FEATURES OF THE TACTICS OF PREGNANCY AND CHILDBIRTH IN PNEUMONIA

Abstract

Despite the achievements of modern obstetrics, pneumonia, as a cause of morbidity and mortality among pregnant women, continues to be an important problem. Objective of the study: to evaluate the tactics of therapeutic measures in pregnant women with pneumonia by trimesters. Material and methods of research: Pregnant women with a verified diagnosis of pneumonia were divided into 3 groups: I - made up 35 women in the first trimester (up to 12 weeks) of pregnancy; II-25 pregnant women in the II trimester (in the period of 14-20 weeks); III - 25 patients in the III trimester of pregnancy. Results: The most severe group was made up of pregnant women in group III. 3 pregnant women (15%) in the period of 31-32 weeks of pregnancy had an exacerbation of pneumonic status, developed acute respiratory failure, pulmonary edema. Conclusion: After conservative treatment, 70.6% of pregnant women with a gestational age of up to 22 weeks and 17.7% of pregnant women within 32-33 weeks were discharged in satisfactory condition. At term, with spontaneous labor, 11.8% were delivered through the natural birth canal, according to obstetric indications, operative delivery was made in 5.9% of patients with pneumonia, in the postoperative period, death occurred in 3.5% of cases.  Pneumonia in pregnant women is a life-threatening condition, the most life-threatening is severe pneumonia, which developed in the late third trimester of pregnancy, before delivery.