• Influence of the micronutrient status on the course of pregnancy in women–displaced persons

Influence of the micronutrient status on the course of pregnancy in women–displaced persons

HEALTH OF WOMAN. 2018.10(136):56–60; doi 10.15574/HW.2018.136.56

Zhabchenko I. A. , Korniets N. G. , Tertychna-Telyuk S. V.
SI «Institute of Pediatrics, Obstetrics and Gynecology named after Academician O.M. Lukyanovaya NAMS of Ukraine», Kyiv
SI Luhansk State Medical University, Rubizhne city

The less investigated problem of modern obstetrics is psychological condition of women during pregnancy and labors, who were affected by negative influence of nowadays, especially the military aggression, because precisely stress hormones determine the failure of adaptation, metabolic disorders, which determined the direction, the aim and the task of the work.

The objective: to investigate peculiarities of course of pregnancy and labors associated with psycho-emotional state and micronutrient status in pregnant women-displaced persons for further improvement of programmes for antenatal observation.

Materials and methods. In order to reach the research objective, a dynamic prospective clinical-paraclinical examination of 96 pregnant women (experimental group) – displaced persons with gestation period of more than 22 weeks who have been treated and gave birth to their children in the Central Municipal Hospital in Rubizhne and рerinatal сentre in Severodonetsk, Lugansk region. The control group consists of 39 randomly selected pregnant women for the purposes of prospective research that are living in the areas under the control of Ukraine government.

All pregnant women were examined (clinical-laboratory and special midwifery examinations). Concentration in the blood serum of calcium, magnesium, transferrin and ferritin was identified using the method of solid-phase immuno-ferment analysis and turbidimetric method.

Results. In the experimental group of pregnant women the concentration of calcium in the blood serum in comparison to the physiological standard was higher by 19.2% and by 9.6% higher if compared to the analogous indicator in the control group of pregnant women. At the same time, the pregnant women in the experimental group have low concentration of magnesium. Inherent in the phenomenon of iron deficiency and violation of its metabolism manifested by a decrease in the concentration of ferritin and increased content of transferring. Laboratory signs of depletion of iron depot are in 72.9% of pregnant women-displaced persons, and in 15.6% of them are registered already in the first trimester of pregnancy.

Conclusion. Taking into account the identified patterns, it is useful to categorise the pregnant women from among the displaced persons as the group of high risk with respect to the development of obstetric and perinatal complications.

Key words: pregnancy, complication, nutritional status, mineral metabolism, forced displaced persons.

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