Analysis of the premature birth causes
Saduakasova S.M. Bazarbaeva Z.U. Aigyrbaeva A.N. Buzumova Z.O. Almasbek A.A. Kurbanbay A.B. Zholbarys D.A. Primbetova A.Sh. Toleubaeva A.A.
2024Kaz Med Print LLP
Reproductive Medicine (Central Asia)
2024#2024Issue 134 - 43 pp.
Relevance: Premature birth is one of the most pressing problems of modern medicine and is defined as a multifactorial syndrome with many causes and main factors, including complications from the mother or fetus, requiring medical intervention to terminate pregnancy. It is estimated that 11% of all live births in the world are premature, whereas, in women with placenta previa or low-lying placenta, this risk is reported to increase 2-4 times. The study aimed to assess the role and importance of gynecological diseases to determine the causes and their impact on the risk of premature birth. Materials and Methods: We examined 66 women of reproductive age. This comparative, prospective study was based on the city polyclinic No. 36 in Almaty, conducted from January to November 2023. The women included in the study were identified by the International Classi-fication of Diseases (ICD) codes and entered into the Damumed electronic medical documentation system. Results: The article presents the results of a prospective study of childbirth in pregnant women whose labor was complicated by premature and prenatal outpouring of amniotic fluid. As a result of the analysis of obstetric anamnesis in pregnant women revealed that 20 women (30.3%) were pregnant, and high parity was detected in 18 (27.27%) women. When studying the anamnesis of women with PR in the study, it was found that during previous pregnancies, episodes of bacterial vaginosis were observed in 9 (13.64%) women, and during this pregnancy, asymptomatic bacteriuria was diagnosed in 21 (31.82%) cases. Conclusion: A very high correlation was revealed between genitourinary tract infections and the risk of premature birth based on the analysis results. Both women with placenta previa and those with low-lying placenta have an increased risk of premature birth. This increased risk is the same for all degrees of severity of premature birth. Concomitant risk factors for premature birth were the advanced age of the mother, secondhand smoke, hypertension, a history of abortions, and premature rupture of the membranes.
genitourinary tract infections , gestational arterial hypertension , induction of labor , placenta previa , premature birth , premature rupture of amniotic fluid , prenatal rupture of amniotic fluid
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Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Asfendiyarov Kazakh National Medical University
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