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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">docru</journal-id><journal-title-group><journal-title xml:lang="ru">Доктор.Ру</journal-title><trans-title-group xml:lang="en"><trans-title>Title</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1727-2378</issn><issn pub-type="epub">2713-2994</issn><publisher><publisher-name>ООО "ГК "РУСМЕДИКАЛ"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31550/1727-2378-2024-23-2-44-48</article-id><article-id custom-type="elpub" pub-id-type="custom">docru-42</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Поздние преждевременные спонтанные роды: версии и контраверсии</article-title><trans-title-group xml:lang="en"><trans-title>Late Premature Spontaneous Delivery: Versions and Contraversions</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7310-974X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Апресян</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Apresyan</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Апресян Сергей Владиславович— д. м. н., доцент, заместитель главного врача по акушерско-гинекологической помощи; профессор кафедры акушерства и гинекологии с курсом перинатологии Медицинского института,</p><p>117198, г. Москва, ул. Миклухо-Маклая, д. 6.</p></bio><bio xml:lang="en"><p>6 Miklukho-Maklaya Str., Moscow, 117198;</p><p>15 Lenskaya Str., Moscow, 129327.</p></bio><email xlink:type="simple">sapresyan@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2756-1962</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зюкина</surname><given-names>З. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zyukina</surname><given-names>Z. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зюкина Зоя Викторовна— аспирант кафедры акушерства и гинекологии с курсом перинатологии Медицинского института,</p><p>117198, г. Москва, ул. Миклухо-Маклая, д. 6.</p></bio><bio xml:lang="en"><p>6 Miklukho-Maklaya Str., Moscow, 117198.</p></bio><email xlink:type="simple">zoya.zukina@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ города Москвы «Городская клиническая больница имени А.К. Ерамишанцева Департамента здравоохранения города Москвы»; ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia named after Patrice Lumumba; City Clinical Hospital named after A.K. Eramishantsev</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia named after Patrice Lumumba</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>14</day><month>02</month><year>2025</year></pub-date><volume>23</volume><issue>2</issue><issue-title>ГИНЕКОЛОГИЯ</issue-title><fpage>44</fpage><lpage>48</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Апресян С.В., Зюкина З.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Апресян С.В., Зюкина З.В.</copyright-holder><copyright-holder xml:lang="en">Apresyan S.V., Zyukina Z.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://docru.elpub.ru/jour/article/view/42">https://docru.elpub.ru/jour/article/view/42</self-uri><abstract><sec><title>Цель обзора</title><p>Цель обзора. Изучить современные представления о поздних преждевременных спонтанных родах, выявить нерешенные вопросы и обозначить задачи для дальнейшего исследования по указанной теме.</p></sec><sec><title>Основные положения</title><p>Основные положения. Проблема поздних преждевременных родов занимает лидирующую позицию в современном акушерстве и перинатологии. Отсутствие однозначного мнения и одинаковых подходов в прогнозировании поздних преждевременных спонтанных родов препятствует созданию единого алгоритма действий по их предупреждению. В статье представлена актуальная информация о маркерных сывороточных белках и транскриптомном анализе плаценты, а также освещены некоторые аспекты патогенеза преждевременных родов на модели нарушения фетоплацентарного гомеостаза.</p></sec><sec><title>Заключение</title><p>Заключение. Для снижения риска неблагоприятных исходов поздних преждевременных спонтанных родов необходимо создание четких критериев их прогнозирования и ранней диагностики, а также своевременное выполнение организационных и лечебных мероприятий данного акушерского осложнения.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Aim</title><p>Aim. To study modern ideas about late premature spontaneous labor, identify unresolved issues and identify tasks for further research on this theme.</p></sec><sec><title>Key points</title><p>Key points. The problem of late premature labor occupies a leading position in modern obstetrics and perinatology. Currently, there is no single opinion and no identical approaches in predicting late premature spontaneous labor. This prevents the creation of a single algorithm of actions to prevent them. The article presents up-to-date information on the marker serum proteins and transcriptomic analysis of the placenta, as well as highlights some aspects of the pathogenesis of premature labor on the model of fetoplacental homeostasis disorders.</p></sec><sec><title>Conclusion</title><p>Conclusion. To reduce the risk of adverse outcomes of late premature spontaneous labor, it is necessary to create clear criteria for their prediction and early diagnosis, as well as timely implementation of organizational and therapeutic measures for this obstetric complication.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>поздние преждевременные спонтанные роды</kwd><kwd>маркерные сывороточные белки</kwd><kwd>ассоциированный с беременностью протеин А</kwd><kwd>плацентарный фактор роста</kwd><kwd>растворимая fms-подобная тирозинкиназа-1</kwd><kwd>экспрессия генов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>late premature spontaneous labor</kwd><kwd>marker serum proteins</kwd><kwd>pregnancy-associated plasma protein-A</kwd><kwd>placental growth factor</kwd><kwd>soluble fms-like tyrosine kinase-1</kwd><kwd>gene expression</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Fente B.M., Asaye M.M., Tesema G.A., Gudayu T.W. 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