THE ANALYSIS OF PERINATAL LOSSES UNDER DELIVERY IN WOMEN AGED 34 YEARS AND OLDER IN VARIOUS REGIONS OF AZERBAYDZHAN

Abstract

The article presents the results of delivery in women older than 34 years. The obtained data testifies that on the whole in the Republic of Azerbaydzhan percentage of delivery in women older than 34 years factually has no difference with such in similar countries and amounts to 5-6 cases per 100 deliveries correspondingly. The analysis of perinatal losses during deliveries in women older than 34 years demonstrated that only in every second region of the Republic of Azerbaydzhan there is a statistical confirmation of correlation dependence between percentage of deliveries in women older than 34 years and perinatal losses. The significant differences are established depending on regions both in prevalence of deliveries in women older than 34 years and availability of perinatal losses. This occurrence requires further investigation of causes and development of measures of their elimination.The purpose. To evaluate significance of inter-regional differences of prevalence of deliveries in women older than 34 years among cases of terminated pregnancy in period of gestation after 22 weeks for health of mother and child.Materials and methods. The study was carried out using retrospective algorithm in obstetric institutions of cities of republican subordination. The object of observation was formed using complete inclusion of all cases of termination of pregnancy in of gestation after 22 full weeks during 2012-2014. The percentage of delivery in the age older than 34 years was determined. The results. In totality, 5.8±0.07 cases of delivery at 35 ages and older go to 100 terminated cases of pregnancy in period of gestation after 22 full weeks. In district and municipal obstetric institutions, a value of this indicator varied in the range from 0.3±0.06% to 18.5±0.53%. In totality, level of perinatal losses made up to 1.8±0.04%. In regional obstetric institutions, the level of perinatal losses varied in the range from 0,1±0.04% to 3.7±0.16% (p < 0,01).Conclusions. In Azerbaydzhan, the inter-regional differences in prevalence of delivery at the age 44 years and older are significant (percentage of deliveries at the age 34 years and older varies in the range from 0,3 to 18,5%). The increasing of risk of perinatal losses under delivery at the age 34 years and older has no unequivocal confirmation. In Azerbaydzhan, in most of the municipal and district obstetric institutions (8 out of 15) deliveries in women older than 34 years have no association with increased level of perinatal losses.

Keywords

women / age older than 34 years / delivery / perinatal losses

References

[1] Агаев Ф.Б., Нагдалиев А.С., Алиева К.Д. Критериальная значимость перинатальных потерь при оценке эффективности медицинской помощи. Общественное здоровье и здравоохранение. 2013; (1): 29-32.

[2] Агаев Ф.Б., Нагдалиев А.С., Алиева К.Д. Сравнение перинатальной смертности при альтернативных вариантах группировки плодов по массе тела при рождении. В кн.: Сборник тезисов Всероссийской научно-практической конференции «Общественное здоровье и здравоохранение XXI века: проблемы, пути решения, подготовки кадров». М.; 2012: 33-5.

[3] Серов О.Ф., Чернигова И.В., Седая Л.В., Шутикова Н.В. Анализ перинатальных исходов при очень ранних преждевременных родах. Акушерство и гинекология. 2015; (4): 32-6.

[4] Гланц С. Медико-биологическая статистика. Пер. с англ. М.: Практика; 1998.

[5] Donoghue D., Lincoln D., Morgan G., Beard J. Influences on the degree of preterm birth in New South Wales. Aust. N.Z. J. Public Health. 2013; 37(6): 562-7.

[6] Joseph K.S., Fahey J., Shankardass K., Allen V.M., O'Campo P., Dodds L. Effects of social economic position and clinical risk factors on spontaneous and iatrogenic preterm birth. BMC Pregnancy Childbirth. 2014; 14: 117.

[7] Schat Z., Goshetasbi A., Amin M.T. Investigating association between second trimester material serum biomarkers and pre-term delivery. Iran. J. Reprod. Med. 2013; 11(2): 127-32.

[8] Stover J., Ross J. Changes in the distribution of high-risk birth associated with changes in contraceptive prevalence. BMC Public Health. 2013; 3(4): 13.

RIGHTS & PERMISSIONS

Eco-Vector