Risk factors for spontaneous preterm birth: results of a clinical-epidemiological study


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Aim. To determine risk factors for spontaneous preterm birth in contemporary conditions based on a longitudinal clinical-epidemiological study. Materials and methods. This is a population longitudinal clinical-epidemiological study of 1361 pregnant women residing in the Ivanovo region, who were surveyed at early gestational ages. Of them, 73 and 1288 women had spontaneous premature births and full-term deliveries, respectively. Results. The study findings suggest that a woman’s age, beginning from the age of 25 is a riskfactorfor spontaneous preterm birth. Some of the factors were not conf irmed in our study. We identif ied new factors that increase the risk of spontaneous preterm birth, including a woman’s secondary education, non-use of contraceptives before pregnancy, uterine leiomyoma, and a history of being born prematurely. Conclusion. Our findings on additional risks factor can be used to adjust antenatal care programs to correct modifiable factors.

Full Text

Restricted Access

About the authors

A. O Nazarova

V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood of Minzdrav of Russia; Ivanovo State Medical Academy of Minzdrav of Russia

Email: aonazarova02@gmail.com
Ph.D., Associate Professor at the Department of Obstetrics and Gynecology, and Medical Genetics

A. I Malyshkina

V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood of Minzdrav of Russia; Ivanovo State Medical Academy of Minzdrav of Russia

Email: ivniimid@inbox.ru
Dr.Med.Sci., Professor, Director

S. B Nazarov

V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood of Minzdrav of Russia; Ivanovo State Medical Academy of Minzdrav of Russia

Email: ivniimid@inbox.ru
Dr.Med.Sci., Professor, Deputy Director for Science

References

  1. Menon R. Preterm birth: a global burden on maternal and child health. Pathog. Glob. Health. 2012; 106(3): 139-40.
  2. Сухих Г.Т., Серов В.Н., Адамян Л.В., Филиппов О.С., Баев О.Р., Клименченко Н.И., Тетруашвили Н.К., Тютюнник В.Л., Ходжаева З.С., Холин А.М. Преждевременные роды. Клинические рекомендации (протокол). М.: Научный центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова; 2014. 35 с.
  3. https://www.mayoclinic.org/diseases-conditions/preterm-labor/symptoms-causes/syc-20376842
  4. https://emedicine.medscape.com/article/260998-overview
  5. https://www.nichd.nih.gov/health/topics/preterm/conditioninfo/who_risk
  6. Radwan N.E., Nour S.A., Hamed G.A. Risk factors and pregnancy outcome of preterm labor. IOSR J. Nurs. Health Sci. 2015; 4(6): 83-94.
  7. Kashanian M., Faghankhani M., Hadizadeh H., Salehi M.M., Yousefzadeh Roshan M., Ehsani Pour M. et al. Psychosocial and biological paternal role in pregnancy outcomes. J. Matern. Fetal Neonatal Med. 2018; Jul 22: 1-10. https:// doi.org/10.1080/14767058.2018.1488167.
  8. Meng Y., Groth S.W. Fathers count: the impact of paternal risk factors on birth outcomes. Matern. Child Health J. 2018; 22(3): 401-8. https://doi.org/10.1007/ s10995-017-2407-8.
  9. Shapiro G.D., Bushnik T., Sheppard A.J., Kramer M.S., Kaufman J.S., Yang S. Paternal education and adverse birth outcomes in Canada. J. Epidemiol. Commun. Health. 2017; 71(1): 67-72. https://doi.org/10.1136/ jech-2015-206894.
  10. Arisoy R., Erdogdu E., Bostanct E., Ergin R.N., Kumru P., Demirci O. et al. Obstetric outcomes of intramural leiomyomas in pregnancy. Clin. Exp. Obstet. Gynecol. 2016; 43(6): 844-8.
  11. Girault A., Le Ray C., Chapron C., Goffinet F., Marcellin L. Leiomyomatous uterus and preterm birth: an exposed/unexposed monocentric cohort study. Am. J. Obstet. Gynecol. 2018; 219(4): 410. https://doi.org/10.1016/j.ajog.2018.08.033.
  12. Jensen E.T., Daniels J.L., Sturmer T., Robinson W.R., Williams C.J., Vejrup K. et al. Hormonal contraceptive use before and after conception in relation to preterm birth and small for gestational age: an observational cohort study. BJOG. 2015; 122(10): 1349-61. https://doi.org/10.1111/1471-0528.13114.
  13. Boivin A., Luo Z.C., Audibert F., Masse B., Lefebvre F., Tessier R. et al. Risk for preterm and very preterm delivery in women who were born preterm. Obstet. Gynecol. 2015; 125(5): 1177-84. https://doi.org/10.1097/ AOG.0000000000000813.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2019 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies