U Yuldasheva, M Karoboeva, N Zakirova, S Sobirova, V Kurbaniyazova
Caring for the health of the future generation is one of the most important for our republic. There is no doubt that the level of perinatal mortality is significantly influenced by the state of health of the mother. The real decrease in perinatal mortality in recent decades worldwide is associated with an increase in the frequency of abdominal delivery [3, 10, 31]. The increase in operative delivery is largely associated with an increase in the number of pregnant women with extragenital pathology, including diseases of the cardiovascular system, the proportion of which in pregnant women has increased from 0.5% to 10% over the past decades [8,9]. According to M.M. Nizametdinova et al. [6, 13, 22, 30], caesarean section was used in 16%, and obstetric forceps in 14% of women with CHD. According to G.K. Sermanizova [11, 20, 28] found that 40.5% of pregnant women aged 17-48 years were diagnosed with heart disease in a specialized clinic. Of these, 75% were diagnosed with congenital heart disease, and only 25% had acquired heart defects. Despite the improvement in the diagnosis and treatment of cardiovascular diseases, the expansion of indications for carrying a pregnancy, the problem of reducing not only maternal, but also perinatal mortality in this type of pathology does not lose its relevance.
