Experience with laser Doppler flowmetry in the evaluation of hemodynamic disorders of microcirculation in the fetoplacental complex

Gadzhieva P.Kh., Dikareva L.V.

Astrakhan State Medical University, Ministry of Health of Russia, Astrakhan, Russia
Objective. To evaluate the microcirculation of the fetoplacental complex in smoking pregnant women by laser Doppler flowmetry.
Subjects and methods. The investigation included 105 pregnant women who were divided into 3 groups: 1) 35 patients with physiological pregnancy without extragenital pathology (a control group); 2) 35 with gestational hypertension (a comparison group); 3) 35 smoking patients (a study group). The above groups underwent laser Doppler flowmetry evaluation of microcirculation in each trimester of pregnancy.
Results. Laser Doppler flowmetry recorded significant changes in the fetoplacental complex in smoking pregnant women who developed a spastic hemodynamic type of microcirculatory disorders.
Conclusion. The use of laser Doppler flowmetry along with existing techniques (ultrasonography, cardiotocography, dopplerometry) will be able to diagnose microcirculatory disorders in the fetoplacental complex in the first trimester of pregnancy.

Keywords

smoking
laser Doppler flowmetry
fetoplacental complex
placental insufficiency

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Received 23.07.2019

Accepted 04.10.2019

About the Authors

Patimat Kh. Gadzhieva, PhD, assistant of the Department of obstetrics and gynecology faculty of pediatrics with course of postgraduate education,
Astrakhan state medical University of the Ministry of Health of Russia. Phone: +7(917) 176-91-83. E-mail: pati.gadzhiewa2012@yandex.ru ORCID 0000-0002-1522-3819
414000, Russia, Astrakhan, Bakinskaya str.121.
Lyudmila V. Dikareva, MD, Professor, head of Department of obstetrics and gynecology faculty of pediatrics with course of postgraduate education,
Astrakhan state medical University of the Ministry of Health of Russia. Е-mail: dikarevalv@mail.ru
414000, Russia, Astrakhan, Bakinskaya str. 121.

For citation: Gadzhieva P.Kh., Dikareva L.V. Experience with laser Doppler flowmetry in the evaluation of hemodynamic disorders of microcirculation in the fetoplacental complex.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2019; 12: 161-65.(In Russian).
https://dx.doi.org/10.18565/aig.2019.12.161-165

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