Assessment of the state of the fetus by dopplerometry in pregnant women with placenta increta
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.Omarova Kh.M., Omarova R.G., Khashaeva T.Kh.-M., Magomedova I.Kh.
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.
Authors’ contributions: Omarova Kh.M., Omarova R.G. – study concept and design; Omarova R.G. – collection and processing of material; Omarova Kh.M., Khashaeva T.Kh.-M. – editing; Omarova R.G., Magomedova I.Kh. – writing text.
Conflicts of interest: The authors declare no conflict of interests.
Funding: The study was conducted without sponsorship.
Ethical Approval: The study was approved by the local Ethics Committee of the Dagestan State Medical University
(Protocol No. 45 dated December 28, 2019).
Patient Consent for Publication: All patients signed informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Omarova Kh.M., Omarova R.G., Khashaeva T.Kh.-M., Magomedova I.Kh. Assessment of the state of the fetus by dopplerometry in pregnant women with placenta increta.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (8): 136-140 (in Russian)
https://dx.doi.org/10.18565/aig.2023.22
Keywords
pregnancy
placenta increta
Doppler sonography
fetoplacental complex
References
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Received 30.01.2023
Accepted 08.08.2023
About the Authors
Halimat M. Omarova, Dr. Med. Sci., Associate Professor, Professor of the Department of Obstetrics and Gynecology, Dagestan State Medical University, Ministry of Healthof Russia, +7(928)936-24-40, halimat2440@yandex.ru, https://orcid.org/0000-0001-8145-5506, 367000, Russia, Makhachkala, Lenin Square, 1.
Reyhan H. Omarova, correspondence postgraduate student of the Department of Obstetrics and Gynecology, Dagestan State Medical University, Ministry of Health of Russia; lecturer of obstetrics and gynecology, G.A. Ilizarov Medical College, Derbent, +7(928)556-37-96, reihan78@bk.ru, https://orcid.org/0000-0002-2790-1218, 367000, Russia, Makhachkala, Lenin Square, 1.
Tamara H.-M. Khashaeva, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology of the Medical Faculty, Dagestan State Medical University,
Ministry of Health of Russia, tamara40@mail.ru, 367000, Russia, Makhachkala, Lenin Square, 1.
Ili Kh. Magomedova, Clinical resident, Peoples' Friendship University of Russia, Moscow, +7(903)427-00-66, halimat2440@yandex.ru, https://orcid.org/0000-0001-8145-5506
Corresponding author: Halimat M. Omarova, halimat2440@yandex.ru
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