mvjrМедицинский вестник Юга РоссииMedical Herald of the South of Russia2219-80752618-7876The Rostov State Medical University10.21886/2219-8075-2025-16-3-38-48mvjr-2127Research ArticleАКУШЕРСТВО И ГИНЕКОЛОГИЯOBSTETRICS AND GYNECOLOGYЭффективность программированных родов у женщин с ожирением и анемиейThe effectiveness of programmed labor in women with obesity and anemiahttps://orcid.org/0000-0003-0145-6934ОразмурадовА. А.OrazmuradovA. A.

Оразмурадов Агамурад Акмамедович, д.м.н., профессор, профессор кафедры акушерства и гинекологии с курсом перинатологии, Медицинский институт

Москва

Agamurad A. Orazmuradov, Dr. Sci. (Med.), Professor, Professor of the Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow

orazmurzdov_aa@rudn.universityhttps://orcid.org/0000-0002-8355-9082ЗокироваН. М.ZokirovaN. M.

Зокирова Нозимабону Мирзаахмедовна, аспирант кафедры акушерства и гинекологии с курсом перинатологии, Медицинский институт

Москва

Nozimabonu M. Zokirova, Postgraduate Student of the Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow

okirova.nozima@inbox.ruhttps://orcid.org/0000-0002-8679-4061БекбаеваИ. В.BekbaevaI. V.

Бекбаева Ирина Викторовна, к.м.н., ассистент кафедры акушерства и гинекологии с курсом перинатологии, Медицинский институт

Москва

Irina V. Bekbaeva, Cand. Sci. (Med.), Assistant, Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow

iridescentgirl@yandex.ruhttps://orcid.org/0000-0001-9646-0156МуковниковаЕ. В.MukovnikovaE. V.

Муковникова Екатерина Васильевна, аспирант кафедры акушерства и гинекологии с курсом перинатологии, Медицинский институт

Москва

Ekaterina V. Mukovnikova, Postgraduate Student, Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow

mukovnikova1997@gmail.comhttps://orcid.org/0000-0002-4288-353XДоронинаО. К.DoroninaO. K.

Доронина Ольга Константиновна, д.м.н., профессор, профессор кафедры акушерства и гинекологии с курсом перинатологии, Медицинский институт

Москва

Olga K. Doronina, Dr. Sci. (Med.), Professor, Professor of the Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute

Moscow

doronina-ok@rudn.ruhttps://orcid.org/0009-0001-4722-6774ОразмурадоваГ. А.OrazmuradovaG. A.

Оразмурадова Гозель Агамурадовна, студент, Медицинский институт

Москва

Gozel A. Orazmuradova, student, Medical Institute

Moscow

guzelya.oraz@mail.ruРоссийский университет дружбы народов им. Патриса ЛумумбыРоссияPeoples’ Friendship University of Russia n. a. Patrice LumumbaRussian Federation2025250920251633848Copyright © Оразмурадов А.А., Зокирова Н.М., Бекбаева И.В., Муковникова Е.В., Доронина О.К., Оразмурадова Г.А., 20252025Оразмурадов А.А., Зокирова Н.М., Бекбаева И.В., Муковникова Е.В., Доронина О.К., Оразмурадова Г.А.Orazmuradov A.A., Zokirova N.M., Bekbaeva I.V., Mukovnikova E.V., Doronina O.K., Orazmuradova G.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medicalherald.ru/jour/article/view/2127Цель

Цель: оценить эффективность программированных родов у женщин с ожирением и анемией.

Материалы и методы

Материалы и методы: проспективное когортное исследование проведено на клинической базе кафедры акушерства и гинекологии с курсом перинатологии Медицинского института Российского университета дружбы народов в родильном доме при ГБУЗ ГКБ № 29 им. Н.Э. Баумана ДЗМ. Обследованы 238 беременных с ожирением и анемией, которые были стратифицированы на 4 группы в зависимости от степени ожирения (I, II и III) и IV группа, включающаяся в себя комбинацию ожирения и анемии. У всех респонденток, включённых в исследование, оценивались акушерские и перинатальные исходы родов в зависимости от метода родоразрешения: спонтанных самопроизвольных родов, программируемых родов и абдоминального родоразрешения.

