PROGNOSTIC MARKERS FOR EARLY REPRODUCTIVE LOSSES IN PATIENTS WITH RETROCHORIAL HEMATOMA


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Early threatened miscarriage with retrochorial hematoma (RCH) being formed may be a predictor for early and late complications. Objective. To determine the significance of echographic parameters of an embryo and extraembryonic structures in the first trimester when RCH is found. Subjects and methods. A total of 163 pregnant women at 6-12 weeks’ gestation, including 90patients with RCH (a study group) and 73 apparently healthy individuals (a control group), were examined. Results. RCH volumes were 0.027-3.68 cm3 in the study group. The poor outcome (non-developing pregnancy) of the first trimester was noted in 27(30%c) patients with RCH; a coccyx-parietal size (CPS) lag of more than 7 days in this category of patients was significantly more common than in those whose pregnancy was prolonged. Conclusion. CPS lagging the gestational age by more than 7 days and the corporal location of hematoma are unfavorable prognostic echographic signs in pregnant women with RCH in the first trimester.

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作者简介

Irina Bushtyreva

Rostov State Medical University, Ministry of Health of Russia; Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: kio4@mail.ru
MD, Professor, the Head of the Department of Obstetrics, Gynecology and Reproduction Ns A 344022, Russia, Rostov-on-Don, Nakhichevan lane 29

Natalia Kuznetsova

Rostov State Medical University, Ministry of Health of Russia

Email: lauranb@inbox.ru
PhD, the assistant of the Department of Obstetrics, Gynecology and Reproduction N° 4 344022, Russia, Rostov-on-Don, Nakhichevan lane 29

Tatiana Zamanskaya

Rostov State Medical University, Ministry of Health of Russia

MD, the Professor of the Department of Obstetrics, Gynecology and Reproduction Ns A 344022, Russia, Rostov-on-Don, Nakhichevan lane 29

Mariya Dmitrieva

Perinatal Center

Email: dr.dmitriev@inbox.ru
the obstetrician-gynecologist 344068, Russia, Rostov-on-Don, Bodraya str. 90

Marina Levchenko

Perinatal Center

PhD, doctor of ultrasonic diagnostics 344068, Russia, Rostov-on-Don, Bodraya str. 90

Kristina Shmakova

Perinatal Center

doctor of ultrasonic diagnostics 344068, Russia, Rostov-on-Don, Bodraya str. 90

参考

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