RUDN Journal of MedicineRUDN Journal of MedicineВестник Российского университета дружбы народов. Серия: Медицина2313-02452313-0261Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)3348ArticlesСтатьиReview ArticlePreterm birth in women obstetric trauma to the perineumПреждевременные роды у женщин с акушерской травмой промежностиKostrikovaA VКостриковаАнтонина Владимировнаantoninakostrikova@mail.ruMusalaevaI OМусалаеваИндира Омаровнаi700@mail.ruDmitrievaE MДмитриеваЕлена Михайловнаaleksei_lukaev@mail.ruPeoples' Friendship University of RussiaРоссийский университет дружбы народов150220162NO2 (2016)№2 (2016)18118807092016Copyright ©; 2016, Кострикова А.В., Мусалаева И.О., Дмитриева Е.М.2016Кострикова А.В., Мусалаева И.О., Дмитриева Е.М.http://creativecommons.org/licenses/by/4.0https://journals.rudn.ru/medicine/article/view/3348According to various authors, the frequency of preterm labor is from 5 to 12% per year and tends to increase over the past 20 years. Despite the constant improvement of knowledge about the causes and mechanisms of preterm birth, the world still cannot cope with the problem of premature birth, which has a much greater range of uncertainty. One of the most compelling reasons in the development of PR is cervico-vaginal infection refers to a vaginal dysbiosis. Dysbiosis of the vagina is one of the most frequent infectious diseases among women of fertile age. One of the reasons for the development of vaginal dysbiosis is the lack of anatomical relations between components of the pelvic diaphragm, which can occur during normal labor and childbirth with visible and invisible injuries of the perineum. Given the increasing frequency of preterm birth and perineal trauma in childbirth, identifying cause-and-effect relationship in this matter is relevant and pending for the moment.Частота преждевременных родов (ПР) составляет от 5 до 12% в год и имеет тенденцию к повышению за последние 20 лет. Несмотря на постоянное совершенствование знаний о причинах и механизмах развития ПР, до сих пор мир не может справиться с проблемой ПР, которая имеет гораздо больший диапазон неопределенностей [30; 31]. Одной из наиболее веских причин в развитии ПР является цервико-вагинальная инфекция, к которой относится дисбиоз влагалища. Дисбиоз влагалища - одно из самых частых инфекционных заболеваний среди женщин фертильного возраста. Одной из причин развития дисбиоза влагалища является отсутствие анатомического соотношения между составляющими тазовой диафрагмы, которое может произойти как при нормальных родах, так и при родах с видимыми и невидимыми травмами промежности [2]. Учитывая рост частоты ПР и травм промежности в родах, выявление причинно-следственной связи в этом вопросе является актуальным и нерассмотренным на данный момент.preterm laborvaginal dysbiosistrauma to the perineumПРдисбиоз влагалищатравма промежности1.Ancel P.Y. Epidemiology of preterm birth. La Revue du Praticien. 2012. 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