Intranatal fetal hypoxia: search for maternal predictors of pathology

Abstract

A retrospective analysis of the medical records of women who gave birth at full term in a second-level obstetric hospital was carried out in order to study the characteristics of maternal preconception prognostic factors of fetal distress and the outcome of childbirth with intrapartum fetal hypoxia (IHF, distress). Postpartum women of group 2 (with IGP) were younger than women of group 1 (28.22±5.56 years and 30.25±4.94 years, respectively, p = 0,01). In the obstetric and gynecological history of patients in group 2, primiparous women were more often noted (61%) with a large number of previous pregnancies (2.59). Gynecological pathology in the anamnesis was 2.4 times more likely to be detected in patients of group 2 with a significant predominance in the structure of inflammatory diseases of the cervix, uterine fibroids, endometrial polyp, and polycystic ovary syndrome. Myopia from childhood is 2.24 times more likely to be established as a concomitant diagnosis in group 2 postpartum women. In the main group, there were significantly more nicotine-dependent pregnant women (7.78%). Our data are consistent with domestic and foreign studies and indicate that further systematic study of maternal prognostic factors of fetal distress during childbirth is necessary to develop preventive pregravid programs.