The Course of Pregnancy in Young Primiparous Women in Combination with Somatic Diseases

Introduction. Pregnancy and childbirth in girls under the age of 19 is an urgent problem all over the world. Pregnant women who have not reached puberty can be called young, their passport age ranges from 13 to 19 years.

Relevance. Some age-related features of the adolescent's body leave an imprint on the course of pregnancy and childbirth. Pregnancy in adolescence increases the risk of stillbirths, miscarriage, and the birth of a child with a low body weight.

The aim of the study is to study the peculiarities of the course of pregnancy and the outcome of childbirth in young women.

Material and methods. 60 pregnant women were analyzed on the basis of the 3rd maternity complex in Samarkand, Uzbekistan. The method of retrospective clinical and epidemiological case-control study (analysis of archival materials for 2022) was chosen for the study. The main group included 30 girls under the age of 19, the control group – 30 girls aged 20-25 years. Clinical and statistical research methods were used.

Results and discussion. It has been established that young primiparous are somatically healthier, but sexually transmitted infections are more common in them than in groups of favorable reproductive age. The most common complications that occur during pregnancy are anemia, the threat of termination of pregnancy in the first trimester, moderate preeclampsia, gestational pyelonephritis.

Conclusions. Pregnancy in adolescents, as a rule, is unplanned and occurs at the early beginning of sexual relations, with less "experience" of sexual life, socially dependent position and low professional status. In minors, in comparison with 20-25-year-old women in labor, premature birth and the birth of children with low body weight are more common.