¹Omsk State Medical Academy, Omsk, Russian Federation
²First Clinical Maternity Hospital, Omsk, Russian Federation
*Corresponding author: Elena N. Kravchenko, PhD, ScD, Head of the Obstetrics and Gynecology Postgraduate Education Department, Omsk State Medical Academy, 12 Lenin str., 644043, Omsk, Russian Federation. Tel: 7-3812-23-02-93. E-Mail: email@example.com
The aim of this study is to evaluate the risk factors involved in the pregnancy and delivery outcomes of extremely low birth weight (ELBW) fetuses in the West Siberian region. The termination of pregnancy between 22 and 27 weeks is undoubtedly associated with a notably complicated obstetric history. Patients with a history of ELBW suffered a high frequency of gynecologic and extragenital diseases, including hereditary thrombophilia and hemostatic disorders. Survival of fetuses with ENMT was determined by the gestational age at birth. All the fetuses between 22-23 weeks of gestational age were born still, whereas those at 24-25 weeks of age died during the early neonatal period. From among a group of fetuses born at 26-27 weeks' gestation, only 65.2% survived.
- Baybarina EN, Shuvalova MP, Sorokina ZKh. The transition of the Russian Federation on the international criteria for the registration of births: opinion of Health organizer. Obstetrics and Gynecology 2011; 6:4-8.
- Bolotskih VM, Bolotskih OI. Clinical rationale for active-expectant management of delivery, complicated preterm rupture of membranes. Journal of Obstetrics and gynecological disorders 2007; 56:22-29.
- Dementeva TG, Grigoryants LyA, Avdeeva TG, Rumyantseva AG. Observation of very preterm children in the first year of life. M.: Medpraktika, 2006.
- Nikolaeva EI, Frolova EI, Golubev VA. Outcomes for termination of pregnancy in weeks 22-27. Obstetrics and Gynecology 2007; 2:59-60.
- Kulakov VI, Barashnev YuI. Infants at high risk. New diagnostic and therapeutic technologies. М. : GEOTAR Media, 2006.
- Bashmakov NV, et al. Premature rupture of membranes at preterm pregnancy. Obstetrics and Gynecology 2008; 5:24-27.
- Radzinsky VE. Obstetric aggression. М. : StatusPraesens, 2011.
- Sidelnikova VM. М. : FSI. Scientific Center for Obstetrics and Gynecology them, Academician VI Kulakov. Health Ministry of Russia, 2008.
- Sorokina ZKh. Survival, health status and characteristics of children with extremely low-birth-weight. Rus Journal of Pediatrics 2009; 5: 12-16.
- Serov VN. Obstetric pathology and systemic inflammatory response syndrome. Rus Med J 2004; 12(13):741-743.
- Frolova OG, Durasova NA. Medical and social aspects of preterm birth. Obstetrics and Gynecology 2008; 3: 48-49.
- Shalina RI, VykhristyukYuV, Krivonozhko SV. Perinatal outcome in preterm infants with extremely low birthweight. Questions of Obstetrics, Gynecology and Perinatology 2004; 3(4): 57-63.
- Bhattacharya S. Amalraj RE, Ruiz ME et al. Inherited predisposition to spontaneous preterm delivery. Obstetrics and Gynecology 2010; 115(6): 1125-1133.
- Dole N, Savitz DA, Hertz-Picciotto, ea al. Maternal stress and preterm birth. Am I Epidemiology 2003; 157(1): 14-24.
- Bengtson JM, VanMarter LJ, Barss VA, et al. Pregnancy outcome after premature rupture of membranes at or before 26 weeks' gestation. Obstetrics and Gynecology 1989; 73: 921-927.
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