CAUSES OF ADVERSE FETAL AND NEONATAL OUTCOMES IN PATIENTS WITH SEVERE PREECLAMPSIA AND /OR HYPOTROPHIC FETAL DISTRESS
Main Article Content
Abstract
Aim – to determine the causes of unfavorable outcomes for fetuses and newborns in patients with severe preeclampsia and/or hypotrophic fetal distress.
Materials and methods: in a level III hospital, a retrospective analysis of the clinical characteristics and results of ultrasound studies in 444 patients who gave birth before 34 weeks of pregnancy was carried out. Three comparison groups were formed depending on the clinical and paraclinical assessment of the course of pregnancies.
Results. The analysis of the somatic status, clinical course of pregnancy, childbirth, assessment of the state of newborns and placental morphohistological examination.
Conclusions. Unfavorable outcomes for fetuses and newborns with delivery up to 34 weeks for severe preeclampsia and hypotrophic fetal distress occurred in 63.8 % of cases, hypotrophic fetal distress – in 46.8 % of cases, preeclampsia – in 27.3 % of cases.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Radzinskij VE. Obstetric aggression. M., 2017. 872 p. Russian (Радзинский В.Е. Акушерская агрессия. М., 2017. 872 с.)
Kuznetsov PA, Kozlov PV. Fetal hypoxia and neonatal asphyxia. Lechebnoe delo. 2017; 2: 9-15. Russian (Кузнецов П.А., Козлов П.В. Гипоксия плода и асфиксия новорожденного //Лечебное дело. 2017. № 4. С. 9-15)
Remneva OV, Bel'nitskaja OA, Kravtsova ES, Brusentsov IG, Fil'chakova ON. Delivery of women at high risk. Intrapartum Fetal Assessment: A Study Guide. Barnaul: Altai State Medical University, 2016. 60 p. Russian (Ремнева О.В., Бельницкая О.А., Кравцова Е.С., Брусенцов И.Г., Фильчакова О.Н. Родоразрешение женщин групп высокого риска. Интранатальная оценка состояния плода: уч. пособие. Барнаул: ФГБОУ ВО АГМУ Минздрава России, 2016. 60 с.)
Vodneva DN, Romanova VV, Dubova EA, Pavlov KA, Shmakov RG, Shchegolev AI. The clinical and morphological features of early- and late-onset preeclampsia. Obstetrics and Gynecology. 2014; 2: 35-40. Russian (Воднева Д.Н., Романова В.В., Дубова Е.А., Павлов К.А., Шмаков Р.Г., Щеголев А.И. Клинико-морфологические особенности ранней и поздней преэклампсии //Акушерство и гинекология. 2014. № 2. С. 35-40)
Kazantsevа EV, Chartoryskiay NN, Mochalova MN. Morphological changes in a placenta children born with small to weight stages of gestation. Transbaikalian Medical Bulletin. 2014; 3: 1-5. Russian (Казанцева Е.В., Чарторижская Н.Н., Мочалова М.Н. Морфофункциональные изменения в плацентах детей, родившихся с малым к сроку гестации весом //Забайкальский медицинский вестник. 2014. № 3. С. 1-5)
Makarenko MV, Kuzmina IYu. The state of fetoplacental complex at disorders of villous tree formation in fetal growth retardation syndrome. International Medical Journal. 2014; 2: 55-58. Russian (Макаренко М.В., Кузьмина И.Ю. Состояние фетоплацентарного комплекса при нарушениях формирования ворсинчатого дерева при синдроме задержки роста плода //Международный медицинский журнал. 2014. № 2. С. 55-58)
Perfllova VN, Mikhailova LI, Tyurenkov IN. Consequences of gestosis (preeclampsia). Russian Bulletin of Perinatology and Pediatrics. 2014; 59(2): 13-18. Russian (Перфилова В.Н., Михайлова Я.И., Тюренков И.Н. Последствия гестоза (преэклампсии) //Российский вестник перинатологии и педиатрии. 2014. Т. 59, № 2. С. 13-18)