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EP672 The effect of uterine myoma on the course and outcome of pregnancy in women with preeclampsia
  1. M Kattahodjaeva1 and
  2. D Gaybullaeva2
  1. 1Ophthalmology with a Course of Gynecology, Tashkent State Dental Institute
  2. 2Obstetric and Gynecology, Tashkent Medical Academy, Tashkent, Uzbekistan


Introduction/Background The combination of uterine myoma and the terrible complication of pregnancy - preeclampsia (PE) - a common pathology. Probably, these two separate units, judging by the data of numerous authors, have similar facts in the origin of each pathology separately.

Methodology Surveyed 102 patients. Of these, 72 pregnant women with pre-eclampsia on the background of uterine myoma 27% (20) and without it 72% (52). The comparison group consisted of 30 healthy pregnant patients. Used method of ultrasound scanning (ultrasound), the biophysical profile of the fetus (BPP), Doppler. In the postpartum period the Apgar score was assessed.

Results The average age of the examined in the group of pregnant women with PE on the background of uterine myoma was 33,34±1,25 years, in the comparison group 26,43±1,76. Premature birth in pregnant women with pre-eclampsia in myoma occurred in 65% (13) and without myoma in 32,6%, detachment of the normally located placenta in 40% opposite 28,8%, operative delivery 45% opposite 34,9%, fetal growth restriction syndrome in 40% opposite to 23%. Doppler readings indicated a maximal change in vascular resistance in gestational terms of 28–31 weeks and 32–35 weeks. BPP in women with uterine myoma and preeclampsia showed changes in breathing and movement parameters - 72% (14) and 68% (35). The state of newborns on the Apgar scale in the first minute in the group with PE combined with uterine myoma and in the group with PE without uterine myoma was 7,031±0,234 and 6,467±0,387 and in the second minute 7,23±0,337 and 7,34±0,46.

Conclusion The combination of preeclampsia with uterine myoma increases the frequency of complications such as premature labor, placental abruption, and the development of fetoplacental disturbances 2 times.

Disclosure Nothing to disclose.

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