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Method for determining the risk of developing reproductive loss in the 1st trimester of pregnancy

https://doi.org/10.51523/2708-6011.2023-20-1-05

Abstract

Objective. To develop a method for determining the risk of reproductive loss in the 1st trimester of pregnancy.

Materials and methods. Blood serum, whole blood, medical records of an inpatient (form No. 003/-07), and exchange cards (form No. 113/-07) of 94 pregnant women. Interleukin-6 concentration was assessed in the examined patients by immune-enzyme analysis. The level of leukocytes and monocytes was determined in whole blood by general clinical routine methods on a hematology analyzer. Statistica 10.0 software package and “R” programming language, version 4.1, were used for statistical analysis.

Results. The developed logistic regression equation (sensitivity, 87.5%; specificity, 83.33%; classification accuracy, 86.17%) by determining the linear predictor Z makes it possible to assign a pregnant woman to the high risk group for the development of reproductive loss in the 1st trimester (Z > -0.4519).

Conclusion. The proposed new method for determining a high risk of developing reproductive loss in the 1st trimester of pregnancy makes it possible to carry out appropriate therapeutic measures to help preserve women’s reproductive health, improve fertility, and increase the birth rate.

About the Author

L. V. Kastsova
Grodno State Medical University
Belarus

Liubou V. Kastsova, Ph.D. student at the Department of Obstetrics and Gynecology

Grodno



References

1. Volkov VG, Chursina OV. A role of comprehensive cervix assessment in the first trimester of pregnancy for predicting pret erm delivery. Obstetrics, Gynecology, and Reproduction. 2020;14(2):174-181. (In Russ.). DOI: https://doi.org/10.17749/2313-7347/ob.gyn.rep.2020.094

2. Ordiyants IM, Molchanova OK, Aleev IA, Ismailova A, Mukhammadzhanova M. Рrediction of early pregnancy loss: versions and contraversions. Оbstetrics and Gynecology. News. Views. Education. 2021;9(3):56-59. (In Russ.). DOI: https://doi.org/10.33029/2303-9698-2021-9-3suppL-56-59

3. Devall AJ, Papadopoulou A, Podesek M, Haas DM, Price MJ, Coomarasamy A, Gallos ID. Progestogens for preventing miscarriage: a network meta-analysis. Cochrane Database Syst. Rev. 2021;4(4):CD013792. DOI: http://dx.doi.org/10.1002/14651858.cd013792.pub2

4. Frolova NI, Belokrinitskaya TE. Epigenetic factors and molecular markers of the risk of early pregnancy losses. Gynecology. 2019;21(3):9-16. (In Russ.). DOI: https://doi.org/10.26442/20795696.2019.4.190523

5. Dobrohotova JuJu, Gankovskaja LV, Bahareva IV, Svitich OA, Malushenko SV, Magomedova AM. The role of immune mechanisms in the pathogenesis of miscarriage. Obstetrics and Gynecology. 2016;(7):5-10. (In Russ.). DOI: https://dx.doi.org/10.18565/aig.2016.7.5-10

6. Sidelnikova VM. Preparation and management of pregnancy in women with habitual miscarriage. Moskva, 2013. р. 81-168. (In Russ.).

7. Kirk E, Jakab A, Le Clef N, Ankum P. Terminology for describing normally sited and ectopic pregnancies on ultrasound: ESHRE recommendations for good practice. Hum Reprod Open. 2020;(4):1-21. DOI: https://doi.org/10.1093/hropen/hoaa055

8. Ajlamazjan JeK. Akusherstvo. Nacionalnoe rukovodstvo. Moskva, 2019. 608 p. (In Russ.).

9. R Core Team. R: A Language and Environment for Statistical Computing [Electronic resource]. [date of access 2022 February 2]. Avilable from: https://www.r-project.org/about.html


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For citations:


Kastsova L.V. Method for determining the risk of developing reproductive loss in the 1st trimester of pregnancy. Health and Ecology Issues. 2023;20(1):41-47. (In Russ.) https://doi.org/10.51523/2708-6011.2023-20-1-05

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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)