ANALYSIS OF PERINATAL CONSEQUENCES IN PUERPERAS WHO CHOOSE AN ALTERNATIVE APPROACH TO DELIVERY

Introduction: “Non-traditional” approaches to deliveries today are one of the main new concepts of patient orientation in modern obstetrics, aimed at improving the delivery and postpartum period course and gaining a positive delivery experience. Aim: To estimate the perinatal consequences and determine the psycho-emotional state of puerperal after the application of hydro technology during delivery. Materials and methods: 150 puerperas and their newborns were examined, who, depending on the chosen delivery tactics, were divided into: the main group (MG) – 53 women who gave birth using hydro-technology in the first and second periods of labor; comparison group (CompG) – 27 women who gave birth using hydro-technology only in the first period of labor; the control group (CG) – 70 women who gave birth according to generally accepted standards. In addition, the psycho-emotional state of all puerperas was examined on the 2nd–4th day of the postpartum period using questionnaires “Women’s Satisfaction with Deliveries” and “Edinburgh Scale of Postpartum Depression.” Results: There were no differences in the number of newborns weighing more than 4,000 g (MG – 8 (15.1 %), CompG – 4 (14.8 %), CG – 11 (15.7 %), p>0.05) against the background of significantly lower number of birth canal traumatic injury cases in MG puerperas (rupture of the vagina and cervix: MG – 2 (4.0 %) and 1 (2.0 %) respectively, CompG – 3 (12.0 %) and 2 (8.0 %) respectively, CG – 12 (24.0 %) and 5 (10.0 %) respectively, p<0.05). There were no significant differences in the number of newborns assessed in the first (MG – 4 (7.5 %), CompG – 4 (14.8 %), CG – 10 (14.2 %), p>0.05) and in the fifth (MG – 2 (3.8 %), CompG – 6 (22.1 %), CG – 11 (15.7 %), p>0.05) minutes after delivery, estimated at 8 points according to the Apgar’s scale. Noteworthy is a significantly smaller number of newborns among MG women, estimated at seven or less points (MG – 2 (3.8 %), CompG – 4 (14.8 %), CG – 9 (12.9 %), p< 0.05) according to the Apgar’s scale. In the structure of pathological and transient conditions among MG newborns, a significantly lower number of mild asphyxia cases was noted (MG – 2 (3.7 %), CompG – 2 (7.4 %), CG – 10 (14.3 %), p<0.05), as well as the absence of respiratory distress syndrome (MG – 0 (0.0 %), CompG – 1 (3.7 %), CG – 3 (4.3 %), p>0.05) and intraventricular hemorrhages (MG – 0 (0.0 %), CompG – 1 (3.7 %), CG – 3 (4.3 %), p>0.05) cases. Conclusions. The analysis of perinatal consequences shows a significantly higher number of newborns rated on the Apgar scale in the first and fifth minutes after birth in 9–10 points among newborns from women in labor of the main group and significantly higher scores for questionnaires “Women’s Satisfaction with Deliveries” and “Edinburgh Scale of Postpartum Depression” in women who gave birth using hydraulic technologies in the first and second periods of labor, which indicates a better psycho-emotional state and contributed to an earlier establishment of lactation and a shorter stay in an obstetric hospital.