Оцінка висоти стовпа амніотичної рідини у прогнозуванні перинатальних наслідків при недоношеній вагітності, ускладненій передчасним розривом плодових оболонок

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dc.contributor.author Зелінський, О. О.
dc.contributor.author Домакова, Н. В.
dc.contributor.author Zelinskiy, О. О.
dc.contributor.author Domakova, N. V.
dc.contributor.author Зелинский, А. А.
dc.contributor.author Домакова, Н. В.
dc.date.accessioned 2019-05-11T10:01:09Z
dc.date.available 2019-05-11T10:01:09Z
dc.date.issued 2015
dc.identifier.citation Зелінський О. О. Оцінка висоти стовпа амніотичної рідини у прогнозуванні перинатальних наслідків при недоношеній вагітності, ускладненій передчасним розривом плодових оболонок / О. О. Зелінський, Н. В. Домакова // Вісник проблем біології і медицини. - 2015. - Вип. 2(3). - С. 123-126. uk_UA
dc.identifier.uri http://repo.odmu.edu.ua:80/xmlui/handle/123456789/5118
dc.description.abstract Метою дослідження була розробка ультрасонографічних критеріїв прогнозування перинатальних наслідків при недоношеній вагітності, усладненій передчасним розривом плодових оболонок. Показано, що висота стовпа амніотичної менш 40,0 мм до 28 тижнів, 37,0 мм в 28-31 і пізніші терміни є критичними і визначають високий ризик неонатальної, антенатальної та постнатальної загибелі новонарождених. Обґоворюється прогностична цінність кількісного визначення висоти стовпа амніотичної рідини при передчасному розриві плодових оболонок. uk_UA
dc.description.abstract The purpose of the research was the development of ultrasonographic criteria of prediction of perinatal implications in incomplete pregnancy, complicated by premature rupture of membranes (PROM). Materials and Methods. During the period of 2007-2012 a comprehensive randomized clinical-laboratory e x amination of 148 pregnant women and newborns was carried out, pregnancy course and childbirth, as well as state of newborn in women with PROM during the term of 22-35 weeks of pregnancy was studied. The investigation has been carried out using the facilities of Odessa maternity hospital No5, specialized in noncarrying of pregnancy and preterm birth. To e x clude the impact of number of factors onto obstetric complications, pregnant women with severe endocrine pathology: preeclampsia, multiple pregnancy and newborns with congenital defects of development have not been involved into study. Manifestations of chorioamnionitis were contraindications to prolongation of pregnancy. In case of insufficiency of the therapy, aimed at maintenance of pregnancy, a delivery has been conducted conventionally in compliance with common principles of preterm labor management, issued by MPH of Ukraine from 09.01.2014 No 7. Results and Discussion. The analysis of e x tragenital pathology in all observed pregnant women showed high frequency of chronic somatic disease. Diseases of the gastrointestinal tract and urinary system were noted with equal frequency in all gestational groups and have not had a significant impact on the postnatal implications. ENTpathology (chronic tonsillitis, chronic pharyngitis) has been noted the most frequently. Endocrine pathology was mainly represented by diseases of the thyroid gland, more often by hypothyroidism, as well as hyperandrogenic state, observed from 21 % to 24 % in all gestational groups. An important outcome of the study analysis can be high prediction value of quantitative determination of the height of the amniotic fluid column in PROM. It is considered that the major cause of fetal death in PROM, umbilical cord compression, in particular, is an e x tremely apparent oligohydramnios. Number of published data (authors) gives evidence of the relationship between the prolonged oligohydramnios in PROM and term of pregnancy of 22-28 weeks with dysplasia of fetus lungs, umbilical cord compression, and antenatal mortality. The obtained data have shown that the height of the amniotic fluid column less than 40,0 mm to 28 weeks, 37.0 mm in 28-31 and later terms are critical and define the high risk of neonatal, antenatal and postnatal mortality of newborns. It is considered that the important outcome of the study analysis can be high prediction value of quantitative determination of the height of the amniotic fluid column in PROM. Consequently, the major cause of fetal death in PROM, umbilical cord compression, in particular, is apparent oligohydramnios. These data proved that monitoring of the height of the amniotic fluid column in PROM is of great prediction value as for perinatal outcomes of pregnancy. It is associated primarily with the ultrasound determination of volume of residual amniotic fluid, especially in the dynamics of the duration of anhydrous gap allows a conclusion about the e x istence of certain patterns. If the average vertical diameters of free areas of amniotic fluid are considered to be normal in healthy pregnant women in terms of gestation of 28-34 weeks (average 43,0 ± 1.2 mm), forewaters are not defined in 48 hours after the beginning of anhydrous gap in pregnant with PRPOM. The similar dynamics is observed with respect of the posterior and lateral diameters of free areas of amniotic fluid, which after 48 hours of PRPOM decrease twice to 30.2 ± 2.1 mm, and after 72 hours – up to 24.7 ± 2.2 mm (p < 0.05), and further up to the complete absence of ultrasound imaging of amniotic fluid. Conclusions. The studies have established that the discovered critical height of the amniotic fluid column may be indication for urgent delivery regardless of the gestation term to prevent neonatal mortality. uk_UA
dc.description.abstract Целью исследования была разработка ультрасонографических критериев прогнозирования перинатальных последствий при недоношенной беременности, осложненной преждевременным разрывом плодовых оболочек. Установлено, что высота столба околоплодных вод менее 40,0 мм до 28 недель, 37,0 мм в 28-31 и более поздние сроки являются критическими и определяют высокий риск неонатальной, антенатальной и постнатальной гибели новорожденных. Обсуждается прогностическая ценность количественного определения высоты столба амниотической жидкости при преждевременном разрыве плодовых оболочек. uk_UA
dc.language.iso uk uk_UA
dc.subject вагітність uk_UA
dc.subject передчасний розрив плодових оболонок uk_UA
dc.subject діагностика uk_UA
dc.subject pregnancy uk_UA
dc.subject premature rupture of membranes uk_UA
dc.subject diagnostics uk_UA
dc.subject беременность uk_UA
dc.subject преждевременный разрыв плодовых оболочек uk_UA
dc.subject диагностика uk_UA
dc.title Оцінка висоти стовпа амніотичної рідини у прогнозуванні перинатальних наслідків при недоношеній вагітності, ускладненій передчасним розривом плодових оболонок uk_UA
dc.title.alternative Estimation of Height of Amniotic Fluid Column in Prediction of Perinatal Implications in Incomplete Pregnancy, Complicated by Premature Rupture of Membranes uk_UA
dc.title.alternative Оценка высоты столба амниотической жидкости в прогнозировании перинатальных посдедствий при недоношенной беременности, усложненной преждевременным разрывом плодовых оболочек uk_UA
dc.type Article uk_UA


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