RESULTS OF THE RETROSPECTIVE ANALYSIS OF PREMIUM RUPTURE OF THE FETAL MEMBRANE AND PREMIUM DELIVERY WITH THE PURPOSE OF THEIR PREVENTION
DOI:
https://doi.org/10.11603/24116-4944.2023.2.14264Keywords:
pregnancy, spontaneous premature childbirth, premature rupture of membranes, vaginal microbiocenosisAbstract
The aim of the study – based on retrospective analysis recognize the key factors of development of premature childbirth and elaborate highly specific criteria for individual prognosis to improve perinatal outcomes.
Materials and Methods. A retrospective analysis of the birth histories of 250 women and their newborns with spontaneous preterm births at 22–36 weeks was conducted using archival data from the department for pregnant women with obstetric pathology of the Institute of Pediatrics, Obstetrics and Gynecology named after academician O. M. Lukianova of the National Academy of Medical Sciences of Ukraine”
Results and Discussion. Important risk factors for premature rupture of membranes (PROM) in preterm pregnancy include the presence of sexually transmitted diseases (χ2=31.188, p=0.001), bacterial vaginosis (χ2=30.913, p=0.0001), a history of abortion and/or preterm birth (χ2=16.62, p=0.0002), SARS during pregnancy (χ2=16.444, p=0.0002), chronic adnexitis in anamnesis (χ2=11.522, p=0.0031), inflammatory cervical disease (χ2=11.437, p=0.0032), anaemia (χ2=10.815, p=0.0044), isthmic-cervical insufficiency (ІСІ) (χ2=10.345, p=0.0057), chronic pyelonephritis with exacerbation (χ2=9.16, p=0.01), smoking during pregnancy (χ2=10.815, p=0.0044).
Conclusions. The results of a retrospective analysis of 250 cases of preterm birth at 22 to 36 weeks allowed us to identify ways to effectively use existing diagnostic measures to determine readiness for pregnancy and the possibility of prolonging pregnancy to the viability of the newborn. Ways to improve the prevention of preterm birth and the design of further research were identified.
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