Echographic and Doppler features of the fetoplacental system at recurrent retrochorial haematomas

Abstract

DOI: 10.52705/2788-6190-2025-02.2-05
УДК 618.39-06:618.344-003.215-036.87-073.4:621.3.093-039

The objective: to estimate echographic and Doppler features of the fetoplacental system at recurrent retrochorial haematomas.
Materials and methods. For the decision of the put purpose it was conducted complex clinicaland-laboratory and instrumental inspection 90 women which were up-diffused on three groups on the basis of results of clinical inspection and information of ultrasonic research: 30 pregnant of woman with a recurrent retrochorial haematoma (basic group), 30 pregnant with a retrochorial haematoma, which appeared only on the early terms of pregnancy (6-12 weeks inclusive) (group of comparison) and 30 the prospective inspected patients with uncomplicated pregnancy, which do not have meaningful extragenital pathology and burdened factors obstetric-gynaecological to anamnesis (control group). To the complex of the conducted researches were included clinical, echographic, Doppler and statistical.
Results. From findings evidently, that more frequent all the repeated haematomas arise up in a retrochorial area (30,0%), and also inter-border (20,0%). Practically for every fourth pregnant (23,3%) with recurrent haematomas were found out the internal placental areas of ischemia and local hemorrhages (infarct). The infarcts of placenta can accompany any variant of recurrent haematoma, and with identical frequency diagnosed in the second half at a sporadic or repeated haematoma. Except for visualization of haematoma for prognostication of results and correct estimation of clinical situation its volume is important. The haematomas of large volum were diagnosed in 13,3% pregnant with recurrent uteroplacental hemorrhages. As evidently from the presented information, haematoma of large volum, including totally taking into account multiplicity marked in 14,3% pregnant, as a rule, for them then and there were premature births. Haematomas, the episodes of relapse in which proceeded to 20 week gestation, marked in 59,6%, to 28 week – in 40,4% supervisions. Haematomas with the signs of active organization were found out more than in 40% supervisions (43,3%), that in future appeared the marker of favourable result of pregnancy for these women.
Conclusions. More expressed violations of hemodynamics appear for the women of basic group (with a recurrent retrochorial haematoma), mainly in the uteroplacental link of circulation of blood. It is conditioned mainly by violations of becoming and development of placenta, and also to the multifactoriality relapse of hemorrhages in placenta compartment, that includes and hormonal, and hemorheological violation.