Preterm birth: the impact of risk factors on pregnancy outcomes
- Authors: Khalitova R.S.1, Ziganshin A.M.1, Mukhametdinova I.G.1, Mudrov V.A.2
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Affiliations:
- Bashkir State Medical University
- Chita State Medical Academy
- Issue: Vol 71, No 3 (2022)
- Pages: 43-52
- Section: Original Research
- URL: https://journals.eco-vector.com/jowd/article/view/108233
- DOI: https://doi.org/10.17816/JOWD108233
- ID: 108233
Cite item
Abstract
BACKGROUND: Despite the achievements of modern obstetrics and neonatology, the problem of preterm birth remains one of the most pressing.
AIM: The aim of this study was to evaluate the influence of risk factors on the outcome of threatened preterm birth.
MATERIALS AND METHODS: This prospective cohort study included the analysis of clinical and anamnestic data of 130 patients delivered at various gestational ages. The main group comprised 68 women with preterm delivery, with the control group consisting of 62 women with timely delivery.
RESULTS: The outcome of preterm birth is adversely affected by overweight in the group of modifiable risk factors, by history of premature birth in the immediate family in the group of non-modifiable risk factors, and by a previous COVID-19, anemia and autonomic nervous system disorders in the group of potentially modifiable risk factors. The most reliable prognostic marker for the development of preterm labor was the shortening of the cervical length of less than 2.5 cm according to ultrasound.
CONCLUSIONS: The formation of risk groups based on the analysis of clinical, anamnestic, medical, and social data, as well as somatic and gynecological diseases can help avoid the development of adverse outcomes of preterm birth.
Keywords
Full Text
About the authors
Regina Sh. Khalitova
Bashkir State Medical University
Email: dr_khalitova@mail.ru
ORCID iD: 0000-0002-2629-2051
SPIN-code: 5533-5782
MD
Russian Federation, 39a Gorky St., Chita, 672000Aydar M. Ziganshin
Bashkir State Medical University
Email: zigaidar@yandex.ru
ORCID iD: 0000-0001-5474-1080
Scopus Author ID: 57196372895
ResearcherId: V-1442-2017
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, 39a Gorky St., Chita, 672000Irina G. Mukhametdinova
Bashkir State Medical University
Email: n-irish@mail.ru
ORCID iD: 0000-0003-2910-3495
MD
Russian Federation, 39a Gorky St., Chita, 672000Victor A. Mudrov
Chita State Medical Academy
Author for correspondence.
Email: mudrov_viktor@mail.ru
ORCID iD: 0000-0002-5961-5400
Scopus Author ID: 57204736023
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, 39a Gorky St., Chita, 672000References
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