UDC 618.3-008.6
R.G. NURKHASIMOVA, A.K. AYAZBEKOV, D.E. IBRAYEVA, S.T. RAMANOVA
International Kazakh Turkish University n.a. Hoja Ahmet Yassawi, Turkistan c., Republic of Kazakhstan
ROLE AND PLACE OF EХTRAGENITAL PATHOLOGY OF NEAR MISS CASES IN OBSTETRIC PRACTICE

This article touches on the case of "near miss" in obstetric practice, on the example of State municipal state enterprise "Regional Perinatal Center No. 3" for 2016. The structure of heavy maternal incidence, frequency and features of emergency of nearmissis defined in the background of extragenital pathology.
Purpose of the study. The research purposeis to estimate structure ofnearmiss casesin Turkestan region, features of nearmisscaused by extragenitalpatology and its consequences.
Material and methods. The retrospective analysis of all 93 cases of nearmissis carried out which received treatment in State municipal state enterprise "Regional Perinatal Center No. 3" for 2016. Criterion of selection in this studied group was submission of the map of critical states in departments of protection of a maternity and the childhood at regional Management of Health care and in the Ministry of health and social development, according to the order of theMinistry of Healthcare RK No.389 of 28.05.2010. "About the approval of the Instruction for monitoring of critical states at pregnant women, women in labor, puerperas".
Results and discussion. For 2016 in the perinatal center of the accouchement of 8723 women, 93 cases of nearmiss are registered that made 1% of all childbirth. From all quantity of 93 cases in 50 cases (53%) lived in the city, in 43 cases (47%) lived in rural areas. Background extragenital pathology was available from 93 cases in 79.2% (in absolute figures 74 cases) it: iron deficiency anemias in 54 cases that made 58%, the varicosity of the lower extremities 13 cases of 13.9%, chronic diseases of respiratory organs 10 cases of 10.7%, a disease is cardiac - vascular system 3 cases of 3.2%, chronic infections of an urinary system of 8 cases of 8.6%.
Conclusions:
1. The case of nearmiss in obstetric practice is more often met than maternal mortality, and in respect of studying for the purpose of prophylaxis of maternal mortality, are very valuable sources of information, each case of nearmiss regardless of the reasons it caused it has to be analyzed in details among experts.
2. The obstetric reasons of nearmisscases prevail in structure of heavy incidence of mothers, but existence of chronic extragenital pathology leads to a fast decompensation of adaptable mechanisms.
3. Health of the newborns born from mothers who transferrednearmiss is associated with the increased incidence, mortality and a mortinatality. One of the main reasons for trouble of fetus in fetal life and during the early neonatal period is the complicated course of pregnancy with an exacerbation of extragenital pathology.

Key words: a case of "near miss", maternal mortality, extragenital pathology.

скачать