The risk factors and pattern of preterm birth in the fetal residents of the Republic of Kazakhstan
- Authors: Marat A.M.1, Ukybassova T.2
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Affiliations:
- Astana Medical University
- National Research Center of Motherhood and Childhood
- Issue: No 12 (2018)
- Pages: 50-54
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248304
- DOI: https://doi.org/10.18565/aig.2018.12.50-54
- ID: 248304
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Abstract
Objective. To identify the risk factors and pattern of preterm birth. Subjects and methods. A total of 11,861 births were retrospectively analyzed; 1806 (15.2%) of them were preterm. The odds ratio (OR) and confidence interval (Cl) were calculated for the risk factors of preterm birth. Results. The study of the social portrait of women having preemies showed that their educational level (OR, 2.7; SE, 0.29; 95% Cl, 1.5-4.8), employment (OR, 2.4; SE, 0.29; 95% Cl, 1.3-4.1), and place of residence (OR, 1.5; SE, 0.29; 95% Cl, 0.9-2.7) were statistically significant risk factors for preterm birth. The main risk factors for preterm birth were isthmic-cervical insufficiency, a history of preterm birth and fetal loss (OR, 2.66; SE, 0.35; 95% Cl, 1.3-5.3), and low-weight birth babies (OR, 2.38; SE, 0.37; 95 Cl, 1.2-5.1). Conclusion. Family planning, pregravid preparation of an expectant mother, and preventive measures in pregnant women at high risk for preterm birth can reduce preterm birth rates.
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About the authors
Aizada M. Marat
Astana Medical University
Email: aizadamarat0708@gmail.com
PhD, obstetrician-gynecologist, Department of Obstetrics and Gynecology № 1 Astana, Kazakhstan
Talshyn Ukybassova
National Research Center of Motherhood and ChildhoodMD, professor of the Department of Women’s Diseases, “University Medical Center” Astana, Kazakhstan
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