RESULTS OF ULTRASOUND OF THE PHETOPLACENTARY COMPLEX IN PREGNANT WOMEN WITH COMPLICATED GESTATION
DOI:
https://doi.org/10.11603/24116-4944.2021.1.12369Keywords:
pregnancy, ultrasound, pyelonephritis, anemia, preeclampsia, placental dysfunctionAbstract
The aim of the study – ultrasound study of the features of the fetoplacental complex (FPC) in pregnant women with inflammatory kidney disease, anemia and hypertension.
Materials and Methods. To comprehensively study the state of FPC in women at high risk of placental dysfunction (PD), pregnant women were divided into groups. The main group included 150 pregnant women, of whom 50 women had complicated by iron deficiency anemia of mild and moderate severity (group I), 50 women suffered from inflammatory kidney disease (gestational pyelonephritis, exacerbation of chronic pyelonephritis during pregnancy) (group II), in 50 late gestosis was detected in the form of mild and moderate preeclampsia (group III). Group IV included 50 healthy pregnant women (control group). Indicators of FPC status in healthy pregnant women and pregnant women at high risk of developing PD were determined using the GE Voluson S10 (USA).
Results and Discussion. Indicators of the average score of the assessment of the state of FPC according to the classification by I. S. Sidorova, I. O. Makarov [1] indicate the development of a compensated form of FPC in women whose pregnancy is complicated by inflammatory kidney disease and the tendency to subcompensation in case of complication of late gestosis pregnancy. Certain changes are not a diagnosis, they are markers of a dynamic state, and these indicators can change in one direction or another in the case of PD. With the formation and progression of fetoplacental insufficiency indicators can change dramatically in a negative direction and be irreversible. Therefore, analyzing the data of the study of the state of FPC by ultrasound, we can trace the presence of progressive deterioration of the state of FPC in women at high risk of developing PD.
Conclusions. The category of patients with detected ultrasound signs of FPC disorders requires more careful monitoring and decision-making depending on the gestational age and the progression of fetoplacental insufficiency symptoms.
References
Sidorova, I.S. & Makarov, I.O. (2000). Fetoplatsentarnaya nedostatochnost. Kliniko-diagnosticheskiye aspekty [Fetoplacental insufficiency. Clinical and diagnostic aspects]. Moscow: Znaniye-M [in Russian]
Radzinskii, V.E. (2017). Akusherskaya agressiya v. 2.0 [Obstetric aggression v. 2.0]. Moscow: StatusPraesens [in Russian].
Senchuk, A.Ia., Hinzburh, V.H., & Chermak, I.I. (2019). Nevidkladni stany v akusherskii praktytsi: praktychne kerivnytstvo [Emergencies in obstetric practice: a practical guide]. Kyiv: Fenix [in Ukrainian].
Brosens, I., Puttemans, P., & Benagiano, G. (2019). Placental bed research: I. The placental bed: from spiral arteries remodeling to the great obstetrical syndromes. American Journal of Obstetrics and Gynecology, 221 (5), 437-456.
Burton, G.J., Fowden, A.L., & Thornburg, K.L. (2016). Placental origins of chronic disease. Physiological Reviews, 96 (4), 1509-1565.
Lipatov, I.S., Tezikov, Yu.V., & Linev, O.I. (2017). Patogeneticheskie mekhanizmy formirovaniya platsentarnoi nedostatochnosti i preeklampsii [Pathogenetic mechanisms of placental insufficiency and preeclampsia]. Akusherstvo i ginekologiya – Obstetrics and Gynecology, 9, 64-76 [in Russian].
Makatsariya, A.D., Chervenaka, F.A., & Bitsadze, V.O. (2015). Beremennost vysokogo riska [High risk pregnancy]. Moscow: Meditsinskoye informatsionnoe agentstvo [in Russian].
Bursac, D., Madzarac, V., Kardum, V., Skrtic, A., Kulas, T., & Hrgovic, Z. (2014). Placental lake in high-risk pregnancy. Zeitschrift für Geburtshilfe und Neonatologie, 218 (1), 43-44.
Bowman, C. E., Arany, Z., & Wolfgang, M. J. (2021). Regulation of maternal–fetal metabolic communication. Cellular and Molecular Life Sciences, 78 (4), 1455-1486.
Chaiworapongsa, T., Chaemsaithong, P., Yeo, L., & Romero, R. (2014). Pre-eclampsia part 1: current understanding of its pathophysiology. Nature Reviews Nephrology, 10 (8), 466-480.
Holness, N. (2018). High-risk pregnancy. Nursing Clinics, 53(2), 241-251.
Hladunewich, M.A. (2017). Chronic kidney disease and pregnancy. Seminars in Nephrology, 37 (4), 337-346.
Phipps, E., Prasanna, D., Brima, W., & Jim, B. (2016). Preeclampsia: updates in pathogenesis, definitions, and guidelines. Clinical Journal of the American Society of Nephrology, 11 (6), 1102-1113.
Horowitz, K.M., Ingardia, C.J., & Borgida, A.F. (2013). Anemia in pregnancy. Clinics in Laboratory Medicine, 33 (2), 281-291.
Antza, C., Cifkova, R., & Kotsis, V. (2018). Hypertensive complications of pregnancy: a clinical overview. Metabolism, 86. 102-111.
Richardson, M.Dzh., Dimicheli-Zigmond, M., & Gembling, D.R. (2020). Otsenka i monitoring zhiznedeyatelnosti ploda // Prakticheskaya akusherskaya anesteziologiya [Assessment and monitoring of fetal activity // Practical obstetric anesthesiology]. Moscow: OOO «Meditsinskoye informatsionnoye agentstvo» [in Russian].
Hus, A.Y. (2011). Ultrazvukovaya diagnostika v akusherstve i ginekologii: v 2 t. [Ultrasound diagnostics in obstetrics and gynecology: in 2 volumes]. Moscow: MEDpress-inform [in Russian].
Fleyshera, A., Manning, F.A., Dzhenti, P., & Romero, R. (2004). Glava 26. Otsenka biofizicheskogo profilya ploda: teoreticheskiye predposylki i prakticheskoye primeneniye // Ekhografiya v akusherstve i gineklogii. Teoriya i praktika. 6-ye izd. V II chastyakh. Chast vtoraya [Assessment of the biophysical profile of the fetus: theoretical background and practical application // Echography in obstetrics and gynecology. Theory and practice. 6th ed. In the II parts. Part two]. Moscow: Izd. Dom Vidar-M [in Russian].
Vintzileos, A.M., Campbell, W.A., Ingardia, C.J., & Nochimson, D.J. (1983). The fetal biophysical profile and its predictive value. Obstet. Gynec., 62, 271-274.
Senchuk, A.Ya., & Chermak, I.I. (2021). Bezopasnoye materinstvo: podgotovka, beremennost, rody, poslerodovyy period: rukovodstvo dlya praktikuyushchikh vrachey [Safe motherhood: preparation, pregnancy, childbirth, the postpartum period: a guide for practitioners]. Minsk: Professionalnyye izdaniya [in Russian].
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