48 -2 (88) 2026 - Agababyan L.R., Elmuradova Ch.A. - MAJOR OBSTETRIC SYNDROMES: RISK FACTORS AND PATHOGENETIC MECHANISMS
MAJOR OBSTETRIC SYNDROMES: RISK FACTORS AND PATHOGENETIC MECHANISMS
Agababyan L.R. - Samarkand State Medical University
Elmuradova Ch.A. - Samarkand State Medical University
Resume
Great obstetric syndromes unite the most clinically significant complications of pregnancy, characterized by multifactorial origin, a long subclinical phase, and placental-fetal involvement. They include preeclampsia, fetal growth restriction, preterm birth/PPROM, fetal demise and gestational diabetes. Current evidence highlights shared pathways: maternal or intrauterine inflammation/infection, impaired uteroplacental perfusion, placental vascular injury, immune maladaptation and prothrombotic shifts. A structured risk-factor assessment (maternal age, metabolic disorders, hypertension, infections, thyroid dysfunction, autoimmune conditions and adverse obstetric history) is essential for prevention and timely surveillance. Improving early prediction tools remains a priority for effective primary prevention.
Keywords: great obstetric syndromes; pregnancy complications; risk factors; inflammation; placental dysfunction; thrombophilia.
First page
237
Last page
241
For citation:Agababyan L.R., Elmuradova Ch.A. - MAJOR OBSTETRIC SYNDROMES: RISK FACTORS AND PATHOGENETIC MECHANISMS//New Day in Medicine 2(88)2026 237-241 https://newdayworldmedicine.com/en/new_day_medicine/2-88-2026
List of References
- Romero R. Prenatal medicine: The child is the father of the man. J Matern Fetal Neonatal Med. 2009;22(8):636-639. doi:10.1080/14767050902784171
- Challis JR, Lockwood CJ, Myatt L, Norman JE, Strauss JF, Petraglia F. Inflammation and pregnancy. Reprod Sci. 2009;16:206-215.
- Kim C. Maternal outcomes and follow-up after gestational diabetes mellitus. Diabet Med. 2014;31:292-301.
- Gabbay-Benziv R, Baschat AA. Gestational diabetes as one of the “great obstetrical syndromes” - the maternal, placental, and fetal dialog. Best Pract Res Clin Obstet Gynaecol. 2015;29:150-155.
- Biczadze V.O., Makacariya A.D., Hizroeva D.H., et al. Тромбофилия как важнейшее звено патогенеза осложнений беременности. Практическая медицина. 2012.
- Makacariya A.D., Hizroeva D.H., Biczadze V.O., Akin'shina S.V. Беременность и гомозиготные и сочетанные формы тромбофилии у пациенток с тромботическим и акушерским отягощенным анамнезом. Тромбоз, гемостаз и реология. 2016;67(S3):269-270.
- Kamali M, Hantoushzadeh S, Borna S, et al. Association between thrombophilic genes polymorphisms and recurrent pregnancy loss susceptibility: a systematic review and meta-analysis. Iran Biomed J. 2017;22(2):78-89. doi:10.22034/ibj.22.2.78
- ACOG. Practice Bulletin No. 197: Inherited Thrombophilias in Pregnancy. Obstet Gynecol. 2018;132(1):18-34.
- Aracic N, Roje D, Jakus IA, et al. The Impact of Inherited Thrombophilia Types and Low Molecular Weight Heparin Treatment on Pregnancy Complications in Women with Previous Adverse Outcome. Yonsei Med J. 2016;57(5):1230-1235.
- Wolf M, Sauk J, Shah A, et al. Inflammation and glucose intolerance: a prospective study of gestational diabetes mellitus. Diabetes Care. 2004;27:21-27.
file
download