Assessment of premorbid background in pregnant women with obesity of various degrees

Aim. Comparative evaluation of premorbid background in pregnant women with obesity of various degrees. Methods. A comparative evaluation of premorbid background in 82 pregnant women with obesity class 1 (49 patients), class 2 (22) and class 3 (11) and 65 somatically healthy females was performed on the basis of somatic and obstetric and gynecological history. Results. In obese females in 30.5% of cases menstruation disorders were observed, most pronounced in obesity class 3 that exceeds the number in control group by 3.0 times. Out from gynecological diseases, in pregnant women with obesity class 2 and 3 the most common were colpitis - 2.0 and 2.6 times more prevalent, adnexitis - 1.5 and 1.2 times more, cervical erosion - 1.8 and 2.4 times more, endometritis - 2.2 and 1.5 times more, secondary infertility - 3.0 and 6.1 times more prevalent than in the control group. In comparison with the control group, in obesity class 2 and 3, respiratory diseases were diagnosed 1.3 and 2.5 times more often; cardiovascular disease - 2.9 and 5.9 times more, arterial hypertension - 3.0 and 12.1 times more, chronic gastritis - 1.3 and 1.7 times more, chronic cholecystitis - 1.2 and 2.4 times more, and chronic pyelonephritis - 1.8 and 2.4 times more often. Conclusion. In pregnant obese women a high prevalence of gynecological and somatic diseases was detected, that creates unfavorable conditions for pregnancy; the obtained results have a prognostic value in terms of pre-conceptional preparation of obese women.

obesity, pregnancy, dysmenorrhoea, gynecological diseases, extragenital pathology