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


Citar

Texto integral

Acesso aberto Acesso aberto
Acesso é fechado Acesso está concedido
Acesso é fechado Acesso é pago ou somente para assinantes

Resumo

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.

Texto integral

Acesso é fechado

Sobre autores

A. 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. 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. 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

Bibliografia

  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.

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML

Declaração de direitos autorais © Bionika Media, 2019

Este site utiliza cookies

Ao continuar usando nosso site, você concorda com o procedimento de cookies que mantêm o site funcionando normalmente.

Informação sobre cookies