Результаты

Результаты: статистический анализ показал: 1) программированные роды снижают частоту кесарева сечения у женщин с ожирением и анемией; 2) программированные роды у женщин с ожирением и анемией в сравнении с самопроизвольными снижают продолжительность первого периода родов; 3) программированные роды снижают частоту послеродовых осложнений: в сравнении с самопроизвольным родоразрешением — гипотонического кровотечения, разрывов родовых путей; в сравнении с кесаревым сечением — снижают частоту субинволюции матки.

Заключение

Заключение: программированные роды снижают частоту абдоминального родоразрешения и послеродовых осложнений у пациенток с ожирением и анемией.

Objective

Objective: to evaluate the effectiveness of programmed birth in women with obesity and anemia.

Materials and methods

Materials and methods: a prospective cohort study was conducted at the clinical site of the Department of Obstetrics and Gynecology with a course in perinatology of the Medical Institute of Peoples’ Friendship University of Russia in the maternity hospital at the State Budgetary Healthcare Institution City Clinical Hospital No. 29 named aſter N.E. Bauman of the Moscow Health Department. The study included 238 pregnant women with obesity and anemia, who were stratified into 4 groups depending on the degree of obesity (I, II and III) and group IV, which included a combination of obesity and anemia. All respondents included in the study were assessed for obstetric and perinatal outcomes of childbirth depending on the method of delivery: spontaneous labor, PR and abdominal delivery.

Results

Results: programmed labor was associated with fewer complications during childbirth and the postpartum period. Statistical analysis showed: 1) programmed delivery reduces the frequency of cesarean section in women with obesity and anemia; 2) programmed delivery in women with obesity and anemia, compared to spontaneous delivery, reduces the duration of the first stage of labor; 3) programmed delivery reduces the frequency of postpartum complications: compared to spontaneous delivery — hypotonic bleeding, ruptures of the birth canal; compared to cesarean section — reduces the frequency of uterine subinvolution.

Conclusions programmed delivery reduces the frequency of abdominal delivery and postpartum complications in patients with obesity and anemia.

