Obstetrics and Gynecology

doi: 10.25005/2074-0581-2020-22-1-14-21
ASSESSMENT OF RISK FACTORS AND DETERMINING THE LEVEL OF PREVENTABLE FETAL DEATH IN WOMEN WITH TROUBLED PREGNANCY

M.Ya. Kamilova1, P.A. Dzhonmakhmadova1, F.R. Ishan-Khodzhaeva2

1Tajik Scientific Research Institute of Obstetrics, Gynecology and Perinatology, Dushanbe, Republic of Tajikistan
2City Clinical Hospital, Tambov, Russian Federation

Objective: To examine the risk factors of stillbirth in the Republic of Tajikistan.

Methods: Maps of individual observation of the course of pregnancy and the history of births of women with antenatal and intranatal fetal death in institutions of III and II levels have been studied. Retrospectively has been conducted the clinical audit of 187 cases of stillbirth.

Results: The main causes of stillbirths were intrauterine growth retardation syndrome and fetal malformations. The most common risk factors for stillbirth were factors associated with inadequate medical care and factors related to family and women. At the same time, most of the cases of antenatal fetal death (83%) and intranatal fetal death (74%) were preventable or conditionally preventable.

Conclusions: Our research confirms the need for perinatal audit, which aims to find the causes and risk factors of stillbirth with the subsequent implementation of solutions to prevent such cases of stillbirths in the future.

Keywords: Stillbirths, antenatal fetal death, intranatal fetal death, classification of the ReCoDe, risk factors, levels of, levels of preventable stillbirth.

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Authors informations:

Kamilova Markhabo Yadgarovna
Doctor of Medical Sciences, Associate Professor, Head of the Obstetrics Department, Tajik Scientific Research Institute of Obstetrics, Gynecology and Perinatology
SCOPUS ID: 6507463534
ORCID ID: 0000-0002-2525-8273
Author ID: 867673
SPIN: 2527-2877
E-mail: marhabo1958@mail.ru

Dzhonmakhmadova Parvina Ashrafbekovna
Postgraduate Student, Tajik Scientific Research Institute of Obstetrics, Gynecology and Perinatology
ORCID ID: 0000-0002-9457-961X
SPIN: 3224-3266
E-mail: parvina2055@gmail.com

Ishan-Khodzhaeva Farangis Rustamovna
Obstetrician-gynecologist, City Clinical Hospital, Tambov, Russian Federation
ORCID ID: 0000-0002-9211-1124
E-mail: kachyona@mail.ru

Information about the source of support in the form of grants, equipment, and drugs

The work was carried out according to the plan of scientific research works of Tajik Scientific Research Institute of Obstetrics, Gynecology and Perinatology (state registration number – 0119TJ00997). The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflict of interest: No conflict

Address for correspondence:

Kamilova Markhabo Yadgarovna
Doctor of Medical Sciences, Associate Professor, Head of the Obstetrics Department, Tajik Scientific Research Institute of Obstetrics, Gynecology and Perinatology

734002, Republic of Tajikistan, Dushanbe, Tursunzade Str., 31

Tel.: +992 (935) 009425

E-mail: marhabo1958@mail.ru

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