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Ultima descărcare din IBN: 2024-01-09 04:59 |
Căutarea după subiecte similare conform CZU |
618.2-02-036 (1) |
Științe medicale. Medicină (11143) |
SM ISO690:2012 GRECU, Chiril, BURLACU, Ala, EŢCO, Ludmila, OPALCO, Igor, PĂDURE, Valeriu. Factorii obstetricali de risc ai mortinatalităţii. In: Buletin de Perinatologie, 2018, nr. 2(78-S), pp. 64-69. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 2(78-S) / 2018 / ISSN 1810-5289 | ||||||
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CZU: 618.2-02-036 | ||||||
Pag. 64-69 | ||||||
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Rezumat | ||||||
Background: The Millennium Development Goals have played an important role in reducing the high rates of maternal and infant mortality in low and middle income countries. But with all advances in pregnancy and childbirth behavior, the level of antenatal and intranatal death of the fetus remains high in both the Republic of Moldova (RM) and in the world. Material and methods: The subject approached in this article is based on the analysis of the data obtained in a case-control study carried out within the level III maternity Institute of Mother and Child, during the period 2016-2017. The study included the total number of births with dead-born girls from 23 to 42 weeks, which occurred during this period and consisted of 134 clinical cases (baseline group). The control group consisted of 208 births with live newborns in the same obstetric departments. The purpose of the work is to determine the obstetrical factors that influence the antenatal mortality. Results: Attributable risk increases when the mortality is recorded in the past, the attributable risk reaches the value of OR = 5,58. Evolution of pregnancy in the background, such as: antenatal haemorrhage (OR = 2.07), preeclamptic states (OR: 2,10), oligoamnios (OR = 5.47) - is a relevant attributable risk of mortality. Early maturation of the placenta (OR 11,41), pathological insertion of the umbilical cord OR 5.04). the multiple cord blood (OR 3,67) and the abnormal intrauterine position (OR 2,95) of the fetus – have a higth predictive risk of antenatal mortality. Conclusions: There are many risk factors, more often in the association or individually that act directly or indirectly reducing the chances of the child born alive. Only knowing and selecting them, you can assess the risk of an ante or intrapartum death of the fetus and apply the appropriate steps to prevent this |
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Cuvinte-cheie stillbirth, obstetrical risk factors. |
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