THE COURSE AND OUTCOMES OF PREECLAMPTIC PREGNANCY IN RELATION TO THE TYPE OF MATERNAL CENTRAL HEMODYNAMICS

Objective. To study the characteristics of the course and outcomes of a preeclampsia-complicated gestational process in relation to the type of central hemodynamics (CH). Subjects and methods. The study enrolled 98 pregnant women diagnosed as having preeclampsia without prior chronic hypertension. According to the type of CH, all the pregnant women were divided into 3 groups: 1) 20 patients with eukinetic CH; 2) 32 with hyperkinetic CH; 3) 46 with hypokinetic CH. All the pregnant women underwent conventional medical examination, pulsed wave Doppler echocardiography, and estimation of blood flow in the maternal arteries and fetal umbilical and middle cerebral ones. Results. The normal values of hemodynamic parameters were obtained in the third trimester in 176 women with uncomplicated pregnancy and good outcomes of a gestational process. The outcomes of pregnancy, mainly the development of placental insufficiency, in preeclampsia are determined by the type of CH so its assessment should be a mandatory component of the management of women with this gestational complication.

preeclampsia, central hemodynamics, hypovolemia, placental insufficiency