Aim. To study the puerperal complications in women with disturbance of fat metabolism associated with hypovitaminosis D3. Materials and methods. One hundred and two puerperal women were examined after giving birth to a child at the City Perinatal Center. Results. The number of puerperal complications in the group of women with obesity and hypovitaminosis D occurred twice as more often than in women with normal body mass. From all complications, there prevailed lactostasis and hypogalactia. Only in the group of puerperas with high body mass index and low vitamin D content combined, there were detected subinvolution and puerperal endometriosis. Conclusions. Patients with obesity and low vitamin D3 content need more thorough preparation to delivery and lactation at The Mothers School when they are observed during pregnancy. Personnel of maternity hospital and patients relatives ought to take an active part in puerperal care and promote early activation of puerpera with obesity to reduce possible complications.

Large multicenter surveillance studies of hospital infections show an increasing incidence of Acinetobacter baumannii infections worldwide [1]. Colonization and infection by multidrug-resistant (MDR) microbes are increasingly common in hospitalized patients. Among such isolates, A. baumannii is a common microorganism, and is usually resistant to antimicrobials such as beta-lactams and carbapenems [2,3,4].Three cases of A. baumannii postoperative wound infections that occurred in patients who underwent operations for gynecologic cancer are presented. Microbe identification was performed using the autoSCAN system (Databaring) or API system; the Kirby-Bauer method plus E-test for colistin resistance were used for antimicrobial susceptibility testing.A 65-year-old patient with endometrial carcinoma presented with vaginal bleeding due to disease recurrence. The patient had initially been treated with radiotherapy because of significant comorbidity: pulmonary hypertension, relatively low ejection fraction of 50%, diabetes mellitus, and body mass index (BMI, calculated as weight in kilograms divided by height in meters squared) of 31.2. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy. The patient's comorbidity necessitated a 48-hour stay in the intensive care unit. She received surgical prophylaxis with 3 g of piperacillin and 0.75 g of tazobactam twice daily and 500 mg of metronidazole 3 times daily for 3 days.On the 10th postoperative day, the surgical incision was found to be red and edematous with subcutaneous serosanguinous fluid. Fluid culture revealed A. baumannii susceptible only to colistin. She received intravenous colistin (3 million IU 3 times daily) and surgical wound cleansing twice daily. Twenty-two days later the antibiotic was discontinued because of anaphylactoid reaction. Three months later the patients was receiving chemotherapy for her primary disease and the wound was improving in a slow healing process.A 60-year-old patient with stage Ib cervical carcinoma underwent a Wertheim-Meigs procedure.

The number of obese pregnant women increases annually and reaches 20-30%. The metabolism of hormones and minerals changes in the presence of a large amount of adipose tissue in the body of a pregnant woman, which leads to a number of obstetric and perinatal problems. The aim of the work is to study and compare the influence of the gestational process on the indicators of iron and copper metabolism in the blood serum of women with normal body weight and women with obesity. In the blood serum of 125 women of reproductive age, the content of hemoglobin, iron, transferrin, ferritin, copper and ceruloplasmin was determined. The influence of pregnancy on the indicators of iron and copper metabolism in the blood serum of women was revealed. Pregnancy in women with normal body weight increases the content of transferrin and ceruloplasmin. Correlation of ceruloplasmin and ferritin content with body mass index of obese pregnant women was revealed. In pregnancy with concomitant obesity, hyperferritinemia is formed with a reduced content of hemoglobin and serum iron. Knowledge of the indicators of iron and copper metabolism is necessary to optimize the observation of pregnant women, effective prevention and prediction of obstetric and perinatal complications.

We examined 226 women of reproductive age who permanently resided in Perm. Our research goal was to examine certain risk factors and assess their effects on overweight and obesity in women of reproductive age.All the patients were divided into 2 groups; the reference one was made up of 123 women with normal body weight; the test one included 103 women with overweight and obesity. We determined body mass index (BMI) of each woman; obesity type (in case BMI was higher than 25 kg/m 2 , namely android or gynoid one; physical activity; nutrition stereotypes; smoking status (more than 5 cigarettes a day daily for not less than 1 months); sleeping disorders; research season; concomitant gastrointestinal diseases and liver diseases. We calculated relative risk of obesity and BMI predictors.The research revealed a significant correlation between overweight and obesity and elevated risks of unhealthy nutrition stereotypes (RR=3.3); low physical activity (RR=2.6); age exceeding 35 (RR=2.1); smoking (RR=1.8); gastrointestinal diseases and liver diseases (RR=1.5); sleeping disorders (RR=1.5). Women from the test group had improper eating habits and nutrition behavior as opposed to their counterparts from the reference group. Each second patient who suffered from android obesity was also a smoker. Winter season didn't turn out to be a predictor of fat metabolism disorders.Therefore, having analyzed pre-obesity and obesity risk, we recommend efficient activities performed in public healthcare and personal adherence to healthy lifestyle as it will allow reducing body weight of fertile Russian women. Doctors of any specialty should share the responsibility for preserving health of future parents and generations.