Features of the Course of Pregnancy and Childbirth in Women of Different Age Groups

Introduction . Improving the medical care for parturients in different age groups, taking into account complications of pregnancy, childbirth and postpartum period is one of the main tasks of modern obstetrics within the framework of the “Midwifery 2030” program. The aim of study is to identify and conduct a comparative analysis of the course’s features of pregnancy and childbirth in different age groups of women. Materials and methods . The retrospective analysis of 400 womens’ histories of the Sverdlovsk Region aged 16– 49 years was conducted. The women were divided into 4 groups. The work included a comparative analysis of the following identified: 10 pregnancy, 9 childbirth complications and 6 additional parameters. Results and discussion . A direct connection between specific complications and the patient’s age was established, mechanisms for the development of pathological processes were proposed taking into account age-related changes. There is an increase in the incidence of cesarean sections in the direct proportion to the patient’s age. Under 20 years, exacerbations of kidney pathologies during pregnancy, injuries of the genital tract during childbirth, predominate. Over 30 years, gestational diabetes mellitus and arterial hypertension predominate, childbirth often occurs with the development of bleeding. The age of 21–30 years is accompanied by lower percentage of complications and is the most favorable for pregnancy and childbirth. Conclusion . The pregnancy and the childbirth at 20–30 years old is accompanied by the least number of complications. Complications typical for pregnant under 20 and over 30 years of age have a number of significant differences.