Перинатальная смертность акушерство и гинекология

Perinatal mortality decreased by 41,1% from 11,2‰ in to 6,6‰ in During 8 смертности в Российской Федерации. Акушерство и гинекология ;(2) 6. Рациональная фармакотерапия в акушерстве и гинекологии. Акушерство и гинекология. Jan ; Резервы снижения перинатальной смертности в промышленном регионе (на примере Кемеровской области. Кафедра акушерства и гинекологии лечебного факультета ГБОУ ВПО уже привело к уменьшению перинатальной заболеваемости и смертности, нам.

Perinatal mortality decreased by 41,1% from 11,2‰ in to 6,6‰ in During 8 смертности в Российской Федерации. Акушерство и гинекология ;(2) 6. Рациональная фармакотерапия в акушерстве и гинекологии. Кафедра акушерства и гинекологии лечебного факультета ГБОУ ВПО уже привело к уменьшению перинатальной заболеваемости и смертности, нам. Aims of study. The current analysis was undertaken to determine risk factors for perinatal losses and assess the possibility of their prediction. Study design.

Aims of study. The current analysis was undertaken to determine risk factors for perinatal losses and assess the possibility of their prediction. Study design. Журнал: Российский вестник акушера-гинеколога. существенным увеличением материнских и перинатальных заболеваемости и смертности. Conclusion: It is necessary to determine an optimum tactics of pregnancy and delivery large fetus that will reduce significantly perinatal morbidity and mortality.






In spite of large number of studies on the issue of delivery pregnant with large fetus, avowed tactics of смертность and delivery does not exist. The aim of the study was to investigate the course of pregnancy and delivery, and perinatal outcomes during delivery large fetus. Materials : literary data of foreign and domestic authors in the period гинекология to Conclusion : It смрртность necessary to determine an optimum tactics of pregnancy and delivery large fetus that гинекологич reduce significantly perinatal morbidity and mortality.

Najafian et al. Boulvain et al. Author for correspondence. User Username Password Remember me Forgot password?

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Keywords bacterial vaginosis cesarean section chronic endometritis гинекология endometrium genital endometriosis gestational diabetes mellitus in vitro fertilization infertility laparoscopy macrosomia maternal пеоинатальная miscarriage obesity oxytocin pelvic organ prolapse placenta polycystic ovary syndrome preeclampsia pregnancy risk factors. Outcomes перинатальная pregnancy and delivery large fetus. Authors: Mochalova M.

N 1Ponomareva Y. N 2Mudrov A. A 1Mudrov V. Abstract Full Text About акушерство authors References Statistics Abstract In spite of large number of studies on the issue of delivery pregnant with large fetus, avowed tactics of pregnancy and delivery does not exist. Methods : a systematic review and synthesis of the literature data. Keywords large fetusакушерствоfetal-pelvic disproportionshoulder dystociapregnancy смертноть deliveryсмертность outcomes.

In Russ. Makrosomiya ploda. Акушерство problemy nauki i obrazovaniya. Krupnyi plod: sovremennaya taktika vedeniya beremennosti i rodov. Moscow; Biomed Перинаталная Int. Najafian M, Cheraghi M. Osobennosti neirovegetativnoi sfery u lits, rodivshikhsya s krupnoi massoi tela. Nevrologicheskii vestnik смертность. Patologiya golovnogo mozga u novorozhdennogo i detei rannego vozrasta.

Moscow: Logosfera; Anatomicheski смертность klinicheski uzkii taz. Moscow: Triada-X; Risk factors and perinatal outcome of pregnancies complicated with cephalopelvic disproportion: A population-based study. Archives of Gynecology and Obstetrics. Allen K, et перинатальная.

Fetal macrosomia. Перинатчльная, Gynaecology and Ауушерство Medicine. The effects of obesity and weight gain in young women on obstetric outcomes.

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Akusherstvo i ginekologiya. Перинатальная rodov i смертность rodovoi гинеколооия. Krasnoyarsk, ;5. Contemporary Management of Shoulder Акушерство. Boulvain M, et al. Induction of labour versus expectant management for large-for-date fetuses: a randomised controlled trial. The Lancet. Gherman R, Gonik B.

Aims of study. The current analysis was undertaken to determine risk factors for perinatal losses and assess the possibility of their prediction. Study design, materials and methods. We analyzed cases of perinatal death in obstetric facilities of the Leningrad region main group. A retrospective analysis was carried out based on medical hospital records: an examination of events during pregnancy, childbirth, postpartum, and early infancy, as well as afterbirth study findings and autopsy reports.

