Email this article Medical and sociological study of social predictors of perinatal risk of complicated pregnancy and preterm birth: a cohort study
- Authors: Rebrova A.A.1, Rebrova L.V.1, Krom I.L.1, Samsonova A.I.1, Andriyanova E.A.1, Fedonnikov A.S.1
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Affiliations:
- Saratov State Medical University named after V.I. Razumovsky
- Issue: Vol 24, No 3 (2025)
- Pages: 172-178
- Section: MEDICAL SOCIOLOGICAL STUDIES
- URL: https://bakhtiniada.ru/1728-2810/article/view/363342
- DOI: https://doi.org/10.17816/socm678497
- EDN: https://elibrary.ru/UVARYN
- ID: 363342
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Abstract
BACKGROUND: The current Russian demographics is characterized by a declining birth rate and a high rate of complications during pregnancy and childbirth. Choosing the best pregnancy management and childbirth method is impossible without due consideration of perinatal risk factors.
AIM: To determine the perinatal risk of complicated pregnancy in women with premature birth using social predictors.
METHODS: The study conducted in 2024 included 118 women admitted to the maternity wards of the Clinical Perinatal Center of the Saratov Region for complicated pregnancies that ended in premature birth. The control group included 385 women with complicated pregnancies ended in term births. In both groups, respondents were differentiated by the degree of perinatal risk during pregnancy using the scale of perinatal risk factors proposed by Radzinsky et al., which includes additional social parameters of pregnant women. The survey of respondents was analyzed using standard algorithms in SPSS Statistics and Microsoft Excel. Correlation analysis was performed by calculating the Spearman’s rank correlation. A combination of factor and discriminant analyses was used to predict a pregnancy outcome.
RESULTS: In the premature birth group, the perinatal risk of pregnancy complications was low and medium in 53.8% of women, who underwent regular medical checkups in antenatal clinics, indicating that the perinatal risk of the respondents was underestimated. A combination of factor and discriminant analysis based on the respondent’s age, husband’s age, marital status, family size, number of children, number of minor children, average monthly income per family member, number of pregnancies, number of sexual partners, smoking, chronic and hereditary diseases allowed to accurately predict the pregnancy outcome in 92.4% of cases.
CONCLUSION: The study verified the social profile of pregnant women, which are significantly associated with the degree of perinatal risk of complicated pregnancy and childbirth.
About the authors
Anastasiya A. Rebrova
Saratov State Medical University named after V.I. Razumovsky
Email: rebrova_a@list.ru
ORCID iD: 0009-0004-7250-9567
SPIN-code: 9844-4578
Russian Federation, Saratov
Lada V. Rebrova
Saratov State Medical University named after V.I. Razumovsky
Email: rebrova_a@list.ru
ORCID iD: 0009-0001-3657-1062
SPIN-code: 8895-7469
Russian Federation, Saratov
Irina L. Krom
Saratov State Medical University named after V.I. Razumovsky
Author for correspondence.
Email: irina.crom@yandex.ru
ORCID iD: 0000-0003-1355-5163
SPIN-code: 4854-1094
MD, Dr. Sci. (Medicine)
Russian Federation, SaratovAnna I. Samsonova
Saratov State Medical University named after V.I. Razumovsky
Email: bespeshnui_angel@mail.ru
ORCID iD: 0000-0003-0326-1380
SPIN-code: 1042-1930
Russian Federation, Saratov
Elena A. Andriyanova
Saratov State Medical University named after V.I. Razumovsky
Email: elena-andriyanova@yandex.ru
ORCID iD: 0000-0002-6250-8331
SPIN-code: 8378-3460
Dr. Sci. (Sociology), Professor
Russian Federation, SaratovAlexander S. Fedonnikov
Saratov State Medical University named after V.I. Razumovsky
Email: fedonnikov@mail.ru
ORCID iD: 0000-0003-0344-4419
SPIN-code: 2248-5246
MD, Dr. Sci. (Medicine), Assistant Professor
Russian Federation, SaratovReferences
- Sokolovskaya TA, Stupak VS, Chizhova GV. Current problems of incidence of pregnant women in the Far East federal district: basic background and directions for forming prevention programs. Current problems of health care and medical statistics. 2021;(3):475–491. doi: 10.24412/2312-2935-2021-3-475-491 EDN: SSTRPU
- Kotova EG, Kobyakova OS, Starodubov VI, et al. Main indicators of maternal and child health, activities of child protection and maturity services in the Russian Federation. Statistical materials. Moscow: Federal Research Institute for Health Care Organization and Information; 2022. 171 p. (In Russ.) ISBN: 978-5-94116-094-5 doi: 10.21045/978-5-94116-094-5 EDN: NPLAKX
