PERINATOLOGIYA I PEDIATRIYA.2015.1(61):36–41;doi10.15574/PP.2015.61.36

Clinical and epidemiological characteristics of women of the fertile age with infertility, who are live in the industrial region of Ukraine

Podolsky Vl. V.

SI «Institute of Pediatrics, Obstetrics and Gynecology, NAMS of Ukraine», Kiev, Ukraine

Objective — to present the clinical and epidemiological characteristics of women of the fertile age with infertility, who are live in the industrial region of Ukraine.

Patients and methods. Clinical and epidemiological studies were conducted among the women of the fertile age of the Dniprovskyi district of the Kiev city, which was elected as corresponding to a typical industrial region of Ukraine. A total of 1000 women were under observation. With the aim of conduction of the clinical and epidemiological studies founded a special program and developed a questionnaire «Study of the reproductive health of women of the fertile age». Clinical and epidemiological studies were in the nature of population, cohort and prospective studies. Statistical processing was performed with the use of application programs MS^® Excel^® 2003™ and SigmaPlot^® 13.0. The accuracy of the data for independent samples was calculated with the use of the One-Sample Student t-test. The level of confidence in the calculation of confidence intervals was carried out by Wald normal distribution test.

Results. The problem of female infertility is an actual as for the women of fertile age of the Dniprovskyi district of the Kiev city so for the Kiev city in general, moreover the frequency of infertility in studying women was 2.4% per 1000 women, which is slightly higher than the average according to official statistics (2.2% per 1000 women). Among the social factors in women with infertility of the industrial region of Ukraine was marked the young age of the women. For marital status, women were from wealthy families, had mostly higher education and by the socialяstatus were workers and employees. Gynecological diseases and conditions that can be considered as risk factors of infertility cases occurred in studying women in a significant amount. In women with infertility were frequently observed clinical manifestations of disorders of vegetative homeostasis as a somatoform dysfunction of the autonomic nervous system.

Conclusions. Conduction of clinical and epidemiological studies allows to find out the actual frequency and structure of infertility in women of fertile age and to identify the factors that lead to infertility.

Key words: clinical and epidemiological studies, women of fertile age, infertility, risk factors.

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