Features of gestation course, childbirth and perinatal outcomes in case of pelvic presentation
Maiseenko D.A.¹, Maiseenko N.A.<sup>2

1</sup> Krasnoyarsk State Medical University named after V.F.Voyno-Yasenetskiy
² Krasnoyarsk inter-district maternity hospital № 1

The early diagnosis of complications of the gestational process, forecasting and selection of tactics for management of pregnancy and childbirth are particularly important for solving the problem of reducing maternal and perinatal morbidity and mortality. The study of risk factors and their orientation is of great importance, since it allows to correctly identify the risk groups of different pathologies, to determine the mandatory examination plan and to develop measures to prevent risks or to correct them in time. One of the most serious risk factors for the mother and the newborn is the pelvic presentation (PP).
The aim: to study the course of pregnancy, childbirth and perinatal outcomes in case of PP.
Material and methods: a comparative analysis of the course of pregnancy and urgent delivery of 60 women with pelvic (30 women) and head (30 women) presentation.
Results: During the gestation period, the following complications were revealed in women with PP: nausea and vomiting of the first half of pregnancy (16.6%), threat of termination of pregnancy (23.3%), moderate preeclampsia (23.7%). In the main group, the cesarean section was performed in 28 (93.3%) cases, while in the comparison group operative labor was performed in 5 (16.6%) of cases (p <0.001). The newborns born by the women of the main group had complications of the neonatal period in 13 (43.3%) cases, whereas in the comparison group, these complications were registered in 7 (23.3%) of newborns.
Conclusion: The analysis showed that the course of pregnancy and childbirth in women with PP is complicated, and the children born are at high risk of hypoxic-ischemic brain damage.

Key words: childbirth, pelvic presentation of fetus, condition of newborns.
For citation: Maiseenko D.A., Maiseenko N.A. Features of gestation course, childbirth and perinatal outcomes in case of pelvic presentation // RMJ. 2017. № 12. P. 870–872.