Features of the functional state of fetoplacental complex for women from hyperandrogenism in anamnesis

Abstract

DOI: 10.52705/2788-6190-2024-04.2-09
УДК 618.36:612.616.31

The objective: estimation of the functional state of fetoplacental complex for women from hyperandrogenism in anamnesis.
Materials and methods. Studied the features of premorbid background, motion of pregnancy and functional state of fetoplacental complex in 50 women from hyperandrogenism in anamnesis – I group. For comparison used analogical information in 50 obstetric and somatically healthy women, vaginal delivery is a control group. To the complex of methods of researches were included clinical, echographic. instrumental and laboratory methods.
Results. The changes of the functional state of fetoplacental complex for women from hyperandrogenism acquire the most expressed character from 28 week pregnancies and characterized by high-frequency of delay of intrauterine development of fetus (20,0%); violations of cardiac activity of fetus (10,0%); respiratory motions of fetus (12,0%); him motive activity (10,0%) and tone (8,0%). The subcompensated changes take place in 10,0% and decompensated in 4,0%. Hemodynamic violations are characterized by increased of blood flow in the artery of umbilical cord and in uterine arteries on a background the decreased of blood flow in the middle cerebral artery of fetus.
Conclusions. The results of the conducted researches rotined that women from hyperandrogenism made the group of high risk in relation to development of obstetric and perinatal complications as a result of negative influence of initial endocrinopathy on the functional state of fetoplacental complex and disadaptation of the fetus. The got results testify to insufficient efficiency of the
generally accepted treatment-and-prophylactic measures and necessity of their improvement.