Modern aspects of the functional state of fetoplacental complex for women with infertility in anamnesis

Abstract

DOI: 10.52705/2788-6190-2024-01-15
UDC 618.3/.36-008.6:618.177-071.1

The objective: to set the modern aspects of the functional state of fetoplacental complex for
women with infertility in anamnesis.
Materials and methods. A complex inspection is conducted 100 pregnant after assisted
reproductive technologies and them new-born (basic group). The group of comparison was made
by 50 women of analogical age, in which pregnancy came in natural way. In the complex of
the conducted researches were included clinical, echographic, doppler, cardiotocographic and
endocrinology.
Results. From complications of III trimester of pregnancy placenta disfunction which had statistically
reliable differences and was 62,0% in a basic group appeared major. It can be conditioned by that
development of the induced pregnancy in the conditions of primary placenta disfunction results in
violation of outflow of blood from a placenta, to the insufficient entering of blood into intervillous
spaces as a result of peripheral crampy, endotheliosis and thrombosis of vessels. The delay of
growth of fetus (27,0%) and fetal distress appeared the clinical displays of placenta disfunction
(24,0%). Preeclampsia of mild and moderate severity developed in 49,0% in a basic group. In
addition, in a III trimester there was pathology of amount of amniotic fluid in the same group, so
the oligohydroamnios is fixed in 18,0%, and a polihydroamnios is in 10,0% patients.
Conclusions. Testifies the results of the conducted researches to high-frequency of development
of placenta disfunction for women which became pregnant with the use of assisted reproductive
technologies. The got results testify to the necessity of development of algorithm of diagnostic and
treatment-and-prophylactic measures with a purpose to the improvement of perinatal results of delivery.