PREGNANCY COURSE AND OUTCOMES IN WOMEN WITH UNDIFFERENTIATED CONNECTIVE TISSUE DYSPLASIA

Authors

  • Yunusova Zarnigor Maksadovna
  • Хudoyarova Dildora Rakhimovna
  • Shodikulova Gulandon Zikriyaevna

Keywords:

connective tissue dysplasia, hemostasis, complications of pregnancy and childbirth, magnesium deficiency, endothelial dysfunction, markers of collagen breakdown, genital prolapse

Abstract

The article is devoted to the problems associated with connective tissue dysplasia (CTD), predominantly undifferentiated forms of the disease (nDST). The relevance of the topic is due to the high prevalence of this pathological condition. The generalized nature of connective tissue damage with the involvement of the reproductive system in the pathological process significantly affects the course of pregnancy and childbirth. Complications that may be associated with pregnancy, childbirth and the postpartum period in women with nDST and which cause a high need for surgical aids: amnio-, episio- and perineotomy, cesarean section are presented. Particular attention is paid to magnesium, which plays one of the determining roles in the complex biosynthesis of the extracellular matrix in the formation of connective tissue and in the morphofunctional state of fibroblasts. The methods used to detect connective tissue metabolism disorders (determination of the level of oxyproline and fibronectin in blood serum, pyrinx D and glucosaminoglycans in urine, etc.) are described. In view of the lack of reliable diagnostic (biochemical and genetic) criteria for nDST, special attention is paid to the need for an integrated approach to assessing the condition of patients using anamnesis data, the results of clinical, instrumental and laboratory examinations.

References

Jana N., Vasishta K., Khunnu B. Pregnancy in association with mitral valve prolapse. Asia Oceania J Obstet Gynaecol 1993; 19 (1): 61–65

Chia Y.T., Yeoh S.C., Viegas O.A. et al. Maternal congenital heart disease and pregnancy outcome. J Obstet Gynaecol Res 1996; 22 (2): 185–191

Chia Y.T., Yeoh S.C., Lim M.C. Pregnancy outcome and mitral valve prolapse. Asia Oceania J Obstet Gynaecol 1994; 20 (4): 383–388

Eliseeva I.V. Kliclinico–funktsional'nye osobennosti somaticheskogo sostoyaniya i techeniya rodov u zhenshchina s prolapsom mitral'nogo valvea [Clinical and functional features of somatic state and childbirth in women with mitral valve prolapse]. Klin Med 2003; 81 (3): 22–24

Rayburn W.F., Fontana M.E. Mitral valve prolapse and pregnancy. Am J Obstet Gynecol 1981; 141 (1): 9–11

Tang L.C., Chan S.Y., Wong V.C., Ma H.K. Pregnancy in patients with mitral valve prolapse. Int J Gynaecol Obstet 1985; 23 (3): 217–221

Plotti G., Tropeano G., Colucci P. et al. Mitral valve prolapse and pregnancy. Minerva Med 1985; 76 (42): 2007–2010

Perekalskaya M.A., Makarova L.I., Vereshchagina G.N. Neuroendocrine dysfunction in women with systemic dysplasia of connective tissue // Clinical medicine.– 2002.– T.80, No 4.– P.48–51

Kulikov A.M., Medvedev V.P. Rol' semejnogo vracha v okhrana zdorov'ya podrostka: YI. Connective tissue dysplasia in adolescents and their recognition. Ross Family Physician 2000; 4: 37–51

Levi–Schaffer F., Shani J., Politi Y. et al. Inhibition of proliferation of psoriatic and healthy fibroblasts in cell culture by selected Dead–sea salts. Pharmacology 1996; 52 (5): 321–329

Zeana C.D. Recent data of mitral valve prolapse and magnesium deficit. Magnes Res 1988 l1 (3–4): 203–211

Coghlan H.C., Natello G. Erythrocyte magnesium in synptomatic patients with primary mitral valve prolapse: relationship to symptoms, mitral leaflet thickness, joint hypermobility and autonomic regulation. Magnes Trace Flem 1991; 10 (2–4): 205–214

Lichodziejewska B., Klos J., Rezler J. et al. Clinical symptoms of mitral valve prolapse are related to hypomagnesemia and attenuated by magnesium supplementation. Amer J Cardiol 1997; 79 (6): 768–772

Stepura O.B., Melnik O.O., Shekhter A.B., et al. Rezul'taty primeneniya magnii soli orotovaya acida ( v lechenie bol'nykh s idiopathic prolapse mitral'nogo valvola. Ross med vesti 1999; 4 (2): 64–69

Lemancewicz A., Laudanska H., Laudanski T. et al. Permeability of fetal membranes to calcium and magnesium: possible role in preterm labour. Hum Reprod 2000; 15 (9): 2018–2222

Wojcicka–Jagodzinska J., Romejko E., Piekarski P. et al. Second trimester calcium–phosphorus–magnesium homeostasis in women with threatened preterm delivery. Int J Gynaecol Obstet 1998; 61 (2): 121–125

Manyemba J. Magnesium sulphate for eclampsia: putting the evidence into clinical practice. Cent Afr J Med 2000; 46 (6): 166–169

Dawson E.B., Evans D.R., Kelly R. et al. Blood cell lead, calcium, and magnesium levels associated with pregnancy–induced hypertension and preeclampsia. Biol Trace Elem Res 2000; 74 (2): 107–116

Kisters K., Barenbrock M., Louwen F. et al. Membrane, intracellular, and plasma magnesium and calcium concentrations in preeclampsia Am J Hypertens 2000; 13 (7): 765–769

Sameshima H., Ikenoue T. Long–term magnesium sulfate treatment as protection against hypoxic–ischemic brain injury in seven–day–old rats. Am J Obstet Gynecol 2001; 184 (2): 185–190

Berger R., Garnier Y. Perinatal brain injury. J Perinat Med 2000; 28 (4): 261–285

Matsuda Y., Kouno S., Hiroyama Y. et al. Intrauterine infection, magnesium sulfate exposure and cerebral palsy in infants born between 26 and 30 weeks of gestation. Eur J Obstet Gynecol Reprod Biol 2000; 91 (2): 159–164

Tan Y., Zhang W., Lu B. Treatment of intrauterine growth retardation with magnesium sulfate. Zhonghua Fu Chan Ke Za Zhi 2000; 35 (11): 664–666

Caddell J.L. The apparent impact of gestational magnesium (Mg) deficiency on the sudden infant death syndrome (SIDS). Magnes Res 2001; 14 (4): 291–303

Taber E.B., Tan L., Chao C.R. et al. Pharmacokinetics of ionized versus total magnesium in subjects with preterm labor and preeclampsia. Am J Obstet Gynecol 2002; 186 (5): 1017–1021

Shkolnikova M.A., Chuprova S.N., Kalinin L.A., et al. Metabolism of magnesium and the therapeutic value of its preparations: A manual for doctors. Moscow: Medpraktika-M; 2002

Relevance of the problem of connective tissue dysplasia in obstetrics

..., g shodiklova, z yunusova

Pregnancy and undifferentiated connective tissue dysplasia

..., g zikiryaevna, and zarnigor -

Pregnancy and perinatal complications in obese women

Зм юнусова, нн шавази

Pregnancy and childbirth and complications in women with excessive weight.

Sn nuralievna, yz maqsadovna

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Published

2024-06-04