Assessment of the state of the fetus by dopplerometry in pregnant women with placenta increta

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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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作者简介

Halimat 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

俄罗斯联邦, Makhachkala

Reyhan Omarova

Dagestan State Medical University, Ministry of Health of Russia

编辑信件的主要联系方式.
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

俄罗斯联邦, Makhachkala

Tamara 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

俄罗斯联邦, Makhachkala

Ili Magomedova

Peoples' Friendship University of Russia

Email: halimat2440@yandex.ru

clinical resident

俄罗斯联邦, Moscow

参考

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