Role of cesarean section in the reduction of perinatal mortality and morbidity in full-term babies
- Authors: Savelyeva G.M.1, Trofimova O.A.1
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Affiliations:
- Issue: No 4 (2008)
- Pages: 20-23
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/246064
- ID: 246064
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Abstract
Objective: to determine ways of reducing perinatal mortality and morbidity among full-term infants and the significance of cesarean section (CS). Setting: Department of Obstetrics and Gynecology, Pediatric Faculty, Russian State Medical University, Moscow. Design: a retrospective study. Material and methods: 292 case histories of term labors, the babies after which required intensive care, in different Moscow obstetric institutions were analyzed. Infants with congenital or hereditary diseases were excluded from the study. Results: analysis of the causes of fetal sufferings during pregnancy and labor suggests that it is necessary to expand indications for CS in third-degree growth retardation, advanced pregnancy, severe gestosis, large fetal dimensions exceeding 4500 g during the first labor, and stillbirth in the history. In addition, aggressive labor management contributes to the grave condition of babies at birth. Conclusion: perinatal outcomes in full-term infants without malformations should be continuously compared with the methods of management of pregnancy and labor, which promotes the choice of the most optimal methods of them.
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References
- Караганова Е. Я., Карабанович Я. В., Грабовский В. М. // Материалы 9-го Всероссийского науч. форума "Мать и Дитя". - М., 2007. - С. 104-105.
- Лебедев В. А. Кесарево сечение в современном акушерстве: профилактика материнской и перинатальной заболеваемости и смертности: Автореф. дис.. д-ра мед. наук. - М., 1999.
- Радзинский В. E., Кузнецова О. А., Алев И. А., Сохова З. М. // Акуш. и гин. - 2006. - № 2. - С. 59-62.
- Севельева Г. М., Караганова Е. Я., Курцер М. А. и др. // Акуш. и гин. - 2007. - № 2. - С. 3-8.
- Чернуха Е. А. // Акуш. и гин. - 2005. - № 5. - С. 8-11.
- Шалина Р. И., Выхристюк Ю. В., Кривоножко С. В. // Вопр. гин., акуш. и перинатол. - 2004. - Т. 3, № 4. - С. 57-63.
- Bloom S. L., Leveno K. J., Spong C. Y. et al. // Obstetr. and Gynecol. - 2006. - Vol. 108, N 1. - P. 6-11.
- Dilbat B., Ozturkoglu E., Dilbaz S. et al. // Arch. Gynecol. Obstetr. - 2006. - Vol. 274, N 2. - P. 104-710.
- Hillemann P., Strauss A., Hasbargen U. et al. // Arch. Gynecol. Obstetr. - 2005. - Vol. 273, N 3. - P. 161-165.
- Holcroft C. J., Graham E. M., Aina-Mumuney A. et al. // J. Perinatol. - 2005. - Vol. 25, N 4. - P. 229-235.
- Li N., Wang Y., Zhou H. // Zhonghua Fu Chan Ke Za Zhi. - 2006. - Vol. 41, N 1. - P. 16-19.
- Madar J., Richmond S., Hey F. // Acta Paediatr. - 1999. - Vol. 88, N 11. - P. 1244-1248.
- Murphy D. J., Koh D. K. // Am. J. Obstetr. Gynecol. - 2007. - Vol. 196, N 2. - P. 2. - P. 145-147.
- Thomas J., Paranjothy S., James D. // Br. Med. J. - 2004. - Vol. 328, N 7441. - P. 665.
- Tsankova M., Dimitrov A., Nikolov A., Krusteva K. // Akush. Ginecol. (Sofija). - 2005. - Vol. 44, N 3. - P. 24-27.
- Zanardo V., Simbi A. K., Franzoi M. et al. // Acta Paediatr. - 2004. - Vol. 93, N 5. - P. 643-647.
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