Health of adolescent girls with late term abortions

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OBJECTIVE OF THE STUDY

To determine the health status of adolescent girls who terminated pregnancy at a late date by means of noninvasive and sparing the psyche diagnostic methods.

MATERIAL AND METHODS

A total of 105 adolescent girls with late date abortion (13—21 weeks) were followed up. A control group consisted of 75 unintercourse adolescent girls. In addition to clinical noninvasive diagnostic methods we used the Auricular Computerized Cartography (ACC) and Auricular Computerized Dermography (ACD) methods. The obtained data were presented as a single complex.

RESULTS

A year after termination of pregnancy, the health status of adolescent girls was found to worsen. There was a significant increase in the incidence of extragenital diseases (pyelonephritis, gastroenteritis, anemia, chronic recurrent obstructive bronchitis, otitis) and gynecological pathology (menstrual disorders, opsomenorrhea). The predominance of parasympathetic nervous system function was established. The detailed analysis of the results of mathematical processing of the received data tables, diagrams and auriculograms was applied for giving the medical conclusion. Taking into account the common (simultaneous) method of ACP and ACD we determined the functional state of the vegetative nervous system.

CONCLUSION

The high incidence of physical and reproductive health disorders in the adolescent girl group after termination of pregnancy determines the need for a complete specialized obstetric and gynecological service providing preventive and medical care to adolescent girls before puberty. For a more sparing and rapid method of examination, especially in children, it is advisable to apply the method of auricular computer mapping and computer dermography using a mobile measuring complex.

Keywords:

adolescent girls

late termination of pregnancy

auricular computer mapping and dermography

deterioration of physical and reproductive health

Authors:

Ishpakhtin Yu.I.

Pacific State Medical University

Matyushkina L.S.

Pacific State Medical University

Khramova I.A.

Pacific State Medical University

Received:

10.01.2022

Accepted:

07.02.2022

List of references:

Savel’eva GM, Sukhikh GT, Serov VN, Radzinskii VE. Obstetrics. National leadership. M.: GEOTAR-Media; 2019;1079. (In Russ.).
Mateikovich EA. Reproductive health of children and adolescents in Tyumen. Mezhdunarodnyi nauchno-issledovatel’skii zhurnal. 2018;1:58-60. (In Russ.).
Baregamyan AG, Barsegyan AA, Beglaryan GA. The state of adolescent girls’ reproductive health. Akusherstvo i ginekologiya. 2021;8:166-174. (In Russ.).
Malinina IN. Mechanisms of adaptation and adaptive potential of personality. In the book: The Future of clinical psychology. 2017; Materials of the XI All-Russian. scientific-practical conf. with international participation (April 27—28, 2017). Perm: Perm State National Research University; 2017;11:101-106. (In Russ.).
Baregamyan AO, Petrosyan MK, Chopikyan AS, Beglaryan GA. Sexual and reproductive health of adolescent girls. Akusherstvo i ginekologiya. 2021;9:164-173. (In Russ.).
Namazova-Baranova LS, Baranov AA, Antonova EV, Terletskaya RN, Al’bitskii VYu, Slipka MI, Konova SR. Health problems of adolescents in the Russian Federation. Al’manakh Instituta korrektsiionnoi pedagogiki Rossiiskoi akademii obrazovaniya. 2017;31:1-11. (In Russ.).
Federal State Statistics Service. Link active on: 05/25/2019. (In Russ.). https://www.gks.ru/wps/wcm/conneci/rosstat_main/rosstat/ru/statistics/publications/cataIog/doc_
Ippolitova MF, Mikhailin ES, Ivanova LA. Medical and social assistance to minors during pregnancy, childbirth and the postpartum period. Pediatr. 2018;9:5:75-93. (In Russ.).
Kellartzis D, Tsolakidis D, Mikos T, Vavilis D, Ttevelekis K, Tampakoudis G, Tarlatzis B. Obstetric outcome in adolescence: a single centre experience over seven years. Clin Exp Obstet Gynecol. 2013;40:1:49-51.
Renner RM, de Guzjnan A, Brahmi D. Abortion care for adolescent and young women. Int J Gynaecol Obstet. 2014;126:1:1-7. https://doi.org/10.1016/j.ijgo.2013.07.034
Tyutyunnik VL, Dikke GB, Kan NE, Uzdenova ZKh, Shcherbatykh EYu. Late pregnancy termination by a medical technique in combination with cervical osmotic dilators. Akusherstvo i ginekologiya. 2019;5:149-174. (In Russ.).
Vasil’eva LN, Kuz’mich NV, Kolysko DV. Characteristics of pregnancy and its outcomes in young primiparous. Molodoi uchenyi. 2017;44:45-48. (In Russ.).
Mikhailin ES, Ivanova LA. Features of the course of pregnancy and childbirth in adolescents, depending on age. Rossiiskii vestnik akushera-ginekologa. 2015;15:2:68-74. (In Russ.). https://doi.org/10.17116/rosakush201515268-74
Kovalenko MS, Efremova MG, Okorochkova YuV. Features of the course of pregnancy and delivery of primipara critical age groups. Nauka molodykh. Eruditio juvenium. 2014;1:94-99. (In Russ.).
Zholondziovskaya OE, Putilova NV, Shakirov RT, Kinzhalova SV. Pregnancy and childbirth in young women: risk factors and course features. Rossiiskii vestnik akushera-ginekologa. 2021;21:5:8489. (In Russ.). https://doi.org/10.17116/rosakush20212105184
Rostovskaya TK, Shimanovskaya YaV. The phenomenon of young motherhood. problems,’ trends. Ekonomicheskaya sotsiologiya i demografiya. Lokus: lyudi, obshchestvo, kul’tury, smysly. 2017;1:119-125. (In Russ.).
Mikhailin ES. The structure of somatic pathology in pregnant adolescent girls who have decided to save the child. Uspekhi sovremennogo estestvoznaniya. 2015;4:46-50. (In Russ.).
Gaeva OE, Putilova NV, Sharkirov RT, Kinzhalova SV. Current problems of juvenile obstetrics. Akusherstvo i ginekologiya. 2019;11:20-25. (In Russ.).
The procedure for providing medical care in the field of obstetrics and gynecology (with the exception of the use of assisted reproductive technologies). Order of the Ministry of Health of Russia dated November 12, 2012. No. 572n. (In Russ.).
Uvarova EV, Tarusin DI. Manual for examination of the state of the reproductive system of children and adolescents. M.: Triada-H; 2009;232. (In Russ.).
Ponomarev YV, Solomonov VT, Ponomareva NA. Auricular computer dermography and cartography. Methodological recommendation. M. 2000;54. (In Russ.).
Shabanov GA, Maksimov AL, Rybchenko AA. Functionally topical diagnostics of the human body base on the analysis of the rhythmic activity of the brain. Vladivostok: Dal’nauka; 2011;205. (In Russ.).
Rybchenko AA, Lebedev YuA, Shabanov GA, Korochentsev VI. Program and device complex for correction of advanced dysfunctions of the human internal organs on the basis of analysis of rhythmic activity of the brain. Meditsinskaya tekhnika. 2010;1:27-30. (In Russ.).
Solomonov VT, Ponomarev YuV. The way of detection of health status of humans and animals. Patent RF №2156108, 2000. Byul. 2004;2. (In Russ.).

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