Assessment of the state of the fetus by dopplerometry in pregnant women with placenta increta
- Authors: Omarova H.M.1, Omarova R.H.1, Khashaeva T.H.1, Magomedova I.K.2
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Affiliations:
- Dagestan State Medical University, Ministry of Health of Russia
- Peoples' Friendship University of Russia
- Issue: No 8 (2023)
- Pages: 136-140
- Section: Exchange of Experience
- URL: https://journals.eco-vector.com/0300-9092/article/view/593087
- DOI: https://doi.org/10.18565/aig.2023.22
- ID: 593087
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Abstract
Objective: Assessment of the state of the fetus by ultrasound dopplerography (USDG) and the condition of newborns from pregnant women with placenta increta in the early neonatal period.
Materials and methods: 35 pregnant women with placenta increta were included in a retrospective study. All pregnant women underwent assessment of the state of the utero-placental-fetal blood flow using USDG.
Results: Hemodynamic disorders were detected in 71.4% of pregnant women with placenta increta. Uteroplacental blood flow disorders were detected in 17/35 (48.6%), fetal-placental blood flow disorders – in 5/35 (14.3%); critical values of simultaneous disturbances of uteroplacental and fetal-placental blood flow, which did not reach critical changes (diastolic blood flow was preserved), were detected in 3/35 (8.5%) pregnant women. At the same time, an increase in the resistance index and the pulsation was revealed.
Conclusion: The results of USG indicated hemodynamic disturbances in the fetoplacental complex in patients with placenta increta, since the conjugation of placental hemodynamics on the maternal and fetal sides was disturbed; the cause of these disorders was largely a pathologically invaded placenta. A relationship between hemodynamic disturbances in the fetoplacental complex and the birth of children in a state of asphyxia of varying severity was found.
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About the authors
Halimat M. Omarova
Dagestan State Medical University, Ministry of Health of Russia
Email: halimat2440@yandex.ru
ORCID iD: 0000-0001-8145-5506
Dr. Med. Sci., Associate Professor, Professor of the Department of Obstetrics and Gynecology
Russian Federation, MakhachkalaReyhan H. Omarova
Dagestan State Medical University, Ministry of Health of Russia
Author for correspondence.
Email: reihan78@bk.ru
ORCID iD: 0000-0002-2790-1218
correspondence postgraduate student of the Department of Obstetrics and Gynecology; lecturer of obstetrics and gynecology, G.A. Ilizarov Medical College, Derbent
Russian Federation, MakhachkalaTamara H.-M. Khashaeva
Dagestan State Medical University, Ministry of Health of Russia
Email: tamara40@mail.ru
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology of the Medical Faculty
Russian Federation, MakhachkalaIli Kh. Magomedova
Peoples' Friendship University of Russia
Email: halimat2440@yandex.ru
clinical resident
Russian Federation, MoscowReferences
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