Risk factors for threatened preterm labor: a clinical and epidemiological study


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Abstract

Objective. To identify risk factors for threatened preterm labor in modern conditions on the basis of longitudinal clinical and epidemiological study. Materials and methods. This was a continuous longitudinal clinical and epidemiological study of 1417 pregnant women of the Ivanovo region in the early stages of pregnancy. The survey included 261 women with a risk of preterm birth during the current pregnancy and 1156 women with normal course of pregnancy or other obstetric abnormalities. Results. The study revealed 25 risk factors for threatened preterm labor. The most significant factors are pregnancy following IVF, previous history of threatened preterm labor, uterine leiomyoma, previous history of threatened abortion and preterm labor, infertility. The present study identified the differences in risk factors for threatened preterm labor and spontaneous preterm labor. Conclusion. The findings on risk factors for threatened preterm labor can be included in information systems monitoring pregnant women with the aim of detecting groups at risk and timely decision making about the obstetric department where a pregnant woman should be admitted for the delivery.

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About the authors

Alla O. Nazarova

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

Email: aonazarova02@gmail.com
PhD, Associate professor of the department of obstetrics and gynecology, medical genetics

Anna I. Malyshkina

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

Email: ivniimid@inbox.ru
Doct. of Med. Sci., Professor, Director; Head of the Department of obstetrics and gynecology, medical genetics

Sergey B. Nazarov

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

Email: ivniimid@inbox.ru
Doct. of Med. Sci., Professor, assistant Director on science; Head of the department of normal physiology

Elena L. Boyko

V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Health of Russia

Email: Dr-Boyko@mail.ru
Doct. of Med. Sci., Senior Researcher, Department of Obstetrics and Gynecology

References

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