The possibility of placental insufficiency prognostication in the first trimester
- Authors: Gazazyan M.G.1, Ponomaryova N.A.1, Ivanova O.Y.1
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Affiliations:
- Kursk State Medical University
- Issue: Vol 48, No 5S (1999)
- Pages: 64-64
- Section: Articles
- Submitted: 16.02.2022
- Accepted: 16.02.2022
- Published: 15.12.1999
- URL: https://journals.eco-vector.com/jowd/article/view/100904
- DOI: https://doi.org/10.17816/JOWD100904
- ID: 100904
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Full Text
Abstract
Objective: prognostication of the development of placental insufficiency in the first trimester of pregnancy.
Full Text
Objective: Prognostication of the development of placental insufficiency in the first trimester of pregnancy.
Methods: There were 317 pregnant women examined in the first, second and third trimesters.
The method used: Ultrasound investigation with the measurement of miometry hypertonus, biometry of embryo, amnion and chorion, location of the fertilized egg; dopplerometry of uterine arteries; definition of the b-HGG level investigation of the cervical canal contents for pathogen flora.
Results: As a result of the examination 2 groups were singled out. With the first group, having a high chance of placental insufficiency, the following indexes were registered: the size of hypertonus in the area of chorion exceeded 1 sm, the fertilized egg was located in the middle and lower parts of uterus, the index of resistance was 0,991±0,085; the level of b-HGG was 2 MoM; the content of colony forming units (CFU) in the cervical canal was 1012 and more.
The second group had a lower risk of placental insufficiency development. No hypertonus at the place of chorion attachment, fertilized egg was located in the upper parts of uterus; the index of resistance was 0,818±0,71; the level of b-HGG was 0,5-1 MoM; growth of 105-6 CFU was registered in the contents of the cervical canal.
In the second and third trimesters the development of placental insufficiency was diagnosed in 60% cases with the first group, and 14% - with the second.
Conclusion: complex examination in the first trimester makes it possible to prognosticate the development of placental insufficiency and promote the diminution of perinatal incidence and death rate.
About the authors
M. G. Gazazyan
Kursk State Medical University
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Kursk
N. A. Ponomaryova
Kursk State Medical University
Email: info@eco-vector.com
Russian Federation, Kursk
O. Y. Ivanova
Kursk State Medical University
Email: info@eco-vector.com
Russian Federation, Kursk