PERINATAL OUTCOMES IN WOMEN WITH COAGULATED CERVIX

Аннотация

В данной статье рассматриваются перинатальные исходы у женщин с коагулированной шейкой матки. Коагуляция шейки матки обычно проводится для лечения цервикальной интраэпителиальной неоплазии или хронического цервицита. Эта процедура может вызывать структурные изменения в шейке матки, что увеличивает риск таких осложнений, как преждевременные роды, цервикальная недостаточность и низкий вес новорожденного. В статье анализируются данные научной литературы и клинические наблюдения, а также предлагаются рекомендации поведению беременностиутаких пациенток. Ключевые слова: Коагуляция шейки матки, коагулированная шейка матки, перинатальные исходы, осложнения беременности, преждевременные роды, цервикальнаянедостаточность,здоровьеноворожденного. Annotatsiya: Ushbu maqolada bachadon bo‘yni koagulyatsiyasiga uchragan ayollarda perinatal natijalar o‘rganiladi. Bachadon bo‘yni koagulyatsiyasi odatda servikal intraepitelial displaziya yoki surunkali servitsitni davolash uchun amalga oshiriladi. Ushbu muolaja bachadon bo‘ynining tuzilmasida o‘zgarishlarga olib kelishi mumkin, bu esa homiladorlik davomida erta tug‘ruq, bachadon bo‘yni yetishmovchiligi va chaqaloqlarda past tana vazniga olib keluvchi xavflarni oshiradi. Mazkur maqolada mavjud ilmiy adabiyotlar va klinik kuzatuvlar tahlil qilinib, ushbu holatlarda homiladorlikni boshqarish bo‘yicha tavsiyalarberiladi. Kalit so‘zlar: Bachadon bo‘yni koagulyatsiyasi, koagulyatsiyalangan bachadon bo‘yni, perinatal natijalar, homiladorlik asoratlari, erta tug‘ruq, bachadonbo‘yni yetishmovchiligi, yangi tug‘ilganbola salomatligi. The aim of the research: The aim of this study is a comprehensive investigation of perinatal outcomes in women with a coagulated cervix, as well as identifying possible risks and complications associated with changes occurring in the cervix following the coagulation 98,7:ROTCAFTCAPMI.SECNEICSLACIDEM ,5202 ,lirpA,5emuloV gro.srehsilbupcimedaca.www procedure. This study will assess the impact of structural changes in the cervix on the course ofpregnancy, as well as onthehealth ofthemotherand thenewborn. Thespecific objectives of thestudyinclude: 1.Analysis of perinatal outcomes: Evaluate the frequency of preterm labor, cervical insufficiency, fetal development disorders, and other pregnancy complications in women who have undergone cervical coagulation. 2.Assessment of risks to newborn health: Investigate the relationship between cervical coagulation and factors such as low birth weight, the need for neonatal intensive care, as well as other short-term and long-term health outcomes for children. 3.Consideration of pregnancy monitoring and management methods: Develop recommendations for healthcare professionals on monitoring women with a coagulated cervix during pregnancy, including timelydiagnosis andtreatment ofpossiblecomplications. 4.Study of factors influencing pregnancy outcomes: Analyze additional factors that may amplify or mitigate the impact of coagulation on perinatal outcomes, such as the woman's age, presence ofcomorbidities, specifics oftheprocedure, and thetimingofits performance. 5.Proposal of recommendations for optimal pregnancy management: Based on the obtained data, formulate recommendations for clinicians that will help reduce risks for women with acoagulated cervix and improve perinatal outcomes. This study aims to improve the understanding of the potential consequences of cervical coagulation in the context of perinatal medicine and will help develop more effective strategies to minimizerisksfor both themotherand thenewborn. Materials and Methods: This study represents a retrospective analysis of perinatal outcomes in women with a coagulated cervix. The following materials and methods were used forthestudy: 1.Study Group: The study included patients who underwent cervical coagulation and were pregnant between 2018and 2024.Womenwere selected based onthefollowingcriteria: InclusionCriteria: Women who underwent cervical coagulation and were monitored during pregnancy. o Women aged 18to 45years. o Allparticipants were selected based onmedical records from theclinic. o ExclusionCriteria: Women who underwent othersurgical interventions onthe cervix (e.g., hysterectomy). o Women with severe conditions during pregnancy (e.g., diabetes, hypertension, etc.). o 2.Initial Data: Data on patients were collected from medical records and documents. These dataincluded thefollowingsections: Personal data ofthepatient and medical history. o Details ofthecervical coagulation procedure (date, method, and place oftheprocedure). o Complications during pregnancy (e.g., cervical insufficiency, preterm labor, elevated o bloodpressure, etc.). 98,7:ROTCAFTCAPMI.SECNEICSLACIDEM ,5202 ,lirpA,5emuloV gro.srehsilbupcimedaca.www Delivery outcomes (birth weight, mode of delivery, newborn's condition, and other o factors). 3.Research Methods: Retrospective Analysis: The primary research method is a retrospective analysis, where o medical records of women with a coagulate