DEFINITION OF PATHOMORPHOLOGICAL CRITERIA FOR LIVE BIRTH
Introduction: despite the achievements of modern perinatology, today there are a number of unresolved issues, one of them is the definition of live birth of a child.
In the Republic of Kazakhstan, since 2008, the implementation of the criteria for live birth and stillbirth, recommended by WHO, has begun. Thus, according to the WHO recommendation, a live birth is considered when the product of conception after 22 weeks of pregnancy is completely separated [extracted] from the mother's body and in the presence of at least one sign of life in a newborn child in the form of attempts to breathe independently, heartbeat, movements, pulsation of the umbilical cord, etc. But together, in everyday practice, doctors of practical health care face the problem of determining live birth or stillbirth, which leads to many questions and disagreements.
Aim: to analyze the literature on the topic of determining the pathomorphological criteria of live birth.
Search Strategy: The sources were searched in the following databases: Pubmed, Scopus, Ebscohost, Medline, The Sosgape Library, SpringerLink, Web of Knowledge [Thomson Reuters], Paragraph Medicine, ScienceDirect. The search depth was 20 years: from 2000 to 2020. The inclusion criteria were: articles in English on the forensic medical examination of live births. The exclusion criteria were: articles describing individual cases and series of cases; articles published earlier than 2000; materials that do not have an evidence base, summaries of reports, abstracts and newspaper articles. We included 45 articles on this topic that were available in full text and went through a critical evaluation process. The search depth is 20 years, but several sources (1965, 1969, 1984, 1992, 1993 years) were also included in this analysis because they contained conceptual (basic) information.
Results: Analysis of the literature showed that over the past 20 years, no single method has emerged that has convincingly proven the fact of live birth. The combination of different methods, the comparison of the results of several research methods will allow us to get closer to the truth, to determine / exclude live birth.
Conclusions: The issue of determining the live birth rate is an urgent problem that requires further study.
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Karin B.T., Marat A.M., Chuvakova T.K., Nurmagambetova B.K., Khamidullina Z.G., Jaxalykova K.К., Aimagambetova G.N., Yeltaeva A.A., Usmanova U.U. Definition of pathomorphological criteria for live birth // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 2, pp. 225-235. DOI 10.34689/SH.2023.25.2.029Related publications:
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