The risk factors and pattern of preterm birth in the fetal residents of the Republic of Kazakhstan


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Objective. To identify the risk factors and pattern of preterm birth. Subjects and methods. A total of 11,861 births were retrospectively analyzed; 1806 (15.2%) of them were preterm. The odds ratio (OR) and confidence interval (Cl) were calculated for the risk factors of preterm birth. Results. The study of the social portrait of women having preemies showed that their educational level (OR, 2.7; SE, 0.29; 95% Cl, 1.5-4.8), employment (OR, 2.4; SE, 0.29; 95% Cl, 1.3-4.1), and place of residence (OR, 1.5; SE, 0.29; 95% Cl, 0.9-2.7) were statistically significant risk factors for preterm birth. The main risk factors for preterm birth were isthmic-cervical insufficiency, a history of preterm birth and fetal loss (OR, 2.66; SE, 0.35; 95% Cl, 1.3-5.3), and low-weight birth babies (OR, 2.38; SE, 0.37; 95 Cl, 1.2-5.1). Conclusion. Family planning, pregravid preparation of an expectant mother, and preventive measures in pregnant women at high risk for preterm birth can reduce preterm birth rates.

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作者简介

Aizada Marat

Astana Medical University

Email: aizadamarat0708@gmail.com
PhD, obstetrician-gynecologist, Department of Obstetrics and Gynecology № 1 Astana, Kazakhstan

Talshyn Ukybassova

National Research Center of Motherhood and Childhood

MD, professor of the Department of Women’s Diseases, “University Medical Center” Astana, Kazakhstan

参考

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