The effectiveness of programmed labor in women with obesity and anemia
https://doi.org/10.21886/2219-8075-2025-16-3-38-48
Abstract
Objective: to evaluate the effectiveness of programmed birth in women with obesity and anemia.
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: 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.
About the Authors
A. A. OrazmuradovRussian Federation
Agamurad A. Orazmuradov, Dr. Sci. (Med.), Professor, Professor of the Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute
Moscow
N. M. Zokirova
Russian Federation
Nozimabonu M. Zokirova, Postgraduate Student of the Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute
Moscow
I. V. Bekbaeva
Russian Federation
Irina V. Bekbaeva, Cand. Sci. (Med.), Assistant, Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute
Moscow
E. V. Mukovnikova
Russian Federation
Ekaterina V. Mukovnikova, Postgraduate Student, Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute
Moscow
O. K. Doronina
Russian Federation
Olga K. Doronina, Dr. Sci. (Med.), Professor, Professor of the Department of Obstetrics and Gynecology with a Course in Perinatology, Medical Institute
Moscow
G. A. Orazmuradova
Russian Federation
Gozel A. Orazmuradova, student, Medical Institute
Moscow
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Review
For citations:
Orazmuradov A.A., Zokirova N.M., Bekbaeva I.V., Mukovnikova E.V., Doronina O.K., Orazmuradova G.A. The effectiveness of programmed labor in women with obesity and anemia. Medical Herald of the South of Russia. 2025;16(3):38-48. (In Russ.) https://doi.org/10.21886/2219-8075-2025-16-3-38-48