We performed a retrospective analysis of the social 3 factors , somatic 28 factors , and reproductive 15 factors statuses of patients with perinatal losses in order to try to assess the possibility of identifying risk groups and predicting perinatal and fetal mortality.

The predictors of perinatal mortality were determined, namely features of social status absence of a marriage record and a permanent job, low level of education , somatic status diabetes, cardiovascular pathology, arterial hypertension, chronic hemocontact infections , and reproductive status late menarche, early sexual debut, previous infectious genital pathology, childbirth at a young age, etc. Unpreventable pregnancy loss distribution. Mean age of sexual debut for the main and control groups.

Mean age of patients in the main and control groups when registering for pregnancy. Author for correspondence. The Department of Obstetrics and Gynecology. User Username Password Remember me Forgot password? Notifications View Subscribe. Article Tools Print this article. Indexing metadata.

Cite item. Email this article Login required. Email the author Login required. Request permissions. Keywords bacterial vaginosis cesarean section chronic endometritis endometriosis endometrium genital endometriosis gestational diabetes mellitus in vitro fertilization infertility laparoscopy macrosomia maternal mortality miscarriage obesity oxytocin pelvic organ prolapse placenta polycystic ovary syndrome preeclampsia pregnancy risk factors.

Somatic features and reproduction characteristics of patients with perinatal fetal death. Authors: Bezhenar V. Pavlov First St. Keywords Doppler velocimetry , hypoxia , intrauterine growth retardation , perinatal child death , pregnancy supervision , preventable and unpreventable pregnancy losing. Vitaliy F. Bezhenar Academician I. Planned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean birth.

Cochrane Database of Systematic Review. DOI: Cheng Y. Delivery after prior cesarean: Maternal Morbidity and Mortality. Lydon-Rochelle M. Birth after previous cesarean delivery: short-term maternal outcomes.

Munro S. Do women have a choice? Care providers and decision makers. Perspectives on barriers to access of health services for birth after a previous cesarean. Kirk E. Vaginal birth after cesarean or repeat cesarean section. Vaginal birth after previous cesarean delivery. ACOG Practice bulletin no. Boatin A. Within country inequalities in cesarean section rates: observational study of 72 low and middle income countries.

Landon M. Uterine rupture after previous cesarean delivery. Scott J. Vaginal birth after cesarean delivery. Sabol B. Vaginal birth after cesarean: an effective method to reduce cesarean. Guise J. Vaginal birth after cesarean: new insights.

Portland: Evidence-based practice center; Vaginal births after cesarean: on maternal and neonatal outcomes. Spong C. Risk of uterine rupture and adverse perinatal outcome at term after cesarean delivery. Kok N. Sonographic measurement of lower uterine segment thickness to predict uterine rupture during a trial of labor in women with previous cesarean section: a meta-analysis. Grobman W. Outcomes of induction of labor after one prior cesarean.

Fagerberg M. Predicting the chance of vaginal delivery after one cesarean section: validation and elaboration of a published prediction model. Tessmer-Tuck J. Predicting vaginal birth after cesarean section: a cohort study. Kehl S. Balloon catheters for induction of labor at term after previous cesarean section: a systematic review. Hehir M. Second-stage duration and outcomes among women who labored after a prior cesarean delivery.

Schmidl M. Elective cesarean section vs. Acta Obstet. The end of the 20th century was marked by innovative technologies for assessing the fetal condition cardiotocography, ultrasound, Doppler ultrasonography. These technologies led to a false-positive overdiagnosis of fetal intrapartum suffering. Thus, achievements in obstetrics and perinatology provoked a profound increase in the number of cesarean sections CS. In the joint Plenary meeting of the All-Union and All-Russian Scientific Medical Societies of Obstetricians and Gynecologists examined the problems connected with the CS in modern obstetrics, its optimal frequency and technique.

Indications for abdominal delivery were determined and sufficiently revised. Every fifth child in Russia is born by CS, in other words , out of 1. Due to liberal attitude of doctors to CS, its frequency is increasing very quickly. However, after CS, mothers die 3 times more often than in case of vaginal delivery; peritonitis and sepsis develop 5—6 times more often than after natural birth.

Abdominal CS has become the most common type of delivery operation. As a result, over the past 35 years, there increased the number of women of reproductive age, beginning pregnancy with a uterine scar. In this regard, the management of subsequent pregnancy and especially the delivery of women with CS is a serious medical and social problem. The article deals with the issues of maternal and perinatal morbidity and mortality in case of abdominal delivery; factors favoring vaginal birth; the possibility of predicting the safe outcome of vaginal birth in SC women with uterine scars.

Keywords: cesarean section, frequency, indications, vaginal delivery after cesarean section. Sverdlovsk; in Russian. Tarasova L.