программированные родыожирениеанемиякесарево сечениеспонтанная родовая деятельностьprogrammed deliveryobesityanemiacesarean sectionspontaneous laborReferencesPasricha SR, Tye-Din J, Muckenthaler MU, Swinkels DW. Iron deficiency. Lancet. 2021;397(10270):233-248. https://doi.org/10.1016/S0140-6736(20)32594-0Pasricha SR, Tye-Din J, Muckenthaler MU, Swinkels DW. Iron deficiency. Lancet. 2021;397(10270):233-248. https://doi.org/10.1016/S0140-6736(20)32594-0Ali NB, Dibley MJ, Islam S, Rahman MM, Raihana S, et al. Overweight and obesity among urban women with iron deficiency anaemia in Bangladesh. Matern Child Nutr. 2021;17(2):e13102. https://doi.org/10.1111/mcn.13102Ali NB, Dibley MJ, Islam S, Rahman MM, Raihana S, et al. Overweight and obesity among urban women with iron deficiency anaemia in Bangladesh. Matern Child Nutr. 2021;17(2):e13102. https://doi.org/10.1111/mcn.13102Hashan MR, Das Gupta R, Day B, Al Kibria GM. Differences in prevalence and associated factors of underweight and overweight/obesity according to rural-urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey. BMJ Open. 2020;10(2):e034321. https://doi.org/10.1136/bmjopen-2019-034321Hashan MR, Das Gupta R, Day B, Al Kibria GM. Differences in prevalence and associated factors of underweight and overweight/obesity according to rural-urban residence strata among women of reproductive age in Bangladesh: evidence from a cross-sectional national survey. BMJ Open. 2020;10(2):e034321. https://doi.org/10.1136/bmjopen-2019-034321Habib A, Kureishy S, Soofi S, Hussain I, Rizvi A, et al. Prevalence and Risk Factors for Iron Deficiency Anemia among Children under Five and Women of Reproductive Age in Pakistan: Findings from the National Nutrition Survey 2018. Nutrients. 2023;15(15):3361. https://doi.org/10.3390/nu15153361Habib A, Kureishy S, Soofi S, Hussain I, Rizvi A, et al. Prevalence and Risk Factors for Iron Deficiency Anemia among Children under Five and Women of Reproductive Age in Pakistan: Findings from the National Nutrition Survey 2018. Nutrients. 2023;15(15):3361. https://doi.org/10.3390/nu15153361Purdy JC, Shatzel JJ. The hematologic consequences of obesity. Eur J Haematol. 2021;106(3):306-319. https://doi.org/10.1111/ejh.13560Purdy JC, Shatzel JJ. The hematologic consequences of obesity. Eur J Haematol. 2021;106(3):306-319. https://doi.org/10.1111/ejh.13560González-Domínguez Á, Visiedo-García FM, Domínguez-Riscart J, González-Domínguez R, Mateos RM, Lechuga-Sancho AM. Iron Metabolism in Obesity and Metabolic Syndrome. Int J Mol Sci. 2020;21(15):5529. https://doi.org/10.3390/ijms21155529González-Domínguez Á, Visiedo-García FM, Domínguez-Riscart J, González-Domínguez R, Mateos RM, Lechuga-Sancho AM. Iron Metabolism in Obesity and Metabolic Syndrome. Int J Mol Sci. 2020;21(15):5529. https://doi.org/10.3390/ijms21155529Chen Z, Cao B, Liu L, Tang X, Xu H. Association between obesity and anemia in an nationally representative sample of United States adults: a cross-sectional study. Front Nutr. 2024;11:1304127. https://doi.org/10.3389/fnut.2024.1304127Chen Z, Cao B, Liu L, Tang X, Xu H. Association between obesity and anemia in an nationally representative sample of United States adults: a cross-sectional study. Front Nutr. 2024;11:1304127. https://doi.org/10.3389/fnut.2024.1304127Langley-Evans SC, Pearce J, Ellis S. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review. J Hum Nutr Diet. 2022;35(2):250-264. https://doi.org/10.1111/jhn.12999Langley-Evans SC, Pearce J, Ellis S. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review. J Hum Nutr Diet. 2022;35(2):250-264. https://doi.org/10.1111/jhn.12999Doi L, Williams AJ, Marryat L, Frank J. Cohort study of high maternal body mass index and the risk of adverse pregnancy and delivery outcomes in Scotland. BMJ Open. 2020;10(2):e026168. https://doi.org/10.1136/bmjopen-2018-026168Doi L, Williams AJ, Marryat L, Frank J. Cohort study of high maternal body mass index and the risk of adverse pregnancy and delivery outcomes in Scotland. BMJ Open. 2020;10(2):e026168. https://doi.org/10.1136/bmjopen-2018-026168Lauth C, Huet J, Dolley P, Thibon P, Dreyfus M. Maternal obesity in prolonged pregnancy: Labor, mode of delivery, maternal and fetal outcomes. J Gynecol Obstet Hum Reprod. 2021;50(1):101909. https://doi.org/10.1016/j.jogoh.2020.101909Lauth C, Huet J, Dolley P, Thibon P, Dreyfus M. Maternal obesity in prolonged pregnancy: Labor, mode of delivery, maternal and fetal outcomes. J Gynecol Obstet Hum Reprod. 2021;50(1):101909. https://doi.org/10.1016/j.jogoh.2020.101909Kerbage Y, Senat MV, Drumez E, Subtil D, Vayssiere C, Deruelle P. Risk factors for failed induction of labor among pregnant women with Class III obesity. Acta Obstet Gynecol Scand. 2020;99(5):637-643. https://doi.org/10.1111/aogs.13794Kerbage Y, Senat MV, Drumez E, Subtil D, Vayssiere C, Deruelle P. Risk factors for failed induction of labor among pregnant women with Class III obesity. Acta Obstet Gynecol Scand. 2020;99(5):637-643. https://doi.org/10.1111/aogs.13794Axelsson D, Brynhildsen J, Blomberg M. Maternal obesity and the risk of postpartum infections according to mode of delivery. J Matern Fetal Neonatal Med. 2023;36(2):2245102. https://doi.org/10.1080/14767058.2023.2245102Axelsson D, Brynhildsen J, Blomberg M. Maternal obesity and the risk of postpartum infections according to mode of delivery. J Matern Fetal Neonatal Med. 2023;36(2):2245102. https://doi.org/10.1080/14767058.2023.2245102

The authors declare that there are no conflicts of interest present.