Risk factors for urogenital disorders during pregnancy and after childbirth

Abstract

Abstract Introduction: pregnancy and childbirth are the physiological processes, but have a significant impact on both the functions of particular organs, and the woman’s body as a whole, and often lead to the emersion of different symptoms, which significantly reduce the quality of life. These are the manifestation of urogenital disorders (MUD) during pregnancy and after childbirth. Mental and physical sufferings of patients stimulate obstetrician-gynecologists and urologists to the joint search for the causes of MUD in women, to the differentiated work out of individual methods of prevention, improving of diagnosis and treatment of this pathology. Aim: to study the risk factors, including the presence of extragenital pathology in women with MUD. Materials and methods: preliminary survey has been carried out, 51 women-patient have been defined with complaints for MUD − the main group. The urogynecological questionnaire has been filled in, the diaries have been kept on urination, the results of functional tests have been evaluated as well as of ultrasonography of the lower urinary tract. The comparison group consisted of 50 women who gave birth without any signs of MUD. Results: the results of conducted resrearch indicate the important role of extragenital pathology, in addition to the burdened obstetric and gynecological history as a risk factor for urogenital disorders during pregnancy and after childbirth. Conclusions: the high frequency of somatic diseases, which are the visceral manifestations of the syndrome of undifferentiated connective tissue dysplasia in women of the main group, indicates that a generalized defect of connective tissue is one of the reasons for the manifestation of the symptoms of urogenital disorders during pregnancy and after childbirth in women of reproductive age. The gained results must be taken into account when developing the methodology of forecasting the urogenital disorders in women during pregnancy and after childbirth.