Prediction of and a risk group for delayed labor
- Authors: Tysyachnyi O.V.1, Baev O.R.1, Chausov A.A.1, Krechetova L.V.1, Chernukha E.A.1
-
Affiliations:
- Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
- Issue: No 11 (2018)
- Pages: 36-42
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248291
- DOI: https://doi.org/10.18565/aig.2018.11.36-42
- ID: 248291
Cite item
Open Access
Access granted
Abstract
Objective. To assess the features of somatic, obstetric and gynecologic histories and the course of pregnancy in order to determine factors and to identify a risk group for delayed labor. Subjects and methods. The study included 957 healthy primiparas and secundiparas and their newborns. The data of family, somatic and obstetric/gynecologic histories were analyzed to clarify differences in the course of pregnancy and childbirth during timely and delayed childbirth. Results. Post-term pregnancy was found to be more common in some types of extragenital pathology, such as diseases of ENT (p = 0.01), urinary system (p = 0.01), and visual organs (p = 0.01), and a male fetus (p = 0.0001). The significant risk factors of post-term pregnancy included the birth of a pregnant woman herself (OR = 4.6; 2.5-8.3; p < 0.0001) or that of the father of the child (OR = 3.8; 1.7-8.1; p = 0.0005) due to delayed labor, a history of post-term pregnancy (OR = 2.2; 1.2-4.1; p = 0.01), and birth canal unreadiness for childbirth in primiparas at 284 days or more (p < 0.0001) and in secundiparas at 283 days or more (p < 0.0001). Taking into account the gender of a fetus and medical history data, a prognostic model was created using the binary logistic regression method. Conclusion. The most significant risk factors for post-term pregnancy are diseases of ENT, urinary system, and visual organs, a male fetus, birth of parents from delayed labor, a history of post-term pregnancy, birth canal unreadiness for childbirth in primiparas at 284 days or more and in secundiparas at 283 days or more.
Keywords
Full Text
About the authors
Oleg V. Tysyachnyi
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: olti23@mail.ru
junior scientific researcher of the first maternity departments
Oleg R. Baev
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: metod_obsgyn@hotmail.com
MD, Phd, professor, the head of the first Maternity Department
Andrey A. Chausov
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: он 84954386948.Электронная почта a_chausov@oparina4.ru
junior scientific researcher of the Department of medical and social research
Lyubov V. Krechetova
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: l_krechetova@oparina4.ru
Phd., the head of Laboratory of clinical immunology
Evgeniy A. Chernukha
Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: e_chernuha@oparina4.ru
MD, Phd, professor, consultant of the first obstetric physiological Department
References
- Wang M., Fontaine P. Common questions about late-term and postterm pregnancy. Am. Fam. Physician. 2014; 90(3): 160-5.
- Чернуха Е.А. Переношенная и пролонгированная беременность. М.: ГЭОТАР-Медиа; 2007.
- Ayyavoo A., Derraik J.G., Hofman P.L., Cutfield W.S. Postterm births: are prolonged pregnancies too long? J. Pediatr. 2014; 164(3): 647-51.
- Delaney M., Roggensack A. No.214-Guidelines for the management of pregnancy at 41+0 to 42+0 weeks. J. Obstet. Gynaecol. Can. 2017; 39(8): e164-74.
- Calder A., Alfirevic Z., Baxter J. et al. RCOG Clinical guideline. Induction of labour. - 2008. Jul; № 70: 81
- Karkowski M. The Ballantyne-Runge syndrome. Pediatr. Pol. 1982; 57(1): 63-5.
- Вученович Ю.Д., Князев С.А., Заякина Л.Б., Хубецова М.Т., Старцева Н.М. Переношенная беременность: влияние паритета. Вестник Российского университета дружбы народов. Серия: Медицина. 2007; 5: 44-50.
- Heslehurst N., Vieira R., Hayes L., Crowe L., Jones D., Robalino S. et al. Maternal body mass index and post-term birth: a systematic review and meta-analysis. Obes. Rev. 2017; 18(3): 293-308.
- McNamara J.P., Huber K. Metabolic and endocrine role of adipose tissue during lactation. Annu. Rev. Anim. Biosci. 2018; 6: 177-95.
- Stirrat L.I., O’Reilly J.R., Barr S.M., Andrew R., Riley S.C., Howie A.F. et al. Decreased maternal hypothalamic-pituitary-adrenal axis activity in very severely obese pregnancy: Associations with birthweight and gestation at delivery. Psychoneuroendocrinology. 2015; 63: 135-43.
- Caughey A.B., Stotland N.E., Washington A.E., Escobar G.J. Who is at risk for prolonged and postterm pregnancy? Am. J. Obstet. Gynecol. 2009; 200(6): 683. e1-5.
- Kortekaas J.C., Kazemier B.M., Ravelli A.C., de Boer K., van Dillen J., Mol B., de Miranda E. Recurrence rate and outcome of postterm pregnancy, a national cohort study. Eur. J. Obstet. Gynecol. Reprod. Biol. 2015; 193: 70-4.
- Румянцева В.П., Стрижаков А.Н., Баев О.Р., Донников А.Е., Рыбин М.В., Сухих Г.Т. Полиморфизм генов цитокинов при своевременных родах и перенашивании беременности. Акушерство и гинекология. 2013; 6: 34-40.
- Torricelli M., Voltolini C., Conti N., Bocchi C., Severi F.M., Petraglia F. Weight gain regardless of pre-pregnancy BMI and influence of fetal gender in response to labor induction in postdate pregnancy. J. Matern. Fetal Neonatal Med. 2013; 26(10): 1016-9.
- Rabe T., Hösch R., Runnebaum B. Sulfatase deficiency in the human placenta: clinical findings. Biol. Res. Pregnancy Perinatol. 1983; 4(3): 95-102.
Supplementary files
