Perinatal technologies in antenatal evaluation of fetus

Abstract

Objective: To evaluate perinatal technologies in finding antenatal pathology of fetus.

Full Text

Methods: Expert analysis of medical examination and managing of 700 pregnant, burned in 1997, of one Moscow outpatient obstetrician clinic was made. Standard clinical examination was added by determination of a-fetoprotein, HCG, antiphospholipid antibodies, anti-HCG antibodies, Doppler, hemostasiogramm.

Results: Disturbances of fetal development was found in 103 pregnant patients so they got therapy in time. In 4 cases, anomaly of fetus development was revealed due to determination of a-fetoprotein that was the reason to termination of the pregnancy. Critical condition of fetus-placental circulation was found in 3 cases by Doppler that was the reason to extreme delivery of the patients.

Conclusions: For further decrease of perinatal mortality it is necessary to include in standard clinical examination a-fetoprotein and Doppler as screening methods, and by indications HCG, anti phospholipid antibodies, anti-HCG antibodies, hemostasiogramm.