CLINICAL-ANAMNESTIC CHARACTERISTICS OF WOMEN WHO HAVE UNDERGONE ABDOMINAL DELIVERY

Research objective. To study the features of clinical and anamnesis data in women who have undergone abdominal delivery. Research material and methods. A prospective analysis was conducted on 134 women. Among them, 100 women made up the main group, having a history of cesarean section, while the comparison group consisted of 34 women who were delivered naturally. Clinical and laboratory research methods were performed. Research results. Almost every third operated woman complained about symptoms of menstrual cycle disturbances. In the group of tumors and background diseases of the pelvic organs, uterine fibroids (25%) were the leading issue among women 31% of patients complained of pain in the lower abdomen, 29% reported leukorrhea. The frequency of ectopic pregnancy was significantly high (8.0%), as was the frequency of adhesive disease, which constituted 27,0% (P<0.001). Among inflammatory diseases of the cervix, the incidence of endocervicitis in the studied group was 32,5%, and endocervicosis was also noted in 32.5% of women, while in the comparison group, this figure was 20,5%. Cervical hypertrophy was noted in 3.7%, and polyps of the cervical canal were present in 1,25%, which were not found in women from the comparison group. Conclusion. Thus, the conducted studies on the examination of clinical-anamnestic data in women who underwent cesarean section showed a high frequency of pathologies of the genital organs in this group, which manifested as inflammatory processes, especially of the uterus, pathology of the cervix in the form of endocervicitis and endocervicosis, menstrual function disorders such as hyperpolymenorrhea and dysfunctional uterine bleeding, as well as uterine fibroids. Keywords: Cesarean section, cervical disease, colposcopy, clinical-anamnestic data.