MANAGEMENT TACTICS AND DELIVERY OF WOMEN WITH RH-CONFLICT PREGNANCY

Authors

  • S. B. Chechuga Vinnitsa, ML Mother and Child Center
  • M. A. Voitseshyna Vinnitsa, ML Mother and Child Center

DOI:

https://doi.org/10.11603/24116-4944.2017.1.7581

Keywords:

pregnancy, rhesus-conflict, hemolytic disease of newborn, blood flow velocity in the middle cerebral artery of fetus.

Abstract

The aim of the study – to reduce perinatal morbidity and mortality in women with Rh-conflict pregnancy by optimizing approaches to its maintenance and tactics delivery.

Materials and Methods. We conducted retrospective analysis of 68 birth stories and individual cards of women with Rh-conflict pregnancy and prospective survey of 43 women with Rh-conflict pregnancy, which formed the main group. The control group consisted of 34 women with Rh-negative blood group without antibody titer. The study was conducted at the Maternity Hospital «Center of Mother and Child» in Vinnytsia.

Results and Discussion. We evaluated the diagnostic value of peak systolic flow velocity in the middle cerebral artery of the fetus in combination with biophysical indicators and STV – test as a diagnostic test of the fetus with Rh-conflict pregnancy. The study identified and tested a new approach to prenatal diagnosis of the severity of fetal Rhesus conflict with the pregnancy, the algorithm of treatment and indications for delivery.

Conclusions. An efficient algorithm and pathogenetically caused by driving Rh-conflict pregnancy definition of peak systolic flow velocity in the middle cerebral artery as a diagnostic test of the fetus can reduce the number of invasive procedures, some of which are accompanied by a loss of pregnancy, and significantly improve perinatal outcomes.

Author Biographies

S. B. Chechuga, Vinnitsa, ML Mother and Child Center

deputy chief physician medical practices, MD, assistant professor of obstetrics and gynecology №2.

M. A. Voitseshyna, Vinnitsa, ML Mother and Child Center

interns, undergraduate of Obstetrics and Gynecology №2

References

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Published

2017-04-27

How to Cite

Chechuga, S. B., & Voitseshyna, M. A. (2017). MANAGEMENT TACTICS AND DELIVERY OF WOMEN WITH RH-CONFLICT PREGNANCY. Actual Problems of Pediatrics, Obstetrics and Gynecology, (1). https://doi.org/10.11603/24116-4944.2017.1.7581

Issue

No. 1 (2017)

Section

OBSTETRICS AND GYNECOLOGY

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