Risk factors of abnormal uterine activity
Aim. To identify risk factors for abnormal uterine activity.Materials and Methods. We recruited 200 pregnant women who delivered in the Maternity Hospital of the Podgorbunskiy Regional Clinical Emergency Hospital from 2018 to 2019, evaluating course of pregnancy and labor activity. Patients were fur...
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| Language: | Russian |
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Kemerovo State Medical University
2021-07-01
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| Series: | Фундаментальная и клиническая медицина |
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| Online Access: | https://fcm.kemsmu.ru/jour/article/view/406 |
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| author | L. N. Petrich O. N. Novikova |
| author_facet | L. N. Petrich O. N. Novikova |
| author_sort | L. N. Petrich |
| collection | DOAJ |
| description | Aim. To identify risk factors for abnormal uterine activity.Materials and Methods. We recruited 200 pregnant women who delivered in the Maternity Hospital of the Podgorbunskiy Regional Clinical Emergency Hospital from 2018 to 2019, evaluating course of pregnancy and labor activity. Patients were further stratified into those who delivered at term (n = 100) but had abnormal uterine activity and those with urgent delivery (n = 100).Results. The most significant risk factors for abnormal uterine activity were smoking (OR = 26.9, 95% CI = 9.1-79.6), lack of prenatal care visits (OR=16,882, 95% CI = 7.3-39.2), common-law marriage (OR = 5.4, 95% CI = 2.3-12.5), low socioeconomic status (OR = 2.5, 95% CI = 1.3-4.6), higher education (OR = 4.5, 95% CI = 2.5-8.2), and age > 30 years (OR = 3.6, 95% CI = 1.0-13.5). Patients with abnormal uterine activity more frequently suffered from dysmenorrhea, cervical pathology (OR = 1.8, 95% CI = 0.9-3.7), anemia (OR = 1.7, 95% CI = 0.9-3.1), and obesity (OR=2.6, 95% CI = 1.2-5.5). The leading factors associated with abnormal uterine activity are normal birth canal and fetoplacental unit as well as proper cervical ripening.Conclusions. Psychophysiological alterations represent a major risk factor for abnormal uterine activity, contributing to placental insufficiency, fetal growth restriction, and premature rupture of membranes. Procedures aimed at cervical ripening may reduce the incidence of abnormal uterine activity and improve both maternal and newborn outcomes. |
| format | Article |
| id | doaj-art-ecfe845e5e5c473c852aed7b2962b64a |
| institution | DOAJ |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2021-07-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-ecfe845e5e5c473c852aed7b2962b64a2025-08-20T02:49:12ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412021-07-0162596510.23946/2500-0764-2021-6-2-59-65262Risk factors of abnormal uterine activityL. N. Petrich0O. N. Novikova1Podgorbunskiy Regional Clinical Emergency Hospital; Kemerovo State Medical UniversityKemerovo State Medical UniversityAim. To identify risk factors for abnormal uterine activity.Materials and Methods. We recruited 200 pregnant women who delivered in the Maternity Hospital of the Podgorbunskiy Regional Clinical Emergency Hospital from 2018 to 2019, evaluating course of pregnancy and labor activity. Patients were further stratified into those who delivered at term (n = 100) but had abnormal uterine activity and those with urgent delivery (n = 100).Results. The most significant risk factors for abnormal uterine activity were smoking (OR = 26.9, 95% CI = 9.1-79.6), lack of prenatal care visits (OR=16,882, 95% CI = 7.3-39.2), common-law marriage (OR = 5.4, 95% CI = 2.3-12.5), low socioeconomic status (OR = 2.5, 95% CI = 1.3-4.6), higher education (OR = 4.5, 95% CI = 2.5-8.2), and age > 30 years (OR = 3.6, 95% CI = 1.0-13.5). Patients with abnormal uterine activity more frequently suffered from dysmenorrhea, cervical pathology (OR = 1.8, 95% CI = 0.9-3.7), anemia (OR = 1.7, 95% CI = 0.9-3.1), and obesity (OR=2.6, 95% CI = 1.2-5.5). The leading factors associated with abnormal uterine activity are normal birth canal and fetoplacental unit as well as proper cervical ripening.Conclusions. Psychophysiological alterations represent a major risk factor for abnormal uterine activity, contributing to placental insufficiency, fetal growth restriction, and premature rupture of membranes. Procedures aimed at cervical ripening may reduce the incidence of abnormal uterine activity and improve both maternal and newborn outcomes.https://fcm.kemsmu.ru/jour/article/view/406abnormal uterine activityrisk factorsperinatal outcomes |
| spellingShingle | L. N. Petrich O. N. Novikova Risk factors of abnormal uterine activity Фундаментальная и клиническая медицина abnormal uterine activity risk factors perinatal outcomes |
| title | Risk factors of abnormal uterine activity |
| title_full | Risk factors of abnormal uterine activity |
| title_fullStr | Risk factors of abnormal uterine activity |
| title_full_unstemmed | Risk factors of abnormal uterine activity |
| title_short | Risk factors of abnormal uterine activity |
| title_sort | risk factors of abnormal uterine activity |
| topic | abnormal uterine activity risk factors perinatal outcomes |
| url | https://fcm.kemsmu.ru/jour/article/view/406 |
| work_keys_str_mv | AT lnpetrich riskfactorsofabnormaluterineactivity AT onnovikova riskfactorsofabnormaluterineactivity |