FETAL GROWTH RETARDATION: DIAGNOSIS AND AN OPTIMAL DELIVERY METHOD
- Authors: PALADI G.1, ILIADI-TULBURE K.1, TABUIKA U.G.1
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Affiliations:
- N. Testemitsanu Kishinev State University of Medicine and Pharmacy, Republic of Moldova
- Issue: No 5 (2011)
- Pages: 45-48
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/246521
- ID: 246521
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Abstract
Objective. To evaluate the efficiency of current diagnostic methods and to choose a delivery mode in relation to the degree of intrauterine growth retardation (IUGR). Subjects and methods. Four hundred and ten cases of full-term pregnancy were retrospectively studied according to medical records including medical history data, the results of follow-ups, ultrasonography (USG), and Doppler study, and neonatal information. Three study groups (310 women) were identified according to the degree of IUGR. A comparison group comprised 50 women with constitutional hypotrophy and a fetal weight of less than 2800 g. A control group consisted of 50 women with a fetal weight of more than 2800 g. Each group was divided into subgroups depending on the mode of delivery: a vaginal delivery and a cesarean section. Results. Fetal hypotrophy was diagnosed by USG in 74.44% of cases. In IUGR, the expected fetal mass was below the 10th percentile in 187 (60.32%) cases; abdominal circumference in 51.61%; femur length in 50.32%; biparietal diameter in 48.0%, and head circumference in 41.61%. The progressive pathological process was found to be paralleled by increases in resistance and pulsatility indices, which occurred in 83.8% of cases of third-degree IUGR. In 168 (54.2%) cases of IUGR, Doppler abnormal indices could identify fetal distress, which necessitated an emergence cesarean section. The perinatal mortality rates during a vaginal delivery were 48.8% (8 deaths). No neonatal deaths were recorded after cesarean section. There were differences in morbidity rates among the babies born by vaginal delivery or cesarean section (86.7 and 44.7%, respectively (p<0.05). Conclusion. USG with dynamic Doppler study makes it possible to timely diagnose IUGR and the degree of fetal distress and to make a decision on the time and mode of delivery. Cesarean section is the most sparing mode of delivery.
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About the authors
G. PALADI
N. Testemitsanu Kishinev State University of Medicine and Pharmacy, Republic of Moldova
K. ILIADI-TULBURE
N. Testemitsanu Kishinev State University of Medicine and Pharmacy, Republic of Moldova
U. Georgevna TABUIKA
N. Testemitsanu Kishinev State University of Medicine and Pharmacy, Republic of Moldova
Email: tabuca@yandex.ru
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