A RATING SCALE OF UNDIFFERENTIATED CONNECTIVE TISSUE DYSPLASIA IN PREDICTING OBSTETRIC COMPLICATIONS


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Resumo

Previous investigations have shown that the existing classifications of undifferentiated connective tissue dysplasia (UCTD) are inadequately efficient in obstetrics, as well as those in the prediction of obstetric complications. Objective. To optimize an UCTD rating scale for increasing its ability to predict a risk for obstetric complications and to create a model for predicting preterm labor. Subject and methods. A prospective study was conducted in 150 pregnant women. The degree of UCTD was evaluated in all the patients, by applying the following classifications: that developed by T.Yu. Smolnova, a rating table for the screening diagnosis of CTD by A.S. Kalmykova, and a table of the significance of clinical markers in the evaluation of the degree of UCTD by T.I. Kadurina. At the second stage, the authors performed a prospective study of280patients and created a model for predicting preterm labor to evaluate the efficiency of the proposed rating scale. Results. A modified UCTD rating scale containing 26 signs was developed for obstetric patients. A mathematical model was created to determine the risk of preterm labor. Conclusion. The modified UCTD rating scale was proposed to identify a group of patients having more than 10 scores that were associated with the risk of obstetric complications and the model was created to predict preterm labor.

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Sobre autores

Natalya Kan

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: n_kan@oparina4.ru
PhD, MD, the head physician 117997, Russia, Moscow, Ac. Oparina str. 4

Elrad Amiraslanov

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: e_amiraslanov@oparina4.ru
scientific researcher, collaborator of the obstetric observation department 117997, Russia, Moscow, Ac. Oparina str. 4

Victor Tyutyunnik

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: tioutiounnik@mail.ru
PhD, MD, the head of the obstetric observation department 117997, Russia, Moscow, Ac. Oparina str. 4

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