Features of delivery in patients with perinatal fetal death

Cover Page

Abstract


The article presents the features of the course of the birth act in patients with perinatal fetal death, in comparison with the control group of women who gave birth to children who survived 7 days of life. The comparison of the anthropometric data on the parturient (weight at the time of delivery, the results of pelviometry), the incidence of various anomalies of the bone pelvis in women, the sex of the newborn, the timing of delivery, the presentation of the fetus, the duration of the anhydrous interval, the first, second and third periods of labor, Epidural anesthesia, perineotomy and episiotomy, the imposition of obstetric forceps, the imposition of a vacuum extractor, the provision of a medical sleep, labors induction, labors stimulation, amniotomy, manual examination of the uterus cavity, blood transfusion) and surgical delivery by cesarean section. A number of significant differences in the main group and the comparison group that can be regarded as predictors of perinatal fetal death are revealed. For example, women with various abnormalities of the pelvis, in particular the uniformly deformed and transversely pelvic pelvis, children born from premature pregnancy, in the pelvic presentation, with a reduction in the duration of the first period of labor, an increase in the duration of the second and third periods of labor, are at risk for perinatal fetal death, Performance of amniotomy, manual examination of the uterine cavity, blood transfusion at the puerpera. At the same time, the frequency of most obstetric manipulations in both groups does not differ significantly.


Lidiya A. Ivanova

Author for correspondence.
lida.ivanova@gmail.com
S.M. Kirov Military Medical Academy
Russian Federation, Saint Petersburg

MD, PhD, Associate Professor, Department of Obstetrics and Gynecology

Elena V. Titkova

lida.ivanova@gmail.com
St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Russian Federation, Saint Petersburg

MD, PhD, Associate Professor, Department of Obstetrics and Gynecology

  • Баранов A.A., Альбицкий В.Ю. Смертность детского населения России. – М.: Литтерра, 2010. [Baranov AA, Al'bitskiy VYu. Mortality of the child population of Russia. Moscow: Litterra; 2010. (In Russ.)]
  • Володин Н.Н., Сухих Г.Т. Базовая помощь новорожденному — международный опыт. – М.: ГЭОТАР-Медиа, 2008. [Volodin NN, Sukhikh GT. Basic help for a newborn is international experience. Moscow: GEOTAR-Media; 2008. (In Russ.)]
  • Доброхотова Ю.Э., Чернышенко Т.А., Аушева А.А. Реабилитация репродуктивной функции у женщин с неразвивающейся беременностью в анамнезе // Журнал акушерства и женских болезней. – 2006. – Т. 55. – № 1. – С. 91–94. [Dobrokhotova YuE, Chernyshenko TA, Ausheva AA. Rehabilitation of reproductive function in women with a history of undeveloped pregnancy. Zhurnal akusherstva i zhenskikh bolezney. 2006;55(1):91-94. (In Russ.)]
  • Лисицын Ю.П. Здравоохранение и страхование здоровья в XX веке. – М.: Федеральный фонд обязательного медицинского страхования, 2001. [Lisitsyn YuP. Health and health insurance in the XX century. Moscow: Federal'nyy fond obyazatel'nogo meditsinskogo strakhovaniya; 2001. (In Russ.)]
  • Наумчик Б.И. Дифференцированный подход к диагностике, лечению и акушерской тактике у беременных с СЗРП: ближайшие и отдаленные результаты: Автореф. дис. ... канд. мед. наук. – М., 2001. [Naumchik BI. A differentiated approach to diagnosis, treatment and obstetric tactics in pregnant women with NWFP: immediate and long-term results. [dissertation] Moscow; 2001. (In Russ.)]
  • Стародубов В.И., Цыбульская И.С., Суханова Л.П. Охрана здоровья матери и ребенка как приоритетная проблема современной России // Современные медицинские технологии. – 2009. – № 2. – С. 11–16. [Starodubov VI, Tsybul'skaya IS, Sukhanova LP. Maternal and child health as a priority problem of modern Russia. Sovremennyye meditsinskiye tekhnologii. 2009;(2):11-16. (In Russ.)]
  • Суханова Л.П. Здоровье новорожденных детей России. – М.: Канон+РООИ, 2007. [Sukhanova LP. Health of newborn children in Russia. Moscow: Kanon+ROOI; 2007. (In Russ.)]
  • Суханова Л.П., Глушенкова В.А., Кузнецова Т.В. Эволюция акушерской патологии в России // Здравоохранение Российской Федерации. – 2010. – № 4. – С. 27–32. [Sukhanova LP, Glushenkova VA, Kuznetsova TV. Evolution of obstetric pathology in Russia. Zdravookhraneniye Rossiyskoy Federatsii. 2010;(4):27-32. (In Russ.)]
  • Фролова О.Г., Гудимова В.В., Саламадина Г.Е. Региональные аспекты перинатальной смертности // Акушерство и гинекология. – 2010. – № 5. – С. 84–88. [Frolova OG, Gudimova VV, Salamadina GYe. Regional aspects of perinatal mortality. Akusherstvo i ginekologiya. 2010;(5):84-88. (In Russ.)]
  • Фролова О.Г., Чумакова О.В., Байбарина E.H., и др. Организационные аспекты выхаживания детей с экстремально низкой массой тела // Российский вестник перинатологии и педиатрии. – 2008. – Т. 53. – № 5. – С. 4–9. [Frolova OG, Chumakova OV, Baybarina EH, et al. Organizational aspects of nursing children with extremely low body weight. Rossiyskiy vestnik perinatologii i pediatrii. 2008;53(5):4-9. (In Russ.)]
  • Цыбульская И.С., Суханова Л.П., Глушенкова В.А. Проблемы перинатальной смертности в России // Менеджер здравоохранения. – 2007. – № 9. – С. 49–54. [Tsybul'skaya IS, Sukhanova LP, Glushenkova VA. Problems of Perinatal Mortality in Russia. Menedzher zdravookhraneniya. 2007;(9):49-54. (In Russ.)]

Supplementary files

There are no supplementary files to display.

Views

Abstract - 48

PDF (Russian) - 46


Copyright (c) 2017 Ivanova L.A., Titkova E.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.