Монголын Анагаахын Сэтгүүлүүдийн Холбоо (МАСХ)
Эх барих, эмэгтэйчүүд, хүүхэд судлалын сэтгүүл, 2011, 2(10)
Амьгүй ураг төрөхөд нөлөөлж буй хүчин зүйлс
( Судалгааны өгүүлэл )

С.Мөнхзул1 , Б.Жав2, О.Чимэдсүрэн3

1КНАГ, 2ЭМШИУС-ийн АУС-ийн Эх барих, эмэгтэйчүүдийн тэнхим, 3ЭМШИУС-ийн НЭМС

 
Абстракт

Background: Every year around 3.2 million stillbirths occur in the world.  Stillbirth is comparatively higher in developing countries than in developed. The objective of this study was to determine the relation between stillbirths and risk factors in Mongolia.

Materials and methods: A case-control study was conducted. A total of 50 singleton pregnancies resulting in stillbirth were compared with 50 livebirths randomly selected from the same period of time. The variables studied were the following: maternal age, maternal ethnic group, maternal Rhesus status, fetal sex, smoking habit, maternal chronic diseases, reproductive tract infections, amniotic changes, placental and umbilical pathological changes.

Results: Stillbirths were significantly associated with 35-39 years of maternal age (OR=5.93, 95% CI 2.04-24.63), passive smoking (OR=1.79, 95% CI: 0.80-5.56), hard working conditions of mothers (OR=6.78, 95% CI 1.19-38.73).

The odds of stillbirths were increased significantly in women diagnosed with tuberculosis, chronic respiratory tract diseases, vaginal infections and preeclampsia. Amniotic changes (edema, color changes, focal inflammation, calcinosis), chronic placental failures (chronic and acute placental failure, tissue malformation, and pathological malformation of placental tissue), and changes of umbilical compression (wrapping round, knotting, compression and prolapse) were significantly associated with stillbirths. There were no significant associations between stillbirth and maternal ethnic group, maternal Rhesus status and fetal sex.

Conclusion: This study found that main risks that increase the stillbirth rates are maternal tuberculosis, chronic respiratory tract diseases, reproductive tract infections, and preeclampsia. Its detailed investigation into maternal health and behaviour during pregnancy has the potential to lead to a better understanding of modifiable risk factors for stillbirth.



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