60 pregnant and 55 non-pregnant) of reproductive age from 18 to 49 years old were examined. All patients completed an online electronic questionnaire of quantitative adherence to treatment with further automatic calculation of results and issuance of a conclusion. The prognosis of adherence to lifestyle modification (LSM), adherence to medical support (MS), adherence to drug therapy (DT), total adherence to treatment (TAT) was assessed depending on age, education, labor status, bad habits, the number of births, the presence of hypertension (AH), obesity, extragenital pathology. Adherence was assessed as low in terms of < 50%, mean 50–75%, and high > 75%. Results : adherence to LSM in pregnant women corresponded to a mean level, and non-pregnant to a low level. Low adherence to LSM was found in 33.3% of pregnant and 58.2% of non-pregnant women. TAT values in both groups were in the range of mean adherence, but were higher in pregnant women. In the structure of TAT in pregnant women, unlike non-pregnant women, there was a lower level (21.7% versus 38.2%) and more often a high level (28.3% versus 10.9%). The adherence values of MS and DT and the level distribution did not differ between the groups. In the pregnant group, patients with secondary education and who did not drink alcohol demonstrated a high level of adherence to MS. In the non-pregnant group, only DT adheres to women with secondary education and no smoking were committed compared to smokers and patients with higher education. Conclusion: the current method of determining adherence to treatment is the electronic questionnaire. Adherence to LSM and TAT was significantly higher in pregnant women and corresponded to the mean level, adherence rates to MS and DT did not differ between groups and were also at the mean level. In all examined women, there was no relationship between adherence to LSM, TAT, MS, DT and the studied de facto frames: age, number of births, labor status, presence of AH, obesity. More committed to treatment were pregnant and non-pregnant women with secondary education and no “bad” habits.