Clinical analysis of the effect of preeclampsia on the course of pregnancy and childbirth in multiparous women with iron deficiency anemia

According to the World Health Organization, iron deficiency in the human organism is the most widespread anemia in the world. There is no country today that has studied and solved the problem of anemia completely. To analyze the impact of preeclampsia on pregnancy and childbirth in multiparous women with iron deficiency anemia. The study was conducted on 80 pregnant women aged 18-44 years. The objects of the study were multiparous women with iron deficiency anemia without preeclampsia 61 (76.3%) and with preeclampsia 19 (23.8%). Clinical-anamnestic information was obtained. A general analysis of blood and urine and a biochemical analysis of the pregnant women were performed. Methods of mathematical and statistical analysis- discriminant and variance analysis methods. Complicated obstetric anamnesis in pregnant women with iron deficiency anemia was observed in 73.7% of the women with preeclampsia and in 41.0% of the women without preeclampsia (Pχ2=0.013). Complicated gynecological anamnesis was in 3.3% of the women without preeclampsia and in 15.8% of the women with preeclampsia (Pχ2=0.049). IUGR was observed in 3.3% of the women without preeclampsia and 21.1% of the pregnant women with preeclampsia (Pχ2=0.010). According to the comparative analysis, mild, moderate, and severe anemia occurred in 17 (27.9%), 43 (70.5%), and 1 (1.6) pregnant women without preeclampsia, and in 6 (31.6%), 11 (57.9%), and 2 (10.5%) pregnant women with preeclampsia, respectively (Pχ2=0.177). With the increasing severity of anemia, preeclampsia and cesarean delivery cases increased. The study of the effect of preeclampsia on the course of pregnancy and childbirth in pregnant multiparous women with iron deficiency anemia revealed that a complicated obstetric and gynecological history of pregnancy is predominant in this group of women. Surgical delivery is very common. It can be concluded that complicated obstetric and gynecological anamnesis is a premorbid background for the disease.