Diagnostics and tactic of delivery is at decompensated placenta disfunction

Abstract

DOI: 10.52705/2788-6190-2024-02-02
УДК 618.36-008.64-06:618.5-036.1-07

The objective: decline of frequency of perinatal pathology for women with the decompensated
form of placenta disfunction by the improvement of basic diagnostic and treatment-andprophylactic
measures.
Materials and methods. By us it was inspected 154 pregnant in the terms of gestation from
22 to 40 week. Depending on the features of motion of pregnancy and births of all inspected
women it was up-diffused on 4 groups. The group of retrospective analysis was made 45
pregnant with a decompensated form, to the group of prospective research entered 109
pregnant, from them a basic group was made by 38 women with a decompensated form, in
the group of comparison entered 47 pregnant with the compensated form. A control group was
made 24 pregnant with uncomplicated motion of pregnancy and births. To the complex of the
conducted researches were included clinical, echographic, doppler, laboratory, morphological
and statistical methods.
Results. The perinatal consequences of delivery of women with a decompensated form are
characterized by the grave condition of new-born, that in 50,0% requires the leadthrough of
artificial lung ventilation. The basic forms of pathology is hypoxic-ischemic damage of central
nervous system of different degree of severity (87,5%); intrauterine hypotrophy (80,9%);
syndrome of respiratory disorders (71,4%); extremely low body weight (46,7%), intrauterine
infecting (50,0%) and hemorragic syndrome (46,7%). Frequency of postnatal losses is 6,1%,
and leading reasons is deep prematurity, hypoxic-ischemic damage of central nervous system
of heavy degree, development of disseminated intravascular blood coagulation and multiple
organ failure.
Conclusions. Decompensated placenta disfunction is one of principal reasons of perinatal
mortality and morbidity on the modern stage. The use of the algorithm of diagnostic and
treatment-and-prophylactic measures improved by us allows to select the basic factors of risk
of this complication and testimony for the change of tactic and terms of deliver y.