STUDY OF MULTIPLE FACTORS INFLUENCING THE DEVELOPMENT OF ANOMALIES OF LABOR ACTIVITY

Goal. To determine multiple factors influencing the development of anomalies of labor activity to optimize the examination of pregnant women after 37th week of gestation.

Materials and methods. 308 pregnancies that resulted in delivery of term fetuses complicated by various anomalies of labor activity have been monitored. 154 patients have been selected and divided into 4 clinical groups: group 1. 27 pregnant women (17,54%) with pathological preliminary period; group 2. 39 pregnant women (25,32%) with rapid birth; group 3. 41 pregnant women (26,62%) with uterine inertia and group 4. 47 pregnant women (30,52%) with discoordination of labor activity

Results. Rank correlation, characterizing the redistribution of muscle mass of the anterior wall of the uterus during childbirth has been identified. The change in the level of energy consumed for birth labor in patients with anomalies occurs on the background of low level of stress tolerance and changing IRAS.

Correlation analysis allows us to determine the level of glucose, which correlates with interleukin levels, and pH levels which also correlate with levels of interleukin. Both glucose, and pH correlate with the anomalies of labor activity. A strong correlation has been identified between the thickness of the anterior wall of the uterus and the level of interleukins.

Conclusion. After 37th week of pregnancy, while defining the level of stress tolerance in the groups of pregnant women, threatened by the development of anomalies of labor activity, the calculation of the IRAS on the background of the laboratory determination of glucose, blood pH and thickness of the anterior wall of the uterus, will allow forming an individual plan of delivery and reducing obstetric and fetal injuries