VAXTINDAN ƏVVƏL DOĞUŞLARIN LABORATOR VƏ İNSTRUMENTAL PREDİKTORLARI

J.F. Gurbanova; N.A. Shakhbazova; L.R. Suleymanova; K.M. Mirzаyeva

doi:10.34921/amj.2024.3.010

Authors

J.F. Gurbanova Research Institute of Obstetrics and Gynecology
N.A. Shakhbazova Research Institute of Obstetrics and Gynecology
L.R. Suleymanova Research Institute of Obstetrics and Gynecology
K.M. Mirzаyeva Research Institute of Obstetrics and Gynecology

DOI:

https://doi.org/10.34921/amj.2024.3.010

Keywords:

premature birth, cervicometry, hypoprogesteronemia, predictors of labor, vaginitis

Abstract

The article provides information about a cohort prospective randomized study conducted from 2021 to 2024 to identify prognostic risk factors for preterm births. Patients at risk of preterm birth were included in the main group (n=198), while pregnant women with physiological gestational periods were included in the control group (n=80). Clinical and anamnestic data, laboratory indicators (serum progesterone levels, infection markers), and ultrasound results were analyzed. It was found that in 71.7% of pregnant women in the main group, progesterone levels were below the normal range (p<0.001). In the main group, 7 times more often a shortening of the cervical length of less than 15 mm was detected during ultrasound examination, which plays an important role in the diagnosis of premature birth compared to healthy pregnant women (p<0.001). A history of preterm birth, low serum progesterone levels, and cervical length less than 15 mm are the main prognostic markers for preterm birth.