Risk factors for the birth of a late premature baby
https://doi.org/10.46563/1560-9561-2024-27-2-90-96
Abstract
Introduction. Infants born between the ages of 34 0/7 and 36 6/7 weeks of pregnancy (so-called late premature babies) pose a particular problem for doctors and public health systems. The frequency of births in late premature babies in recent years has not shown a significant downward trend. In this regard, the work aimed at identifying and analyzing risk factors and finding methods for preventing the birth in late premature babies is relevant.
Objective was to determine the main risk factors for the birth in late premature babies
Materials and methods. Data analysis of one hundred fifty six developmental histories of newborns (form No. 097/y) born alive from 34 0/7 to 36 6/7 weeks of gestation, as well as birth histories (form No. 096/y) was carried out. A simultaneous analysis of the data on the social, somatic, obstetric, and gynecological anamnesis of women was performed, and the significance of various forms of obstetric and gynecological pathology that complicated the course of a real pregnancy was determined. Factors such as various forms of obstetric and gynecological pathology in women, the threat of termination of pregnancy, fetal umbilical cord entanglement, maternal body mass index, residence in the city and region were found to have a significant impact on the birth of an infant at 34–36 weeks. Late premature babies were also revealed to be born mainly from the first pregnancy of the first delivery.
Conclusion. The patterns of changes in the significance of the factors of late premature birth that we have established are necessary to determine the volume of specialized medical care for late premature infants in the conditions of intensive care units and neonatal care and nursing in the conditions of pathology departments of newborns and premature infants.
Objective was to determine the main risk factors for the birth in late premature babies
Materials and methods. Data analysis of one hundred fifty six developmental histories of newborns (form No. 097/y) born alive from 34 0/7 to 36 6/7 weeks of gestation, as well as birth histories (form No. 096/y) was carried out. A simultaneous analysis of the data on the social, somatic, obstetric, and gynecological anamnesis of women was performed, and the significance of various forms of obstetric and gynecological pathology that complicated the course of a real pregnancy was determined. Factors such as various forms of obstetric and gynecological pathology in women, the threat of termination of pregnancy, fetal umbilical cord entanglement, maternal body mass index, residence in the city and region were found to have a significant impact on the birth of an infant at 34–36 weeks. Late premature babies were also revealed to be born mainly from the first pregnancy of the first delivery.
Conclusion. The patterns of changes in the significance of the factors of late premature birth that we have established are necessary to determine the volume of specialized medical care for late premature infants in the conditions of intensive care units and neonatal care and nursing in the conditions of pathology departments of newborns and premature infants.
About the Authors
Nadezhda I. Panina
Voronezh State Medical Academy; Voronezh emergency-care hospital No. 10
Russian Federation
Russian Federation
Lyudmila I. Ippolitova
Voronezh State Medical Academy; Voronezh Regional Clinical Hospital
Russian Federation
Russian Federation
Nataliya V. Korotaeva
Voronezh State Medical Academy; Voronezh Regional Clinical Hospital
Russian Federation
Russian Federation
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For citations:
Panina N.I., Ippolitova L.I., Korotaeva N.V. Risk factors for the birth of a late premature baby. Russian Pediatric Journal. 2024;27(2):90-96. (In Russ.) https://doi.org/10.46563/1560-9561-2024-27-2-90-96
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