INFLUENCE OF PRECONCEPTION CARE ON PERINATAL CONSEQUENCES IN STRESS DISORDERS IN FUTURE MOTHERS

Aim of the study - to assess the influence of preconception care on perinatal consequences in stress disorders in future mothers. Materials and methods of the study. 60 pregnant women with stress disorders were comprehensively examined: the main group - 30 pregnant women who did not receive preconception training, and the control group - 30 pregnant women who received preconception training, received all recommendations. Results. With poor preconception care, women with stress disorders have a higher frequency of adverse factors. These are bad habits (15.7% of women smoked cigarettes, 6.7% drank alcohol), obesity (23.3%), unbalanced nutrition, insufficient physical activity, non-compliance with the work and rest regime, stress (38.0%). High frequency of gestational and perinatal complications: anemia (30.0%), early gestosis (33.3%), threat of interruption (30.0%), 1 (3.3%) patient had a miscarriage. Gestational diabetes was diagnosed in 16.7% of pregnant women, and the threat of premature birth in 18.0%. Signs of placental dysfunction were noted in 30.0% of those examined, which is manifested by fetal distress in 26.7% and fetal growth retardation in 16.7% of patients. Operative delivery was performed in 20.0% of patients, the frequency of premature birth was 16.7%, fetal distress during labor - 20.0%, in 10.0% - increased blood loss. 34.5% of children were born in a state of asphyxia, in 6.7% - severe asphyxia, 20.7% of newborns weighing less than 2500 g, in 10.3% - signs of intrauterine infection. In 37.9%, various disorders of neonatal adaptation were noted, increased jaundice (27.6%), CNS disorders (24.1%), respiratory distress syndrome (20.7%). Conclusion. The significant frequency of perinatal disorders will have an ambiguous effect on the increase in the morbidity of children in the future, the disruption of their physical and cognitive development, which determines the high social significance of the problem of preconception care for stress disorders in women.