Influence of the abnormal location placenta is on the perinatal consequences of delivery

Abstract

DOI: 10.52705/2788-6190-2024-04.2-05
УДК 618.5-02:618.36

The objective: to estimate influence of the abnormal location placenta and perinatal consequences of delivery of women.
Materials and methods. Prospectively there were 148 women (basic group) with the abnormal location placenta. A low placentation found out at ultrasonic research in the term of 14–16 weeks pregnancies. In obedience to classification of anomalies of placentation and variants of migration of placenta, the criterion of including of patients in a basic group was a location of placenta (in 14–16 weeks) in the distance less than 2 sm from the internal orifice of servix. As a control group it is inspected 60 practically healthy pregnant with a normal placentation. To the complex of methods of researches were included clinical, laboratory instrumental,
morphological and statistical methods.
Results. At the study of information of the real pregnancy a high infectious index pays attention in looked after: acute stage of chronic pyelonephritis, cystitis, tonsillitis; acute respiratory viral infections; dysbiosis vaginas. At the comparative analysis of dependence of displays of infection in new-born from time of acute stage of infection it is discovered in mothers, that for pregnant which had a relapse in the III trimester, the displays of intrauterine infection were realized, as a rule, in the first 3 days early neonatal period (r = 0,89) and characterized by bright clinical symptoms. Activating of infection in I – the II trimesters of gestation
was combined with high-frequency of development of symptoms of disadaptation of new-born to the extrauterine terms existence (r = 0,72), by more late display of infection at protracted, its slow motion.
Conclusions. Antenatal of violation of the state of fetus for women with placenta previa and its migration is determining in neonatal pathology and origin of complications of maternity process, that on a background the chronic fetal suffering strengthens his state and results in considerable frequency of birth of sick children or іntranatal their death. The got results must be taken into account at development of tactic of conduct of pregnancy delivery of women with abnormal location of placenta.