- Sokolovskaya TA, Stupak VS. Morbidity of pregnant women in the Russian Federation: trends and prognosis. Russian bulletin of obstetrician-gynecologist. 2022;22(5):7–14. doi: 10.17116/rosakush2022220517 EDN: KJPMWH
- Nosirova MP, Asfiyaeva KhM, Kabirzoda TD. The state of reproductive health of pregnant women at the primary care link. In: Fundamental science and technology. A collection of scientific articles based on the materials of the XII International scientific and practical conference. Volume part 3. Ufa, 2023. Ufa: SPC Herald of Science; P. 113–119. (In Russ.) EDN: DHVFKJ
- Prisyazhnaya NV. Sociology of social orphanhood: contemporary discourses on the problem. In: Society and Health: Current State and Development Trends. Proceedings of the All-Russian Scientific and Practical Conference, with international participation. 2013. Moscow: Sechenov First Moscow State Medical University; 2013. P. 185–194. (In Russ.) EDN: QCFTRQ
- Manerova OA, Markina AYu. Social and economic efficiency of modernization of the system of prevention of early social orphanhood. Public health and health care. 2023;(1(76)):57–61. doi: 10.56685/18120555_2023_76_1_57 EDN: ZWUUKS
- Reshetnikov AV, Prisyazhnaya NV. Studying the nature of social orphanhood in correlation with status characteristics and personal health. Sociology of medicine. 2020;19(1):25–31. doi: 10.17816/1728-2810-2020-19-1-25-31 EDN: NMGYTW
- Radzinskii VE, Knyazev SA, Kostin IN. Obstetric risk: maximum information, minimum danger for mother and baby. Moscow: Eksmo; 2009. 167 p. (In Russ.) ISBN: 978-5-699-33608-1
- Bezhenar VF, Ivanova LA, Ivanov DO, Krasnogorskaya OL. Preterm birth: current opportunities for prediction and prevention. Pediatrician (St. Petersburg). 2023;14(6):5–13. doi: 10.17816/PED626397 EDN: BWJZSV
- Filippov YuN, Abayeva OP, Filippov AYu, Shcheltsina NYu. Patient satisfaction as one of the criteria for obstetric and gynecologic care quality (according to the results of analyzing written complaints from the population of Nizhny Novgorod). Akusherstvo i ginekologiya. 2013;(7):67–71. EDN: RFKYPD
- Karpova SS, Ryzhova NK, Klokova UA, et al. Risk assessment and prediction of reproductive outcomes in women with a comprehensive history. Obstetrics and gynecology. News. Views. Education. 2024;12(2):43–49. doi: 10.33029/2303-9698-2024-12-2-43-49 EDN: SSEPUK
- Moghassemi S, Adib Moghaddam E, Arab S. Safe motherhood in crisis; threats, opportunities, and needs: a qualitative study. BMC Pregnancy Childbirth. 2024;24(1):4. doi: 10.1186/s12884-023-06202-3 EDN: XBEQVR
- Rebrova AA, Krom IL, Erugina MV, et al. Characteristics of the social portrait of pregnant women associated with the degree of prenatal risk of complicated course of pregnanc. Saratov journal of medical scientific research. 2025;21(1):86–89. doi: 10.15275/ssmj2101086 EDN: TTFCJA
- Reshetnikov AV. Medical and sociological monitoring: Manual. Moscow, 2003. 1048 p. (In Russ.) ISBN: 5-225-04126-4 EDN: QBMHPD
- Meng G, Thompson ME, Hall GB. Pathways of neighbourhood-level socio-economic determinants of adverse birth outcomes. Int J Health Geogr. 2013;12:32. doi: 10.1186/1476-072X-12-32 EDN: WONXPW
- Cherkasov SN, Bezmel'nicyna LY, Meshkov DO, Sopova IL. Evaluation of the influence of the risk factors on the current and outputs of pregnancy. Bulletin of Semashko National Research Institute of Public Health. 2019;(3–4):105–112. doi: 10.25742/NRIPH.2019.03.012 EDN: PMBLSO
- Yepifanava HK, Surmach MYu. Medical and social portrait of pregnant women and dynamics of behavioral factors of their health for the period from 2007 to 2017 years. Sovremennye problemy gigieny, radiatsionnoi i ehkologicheskoi meditsiny. 2019;(9):143–153. EDN: HVVZQH
- Poulsen G, Andersen AN, Jaddoe VWV, et al. Does smoking during pregnancy mediate educational disparities in preterm delivery? Findings from three large birth cohorts. Paediatr Perinat Epidemiol. 2019;33(2):164–171. doi: 10.1111/ppe.12544
- Vakhrusheva YuN. Scientific justification for optimizing medical care for women with early spontaneous pregnancy loss [dissertation]. Moscow; 2022. 209 p. (In Russ.) EDN: GVROLV
- Agarkova LA, Bukharina IYu, Belova NG, et al. Risk factors and mathematical model of complicated pregnancy using integrative analysis. Bulletin of Siberian medicine. 2019;18(2):6–15. doi: 10.20538/1682-0363-2019-2-6-15 EDN: XCGQTL
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