Late preterm birth: risk factors, prognosis, risk management (review 2018–2023)

• Larisa S. Fatkullina
• Milena А. Mulendeeva

Abstract

The FIGO Congress (2018) identified preterm birth as an unresolved problem that cannot be solved by modern methods. Prospects lie in revealing the mechanism of premature birth, as well as in the development and implementation of effective practices for preventing distress syndrome and delivery. In the structure of preterm birth, more than half of the cases (almost 60%) are due to late premature birth. His review article examines risk factors, prognosis and management strategies for preterm birth in the period from 34 to 36⁺⁶ weeks of gestation.

Keywords:late preterm birth; distress syndrome; delivery; risk factors; prognosis; risk management

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Заключение

Надо констатировать тот факт, что применение токолитиков за последние 60 лет не привело к снижению общей частоты ПР [1]. Вместе с тем токолиз дает время для профилактики респираторного дистресс-синдрома и транспортировки беременной в акушерский стационар, готовый к приему ПР и оказанию квалифицированной помощи недоношенному ребенку. Предикция, прогнозирование и правильная идентификация позволяют улучшить исходы ПР, в том числе и ППР. Однако эти вопросы пока далеки от решения и требуют проведения дальнейших исследований.

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26. Melchor J.C., Navas H., Marcos M. et al. Predictive performance of PAMG-1 vs fFN test for risk of spontaneous preterm birth in symptomatic women attending an emergency obstetric unit: retrospective cohort study // Ultrasound Obstet. Gynecol. 2018. Vol. 51, N 5. P. 644-649. DOI: https://doi.org/10.1002/uog.18892 Epub 2018 Mar 26.

27. Ravi M., Beljorie M., Masry K. Evaluation of the quantitative fetal fibronectin test and PAMG-1 test for the prediction of spontaneous preterm birth in patients with signs and symptoms suggestive of preterm labor // J. Matern. Fetal Neonatal Med. 2019. Vol. 32, N 23. P. 3909-3914. DOI: https://doi.org/10.1080/14767058.2018.1476485

28. Santipap M., Phupong V. Combination of three-dimensional ultrasound measurement of foetal adrenal gland enlargement and placental alpha microglobulin-1 for the prediction of the timing of delivery within seven days in women with threatened preterm labour and preterm labour // J. Obstet. Gynaecol. 2018. Vol. 38, N 8. P. 1054-1059. DOI: https://doi.org/10.1080/01443615.2018.1446422

29. Nikolova T., Uotila J., Nikolova N. et al. Prediction of spontaneous preterm delivery in women presenting with premature labor: a comparison of placenta alpha microglobulin-1, phosphorylated insulin-like growth factor binding protein-1, and cervical length // Am. J. Obstet. Gynecol. 2018. Vol. 219, N 6. P. 610.e1-519.e9. DOI: https://doi.org/10.1016/j. ajog.2018.09.016 Epub 2018 Sep 18.

30. Melchor J.C., Khalil A., Wing D. et al. Prediction of preterm delivery in symptomatic women using PAMG-1, fetal fibronectin and phIGFBP-1 tests: systematic review and meta-analysis // Ultrasound Obstet. Gynecol. 2018. Vol. 52, N 4. P. 442-451. DOI: https://doi.org/10.1002/uog.19119 Epub 2018 Sep 4.

31. Kim J.I., Cho M.O., Choi G.Y. Multiple factors in the second trimester of pregnancy on preterm labor symptoms and preterm birth // J. Korean Acad. Nurs. 2017. Vol. 47, N 3.P. 357-366. DOI: https://doi.org/10.4040/jkan.2017.47.3.357

32. Palacio M., Caradeux J., Sánchez M. et al. Uterine cervical length measurement to reduce length of stay in patients admitted for threatened preterm labor: a randomized trial // Fetal Diagn. Ther. 2018. Vol. 43, N 3. P. 184-190. DOI: https://doi.org/10.1159/000477930 Epub 2017 Aug 17.

33. Agarwal S., Agarwal A., Joon P. et al. Fetal adrenal gland biometry and cervical elastography as predictors of preterm birth: a comparative study // Ultrasound. 2018. Vol. 26, N 1. P. 54-62. DOI: https://doi.org/10.1177/1742271X17748515 Epub 2018 Feb 7.

34. Hernandez-Andrade E., Maymon E., Luewan S. et al. A soft cervix, categorized by shear-wave elastography, in women with short or with normal cervical length at 18-24 weeks is associated with a higher prevalence of spontaneous preterm delivery // J. Perinat. Med. 2018. Vol. 46, N 5. P. 489-501. DOI: https://doi.org/10.1515/jpm-2018-0062

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