PRETERM BIRTH AS THE MOST IMPORTANT PROBLEM OF MODERN OBSTETRICS

The study of the rate of preterm births and their outcomes at 22-37 weeks gestation provided an update on the diagnosis, treatment of threatened premature labor, pregnancy management in case of isthmico-cervical insuff iciency and premature amniorrhea. It was performed using the records of Moscow maternity hospitals and the Center for Family Planning and Reproduction, Moscow Healthcare Department. The short cervix uteri detected by transvaginal ultrasound was shown to be the most accurate criterion for threatened premature labor at 22-34 weeks gestation. Patients with a cervical length of below 26 mm and extended internal os are a group at risk for preterm birth. What delivery procedures should be used in case of spontaneous preterm birth, particularly at less than 28 weeks gestation, remains debated. Due to the fact that preterm birth is one of the central problems in modern obstetrics, it is reasonable to conduct multicenter trials of the prevention, diagnosis, and treatment of threatened premature delivery, by attracting leading specialists. It is necessary to prepare issues relating to the analysis of perinatal outcomes of preterm birth at 22-28 and 29-37 weeks gestation depending on the procedures of delivery, to accumulate experience in improving cesarean section techniques for preterm delivery and, among other processes, to give an objective assessment of how to extract babies in the whole fetal bladder.

premature birth, gestation duration, 22-28 weeks, 29-37 weeks, delivery procedures, pregnancy management