о р и г и н а л ь н а я с т а т ь я Delivery strategy in women with extra early preterm birth N.V.Bashmakova, G.B.Malgina, K.A.Shafieva Urals Research Institute for Maternity and Infancy Support, Ministry of Public Health of the Russian Federation, Yekaterinburg, Russian Federation The objective. <...> The creation of optimal approaches to delivery in women with extra early preterm birth (EPB) based on perinatal outcome. <...> The retrospective cohort study of EPB has been performed (n = 100). <...> There were two research groups: group A (n = 50) – delivery was performed by cesaerian section (CS) and group B (n = 50) – delivery was performed by vaginal birth. <...> The perinatal outcome was not depended on the mode of delivery in women with gestational age between 22 and 24 weeks. <...> At this gestational age CS should be performed only in the cases of high maternal mortality risk. <...> The newborn’s survival rate was 1.5 times less in the case of CS delivery comparing to the vaginal birth at 24 – 26 weeks of gestation. <...> On the contrary at 26 – 28 weeks, the newborn’s survival rate was 1.7 times more at CS mode of delivery than at vaginal birth. <...> The maternal and fetal reasons for CS were equal at this gestational age. <...> Therefore the mode of delivery should be discussed with neonatologist and perinatal psychologist. <...> At this gestational age the maternal postpartum morbidity in group A was 74/1000 which was 4 times more than in other gestational age groups. <...> The differentiated approach to choice of the mode of delivery in EPB women should be dependent on the gestational age, perinatal prognosis and maternal safety considerations. <...> Key words: extremely early preterm birth, cesarean section, postpartum morbidity Стратегия родоразрешения женщин в сроке сверхранних преждевременных родов Н. <...> Вся исследуемая когорта была разделена на две группы: А – кесарево сечение (КС) (n = 54) и В – роды через естественные родовые пути (n = 46). <...> Ключевые слова: сверхранние преждевременные роды, кесарево <...>