Obstetrics and Gynecology
doi: 10.25005/2074-0581-2019-21-4-550-555
RISK FACTORS OF THE DEVELOPMENT OF PRENOSOLOGICAL FORMS OF POSTPARTUM PYOINFLAMMATORY DISEASES

A.E. Agarev1,2, M.S. Kovalenko3,4, T.D. Zdolnik1

1Department of Epidemiology, Ryazan State Medical University named after academician I.P. Pavlov, Ryazan, Russian Federation
2Regional Clinical Perinatal Center, Ryazan, Russian Federation
3Department of Obstetrics and Gynecology, Ryazan State Medical University named after academician I.P. Pavlov, Ryazan, Russian Federation
4City Clinical Maternity Hospital № 1, Ryazan, Russian Federation

Objective: Identification of risk factors of the development of prenosological forms of postpartum pyoinflammatory diseases.

Methods:  Main and control groups have been formed to identify risk factors. The мain group includes 181 women with complications of the postnatal period (subinvolution of the uterus, lohiometer). The control group was formed by mechanical selection of each fiftieth history of the birth of patients without the above-mentioned complications, its number was 303 people. The work is a retrospective study of the type of «case-control». 

Results: The following risk factors for the development of prenosological forms of postpartum pyoinflammatory diseases have been identified: unregistered marriage; irregular visits to antenatal clinic during pregnancy; beginning of sexual activity until the age of 18; lack of education; prenatal hospitalization for more than 1 day; preeclampsia during pregnancy; placental disorders during pregnancy; first birth; preeclampsia in childbirth; hydramnios; failure to progress; birth stimulation; С-section; emergency C-section; deep rupture of the vaginal mucosa; anemia; separation stays of mother and child.

Conclusion: Most of the identified risk factors are related to the course of pregnancy and childbirth.

Keywords: Pregnancy , childbirth, risk factors, postnatal period.

