RISK FACTORS FOR FETAL GROWTH RETARDATION
Main Article Content
Abstract
The aim of the research. Identify the main risk factors affecting the formation of fetal growth retardation (FGR).
Material and methods. A retrospective cohort study of 263 birth histories for 2019 was conducted on the basis of the City Clinical Perinatal Center BUZOO in Omsk. The main group consisted of 148 women who gave birth to children with an established diagnosis of FGR. This group was divided into 2 subgroups: the main 1 – 82 women with full-term pregnancy; the main 2 – 66 pregnant women with preterm birth (PB). The control group consisted of 115 women whose urgent delivery ended in the birth of a full-term baby with normal body weight.
Results. FGR is more often formed in women with adverse socio-economic factors (working in industries associated with severe physical exertion, living in an uncomfortable environment with harmful effects, with a low economic status, experiencing psycho-emotional stress, and familiar chronic intoxications). Also, FGR was more often detected in pregnant women with a burdened obstetric history (spontaneous miscarriages, preeclampsia, PB, intrahepatic cholestasis), with infectious diseases (with full-term pregnancy in 19.5 %, with PB in 21.2 %); cardiovascular diseases were more common in patients with FGR and PB (39.4 %). In the structure of gynecological diseases in the history of pregnant women with FGR, bacterial vaginitis was in the lead (19.5 % in full-term pregnancy, 27.3 % in PB). In second place, women with PB had uterine fibroids.
Conclusion. Among the complications of pregnancy in women with FGR, edema and hypertensive disorders, which threatened spontaneous miscarriage, were more often diagnosed. In the group of women with preterm birth, placental disorders, congenital infection and gestational diabetes were leading.
Keywords
Author Biographies
Елена Николаевна Кравченко,
Doctor of medical sciences, professor, head of chair of obstetrics and gynecology
Лариса Владимировна Куклина,
канд. мед. наук, ассистент, кафедра акушерства и гинекологии ДПОГалина Владимировна Кривчик,
candidate of medical sciences, docent, department of obstetrics and gynecology of further professional educationArticle Details
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The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
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