Ultrasonic predictors of a condition of a fetus and newborn for the pregnant woman with insulin-dependent diabetes mellitus
- 作者: Krasnopolsky V.I.1, Kovalenko T.S.1, Petruchun V.A.1, Titchenko L.I.1, Kotov Y.B.1
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隶属关系:
- Moscow Regional Institute of Obstetrics and Gynecology
- 期: 卷 48, 编号 5S (1999)
- 页面: 88-88
- 栏目: Articles
- ##submission.dateSubmitted##: 17.02.2022
- ##submission.dateAccepted##: 17.02.2022
- ##submission.datePublished##: 15.12.1999
- URL: https://journals.eco-vector.com/jowd/article/view/101024
- DOI: https://doi.org/10.17816/JOWD101024
- ID: 101024
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For 140 pregnant women were conducted an ultrasonic fetometry and research of a fetus hemodynamics. The following results were obtained in different firms of gestation we have found the changes of umbilical artery blood flow velocity in 92% of cases and in a fetal aorta - in 80% of cases and these values exceeded on 15-30% of the control values.
全文:
For 140 pregnant women were conducted an ultrasonic fetometry and research of a fetus hemodynamics. The following results were obtained in different firms of gestation we have found the changes of umbilical artery blood flow velocity in 92 °/o of cases and in a fetal aorta - in 80% of cases and these values exceeded on 15-30% of the control values. By most typical predictors (p=0,004) for birth of newborn in a mean gravity condition were: systolic-diastolic ratio in umbilical artery > 2,8, systolic-diastolic ratio in fetus aorta > 5,6. Glycemia level within 6 weeks before research was <8,0 mmol/L and the level of a glucosuria exceeded 22 g/day. Characteristic (p=0,0014) predictors for birth infants in heavy condition were: fetus BPD < 30 percentile level of a population and/or systolic-diastolic ratio in umbilical artery, systolic-diastolic ratio in fetus aorta > 5,6, thus the level of a glycemia exceeded 8,9 mmol/L. In group with decreasing of BPD < 20 percentile and DA < 30 percentile level and detection of a zero or negative diastolic component of blood velocity in fetus aorta we Have observed perinatal loss of a fetus or newborn, in 83% cases (p=0,006). Thus, ultrasonic dynamic control and compensation of hyperglycemia can help to improve perinatal results with early predicting of poor fetal outcome.
作者简介
V. Krasnopolsky
Moscow Regional Institute of Obstetrics and Gynecology
编辑信件的主要联系方式.
Email: info@eco-vector.com
俄罗斯联邦, Moscow
T. Kovalenko
Moscow Regional Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
俄罗斯联邦, Moscow
V. Petruchun
Moscow Regional Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
俄罗斯联邦, Moscow
L. Titchenko
Moscow Regional Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
俄罗斯联邦, Moscow
Yu. Kotov
Moscow Regional Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
俄罗斯联邦, Moscow
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