Echographic predictors for fetal critical condition
- Authors: Voevodin S.M.1, Shemanaeva T.V.2, Shchegolev A.I.1
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Affiliations:
- Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
- I.M. Sechenov First Moscow State Medical University
- Issue: No 6 (2016)
- Pages: 62-66
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247652
- ID: 247652
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Abstract
Objective. To identify the initial echographic markers of placental dysfunction in pregnant women with subsequent antenatal fetal death. Subjects and methods. Thirty-eight women in whom the course of pregnancy was complicated by antenatal fetal at 24-36 weeks’ gestation (a study group) were retrospectively analyzed. A control group was formed from 28 women with physiological pregnancy. The data of medical history, clinical, laboratory, and echographic studies in the pregnant women and morphological examination of the placenta were analyzed. Results. The main pregnancy complications that led to antenatal fetal death in the second trimester were severe preeclampsia and infectious lesions of the fetus and placenta. The clinical manifestations of preeclampsia were recorded in 12 (31.6%) patients in the study group. 34.2% of the women were found to have echographic signs of placental dysfunction as evolving fetal growth retardation. Moreover, the latter that developed in the second and third trimesters of pregnancy was found in 10.5 and 23.7%, respectively. Conclusion. The most informative echographic markers of a fetal critical condition are oligohydramnios, specific placental changes, fetal growth retardation, and abnormal blood flow values in the fetoplacental unit.
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About the authors
Sergei M. Voevodin
Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: voevod37@yandex.ru
MD, Professor, Head of the Imaging Department
Tatiana V. Shemanaeva
I.M. Sechenov First Moscow State Medical University
Email: t.shemanaeva@rambler.ru
MD, Professor, Department of Obstetrics and Gynecology
Alexander I. Shchegolev
Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: ashegolev@oparina4.ru
MD, Professor, Head of Department of pathologic anathomy
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