Structure of neurological pathology among pregnant women in the Smolensk region
EDN: GSJANT
Abstract
Objective - analysis of the structure of neurological pathology in pregnant women of the Smolensk region.
Material and methods. A retrospective analysis of the medical records of pregnant women, women in labor and maternity patients examined by a neurologist due to complaints of neurological disorders characteristic of them, as well as existing neurological diseases in the anamnesis or debuted into a real pregnancy in 2019 and 2023.
Results. The total number of pregnant patients with a neurological diagnosis was 407 in 2019, which accounted for 8.1% of all hospitalizations in the Perinatal Center, in 2023 - 431 cases (9.3%). The study shows the structure of neurological pathology: dorsopathies, primary and secondary headaches, mono- and polyneuropathies, epilepsy, multiple sclerosis, vestibulopathy and others. A statistically significant decrease in the incidence of post-puncture headaches in 2023 compared to 2019 (p = 0.032) was revealed, while the incidence of migraines increased (p = 0.023). Possible causes of the described changes are considered. There is a low incidence of thromboembolic complications of pregnancy and childbirth (less than 1% of cases), which indicates a clear organization of the prevention of these complications as a result of careful obstetric and therapeutic monitoring during pregnancy and timely delivery.
Conclusion. The study demonstrates the structure of neurological pathology among pregnant women in the Smolensk region. Based on the presented data, niches are opened that require deeper knowledge and understanding of the pathological processes occurring during pregnancy.
About the Authors
Natalia N. Maslova
Smolensk State Medical University (SSMU)
Russian Federation
Russian Federation
Ekaterina S. Chukhontseva
Clinical Hospital No. 1 (CH No. 1)
Russian Federation
Russian Federation
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Review
For citations:
Maslova N.N., Chukhontseva E.S. Structure of neurological pathology among pregnant women in the Smolensk region. Humans and their health. 2025;28(4):42-47. (In Russ.) EDN: GSJANT
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