Obstetrics and Gynecology

doi: 10.25005/2074-0581-2021-23-1-12-17
Reserves for improving perinatal indicators by analyzing the outcomes of preterm labor

F.R. Ishan-Khodzhaeva, M.Ya. Kamilova

Tajik Scientific Research Institute of Obstetrics, Gynecology and Perinatology, Dushanbe, Republic of Tajikistan

Objective: Outline ways to improve perinatal outcomes as a result of analysis of the structure and methods of delivery in preterm labor (PL).

Methods: A retrospective analysis of the birth histories of women with PL and their newborns who were admitted to the clinic of the Research Institute in 2019, as well as an analysis of the indicators of annual reports for 2016-2019. The obtained data were processed by the methods of variation statistics.

Results: The absence of a decrease in the frequency of PL in the dynamics of the studied years was shown. It was found that in the 3rd level hospital, PL due to the need for early delivery prevails over spontaneous PL. Late PLs are recorded in every 2nd woman, PL – in every 3rd woman, early PL – in 14- 16%, and very early PL – in 10% of cases. Perinatal outcomes improve with increasing gestational age and fetal weight. Respiratory distress syndrome, asphyxia and cerebral hemorrhage were the leading causes of early neonatal mortality.

Conclusions: To further improve the perinatal outcomes of PL, actions are required to optimize the management of women with PR, providing for the possibility of delaying, preventing respiratory distress syndrome, improving blood flow in the mother-placenta-fetus system, taking into account individual approaches, as well as delivery techniques.

Keywords: Premature birth, spontaneous premature birth, the need for early delivery, early neonatal mortality, birth weight, gestational age.

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Authors informations:

Ishan-Khodzhaeva Farangis Rustamovna
Candidate of Medical Sciences, Researcher, Obstetric Department, Tajik Scientific-Research Institute of Obstetrics, Gynecology and Perinatology
ORCID ID: 0000-0002-9211-1124
E-mail: kachyona@mail.ru

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

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

The work was carried our according to the plan of scientific research works of Tajik Scientific-Research Institute of Obstetrics, Gynecology and Perinatology (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 Obstetric 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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