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Risk Factors for Early Рlacental Abruption: Multicenter Retrospective Cohort Study

https://doi.org/10.31550/1727-2378-2024-23-5-7-15

Abstract

Aim. А determination of predictors of early placental abruption (up to 34 weeks of pregnancy).

Design. Multicenter retrospective cohort study.

Materials and methods. The total number of cases of placental abruption — 1594, data from 22 medical centers in 16 constituent entities of the Russian Federation. The main group (n = 618) — patients with placental abruption at a gestation period of less than 34 weeks, comparison group (n = 976) — pregnant women with placental abruption at 34 weeks or more.

Results. Multivariate analysis carried out using the logistic regression method revealed a statistically significant effect of smoking, pregnancy number, the presence of a scar on the uterine abnormalities of its structure on the occurrence of early placental abruption.

Conclusion. Disentangling placental abruption into early and late phenotypes may provide insight into the causes of this obstetric condition and improve maternal and neonatal outcomes.

About the Authors

I. S. Rudakova
K.A. Gutkin Republican Perinatal Center
Russian Federation

Petrozavodsk


E. M. Shifman
Moscow Regional Research and Clinical Institute; N.I. Pirogov Russian National Research Medical University
Russian Federation


G. P. Tikhova
Petrozavodsk State University
Russian Federation


M. A. Andriyakhova
Altai State Clinical Perinatal Centre
Russian Federation


N. V. Artymuk
Kemerovo State Medical University
Russian Federation


V. A. Bagiyants
Sverdlovsk Regional Children Clinical Hospital
Russian Federation


F. R. Barakaeva
D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology
Russian Federation


S. V. Barinov
Omsk State Medical University
Russian Federation


N. A. Barkovskaya
Dzerzhinsk Perinatal Center
Russian Federation


A. A. Belinina
Altai State Clinical Perinatal Centre
Russian Federation


T. E. Belokrinitskaya
Chita State Medical Academy
Russian Federation


R. V. Bikkuzhin
Petrozavodsk State University
Russian Federation


A. V. Bulavintseva
Simferopol Clinical Hospital
Russian Federation


E. A. Bukharova
Omsk State Medical University
Russian Federation


A. A. Bukhtin
Volgograd Regional Clinical Perinatal Center No. 1
Russian Federation


I. G. Verveiko
Professor G.S. Postol Perinatal Center
Russian Federation

Khabarovsk


V. S. Gorokhovskii
Far Eastern State Medical University
Russian Federation

Khabarovsk


D. E. Gurbanov
Saratov Medical University named after. V.I. Razumovsky
Russian Federation


E. N. Degtyarev
National Medical Research Center for Obsterics, Gynecology and Perinatology named after Academician V.I. Kulakov
Russian Federation


K. G. Eliseeva
Saratov Medical University named after. V.I. Razumovsky; Clinical Perinatal Center of the Saratov Region
Russian Federation


A. A. Ivshin
Petrozavodsk State University
Russian Federation


S. A. Iozefson
Chita State Medical Academy
Russian Federation


R. V. Kapustin
D.O. Ott Research Institute of Obstetrics, Gynecology and ReproductologyPrivolzhsky Research Medical University, Nizhny Novgorod
Russian Federation


N. Yu. Katkova
Privolzhsky Research Medical University, Nizhny Novgorod
Russian Federation


K. A. Kolmakova
Chita State Medical Academy
Russian Federation


P. V. Koch
Krasnoyarsk Regional Clinical Center for Maternal and Child Health
Russian Federation


A. A. Kuverin
Perinatal Center of the Saratov City Clinical Hospital No. 8
Russian Federation


L. V. Kuklina
Omsk State Medical University
Russian Federation


A. V. Kulikov
Ural State Medical University
Russian Federation


T. Yu. Marochko
Kemerovo State Medical University
Russian Federation


D. V. Marshalov
Saratov Medical University named after. V.I. Razumovsky
Russian Federation


N. M. Milyaeva
Ural State Medical University
Russian Federation


A. A. Golovachuk
Medical Institute named after S.I. Georgievsky of the V.I. Vernadsky Crimean Federal University
Russian Federation


E. S. Nadezhina
Perinatal Center of the Omsk Regional Clinical Hospital
Russian Federation


S. V. Novikova
Moscow Regional Research Institute of Obstetrics and Gynecology
Russian Federation


S. V. Ovechkin
Novosibirsk City Clinical Perinatal Center
Russian Federation


A. V. Petrov
Maikop City Clinical Hospital; Adyghe Republican Clinical Perinatal Center
Russian Federation


I. M. Pozdnyakov
Novosibirsk City Clinical Perinatal Center
Russian Federation


E. G. Prodanchuk
Omsk State Medical University
Russian Federation


N. Yu. Pylaeva
Medical Institute named after S.I. Georgievsky of the V.I. Vernadsky Crimean Federal University
Russian Federation


O. V. Ryazanova
D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology
Russian Federation


I. V. Savelyeva
Omsk State Medical University
Russian Federation


A. A. Sleta
Volgograd Regional Clinical Perinatal Center No. 1
Russian Federation


V. D. Snezhko
National Medical Research Center of Surgery named after A. Vishnevsky
Russian Federation


M. G.. Tupikin
Krasnoyarsk Regional Clinical Center for Maternal and Child Health
Russian Federation


E. Yu. Upryamova
D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology
Russian Federation


A. I. Cherny
Saratov Medical University named after. V.I. Razumovsky; Perinatal Center of the Saratov City Clinical Hospital No. 8
Russian Federation


N. V. Shindyapina
Saratov Medical University named after. V.I. Razumovsky; Clinical Perinatal Center of the Saratov Region
Russian Federation


O. B. Shulman
Maikop City Clinical Hospital; Adyghe Republican Clinical Perinatal Center
Russian Federation


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Review

For citations:

Rudakova I.S., Shifman E.M., Tikhova G.P., Andriyakhova M.A., Artymuk N.V., Bagiyants V.A., Barakaeva F.R., Barinov S.V., Barkovskaya N.A., Belinina A.A., Belokrinitskaya T.E., Bikkuzhin R.V., Bulavintseva A.V., Bukharova E.A., Bukhtin A.A., Verveiko I.G., Gorokhovskii V.S., Gurbanov D.E., Degtyarev E.N., Eliseeva K.G., Ivshin A.A., Iozefson S.A., Kapustin R.V., Katkova N.Yu., Kolmakova K.A., Koch P.V., Kuverin A.A., Kuklina L.V., Kulikov A.V., Marochko T.Yu., Marshalov D.V., Milyaeva N.M., Golovachuk A.A., Nadezhina E.S., Novikova S.V., Ovechkin S.V., Petrov A.V., Pozdnyakov I.M., Prodanchuk E.G., Pylaeva N.Yu., Ryazanova O.V., Savelyeva I.V., Sleta A.A., Snezhko V.D., Tupikin M.G., Upryamova E.Yu., Cherny A.I., Shindyapina N.V., Shulman O.B. Risk Factors for Early Рlacental Abruption: Multicenter Retrospective Cohort Study. Title. 2024;23(5):7-15. (In Russ.) https://doi.org/10.31550/1727-2378-2024-23-5-7-15

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ISSN 1727-2378 (Print)
ISSN 2713-2994 (Online)

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