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References
  1. Gorozhankina KV, Pashina IV, Ponomaryova NA. Dinamika i territorial’nye razlichiya zabolevaemosti oslozhneniyami beremennosti, rodov i poslerodovogo perioda v regionakh Rossii v 2010-2017 godakh [Dynamics and territorial differences in the incidence of complications of pregnancy, childbirth and the postpartum period in the regions of Russia in 2010- 2017]. INNOVA. 2017;3(8):21-4.
  2. Pokrovskiy VI, Akimkin VG, Briko NI, Brusina EB, Zueva LP, Kovalishena OV, i dr. Natsional’naya kontseptsiya profilaktiki infektsiy, svyazannykh s okazaniem meditsinskoy pomoshchi, i informatsionnyy material po eyo polozheniyam [National concept for the prevention of infections associated with the provision of medical care, and information material on its provisions]. N. Novgorod, RF: Izdatel’stvo «Remedium Privolzh’e»; 2012. 84 p.
  3. Markovich NI. Rol’ vracha-epidemiologa v sovremennoy bol’nitse [The role of the epidemiologist in a modern hospital]. Meditsinskiy al’manakh. 2014;2:22-3.
  4. Agarev AE, Kovalenko MS, Isakov SA. Faktory riska razvitiya infektsiy, svyazannykh s okazaniem meditsinskoy pomoshchi sredi rodil’nits [Risk factors for the development of infections associated with the provision of care among women in childbirth]. Nauka molodykh. 2017;3:382-8.
  5. Golubkova AA, Smirnova SS, Bolshakova AN. Kliniko-epidemiologicheskaya kharakteristika faktorov riska endometrita u rodil’nits i sovremennye tekhnologii rodorazresheniya [Clinical and epidemiological characteristics of risk factors for endometritis in puerperas and modern delivery technologies]. Profilakticheskaya i klinicheskaya meditsina. 2017;2:48-53.
  6. Shornikov AB, Zayratyants OV. Poslerodovyy sepsis [Postpartum sepsis]. Vestnik Natsional’nogo mediko-khirurgicheskogo tsentra im. N.I. Pirogova. 2013;3:77-9.
  7. Chernov AV, Brigadirova VYu, Korotkikh IN. Mediko-sotsial’nye aspekty poslerodovykh gnoyno-septicheskikh oslozhneniy [Medical and social aspects of postpartum purulent-septic complications]. Rossiyskiy medikobiologicheskiy vestnik imeni akademika I.P. Pavlova. 2013;2:54-8.
  8. Zhelnina TP. Faktory riska razvitiya infektsiy, svyazannykh s okazaniem meditinskoy pomoshchi u patsientok akusherskogo statsionara [Risk factors for the development of infections associated with the provision of medical care in patients of an obstetric hospital]. Meditsinskiy al’manakh. 2017;4:37-40.
  9. Barinov SV, Blauman ES, Tirskaya YuI, Shkabarnya LL, Popova LD, Medyannikova IV. Faktory riska razvitiya i osobennosti techeniya poslerodovogo endometrita [Risk factors for development and features of the course of postpartum endometritis]. Mat’ i ditya v Kuzbasse. 2017;2:22-8.
  10. Golubkova AA, Smirnova SS, Mankova OA, Zhilina EV. Faktory riska razvitiya poslerodovogo endometrita v sovremennom akusherskom statsionare [Risk factors for the development of postpartum endometritis in a modern obstetric hospital]. Meditsinskiy al’manakh. 2015;5:68-71.
  11. Tirskaya YuI, Barinov SV, Dolgikh TI, Pyanova LG, Chernyshyov AK, Kovalyova YuA, i dr. Prognozirovanie infektsionnogo riska i sposob profilaktiki poslerodovogo endometrita u rodil’nits infektsionnogo riska [Prediction of infectious risk and a method for the prevention of postpartum endometritis in women with infectious risk]. Akusherstvo i ginekologiya. 2014;5:37-42.
  12. Selikhova MS. Prognozirovanie, profilaktika i lechenie poslerodovykh infektsionnykh oslozhneniy [Prediction, prevention and treatment of postpartum infectious complications]. Zhurnal prakticheskogo vracha akushera-ginekologa. 2008;1-2:30-6.
  13. Farret TC. Risk factors for surgical site infection following cesarean section in a Brazilian Women’s Hospital: a case-control study. Braz J Infect Dis. 2015;19(2):113-7. Available from: https://doi.org/10.1016/j. bjid.2014.09.009.
  14. Dotters-Katz SK, Feldman C, Puechl A, Grotegut CA, Heine RP. Risk factors for post-operative wound infection in the setting of chorioamnionitis and cesarean delivery. J Matern Fetal Neonatal Med. 2016;29(10):1541-5. Available from: https://doi.org/10.3109/14767058.2015.1058773.
  15. Chapter 17. Surveillance Definitions. Centers for Disease Control and Prevention. Available from: https://www.cdc.gov/nhsn/pdfs/ pscmanual/17pscnosinfdef_current.pdf [Accessed 28th November 2019].
  16. Feldblyum IV, Sergevnin IV, Zakharova YuA, Koza NM, Pegushina OG, Markovich NI. Informatsionnaya podsistema epidemiologicheskogo nadzora za infektsiyami, svyazannymi s okazaniem meditsinskoy pomoshchi: novye resheniya starykh problem [Information subsystem for epidemiological surveillance of infections associated with the provision of medical care: new solutions to old problems]. Meditsinskiy alfavit. 2014;4:5-8.
  17. Konovodova EN, Zakrevskaya IV, Kesova MI, Zanozin AS. Sovremennye predstavleniya o poslerodovoy subinvolyutsii matki [Modern views on the postpartum subinvolution of the uterus]. Voprosy ginekologii, akusherstva i perinatologii. 2015;1:48-56.
  18. Egoricheva SD, Avchinnikov AV, Rodyukova OA. Gigienicheskie aspekty preduprezhdeniya infektsiy, svyazannykh s okazaniem meditsinskoy pomoshchi v rodovspomogatel’nykh uchrezhdeniyakh [Hygienic aspects of the prevention of infections associated with the provision of medical care in obstetric institutions]. Zdorov’e naseleniya i sreda obitaniya. 2015;11:53-5.

Authors' information:

Agarev Aleksey Evgenievich
Assistant, Department of Epidemiology, Ryazan State Medical University named after academician I.P. Pavlov; Head of the Sanitary and Epidemiological Department, Regional Clinical Perinatal Center
ORCID ID: 0000-0003-2277-1255

Kovalenko Maksim Sergeevich
Candidate of Medical Sciences, Associate Professor, Head of the Department of Obstetrics and Gynecology, Ryazan State Medical University named after academician I.P. Pavlov; Deputy Chief Medical Officer, City Clinical Maternity Hospital № 1
ORCID ID: 0000-0002-2275-5426

Zdolnik Tatyana Davydovna
Doctor of Medical Sciences, Associate Professor, Head of the Department of Epidemiology, Ryazan State Medical University named after academician I.P. Pavlov
ORCID ID: 0000-0002-5721-2544

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Agarev Aleksey Evgenievich
Assistant, Department of Epidemiology, Ryazan State Medical University named after academician I.P. Pavlov; Head of the Sanitary and Epidemiological Department, Regional Clinical Perinatal Center

390000, Russian Federation, Ryazan, Lenin str.,

22 Tel.: +7 (952) 1283366

E-mail: aleksey.agarev@yandex.ru

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