A role of dopplergraphy is in the estimation of the functional state of fetoplacental complex

Abstract

DOI: 10.52705/2788-6190-2025-01.1-05
УДК 618.177-089.888.11-06:616-053.31-036.1

Research purpose. To estimate diagnostic possibilities of dopplergraphy in the estimation of the functional state of fetoplacental complex.
Materials and methods. For the study of diagnostic possibilities of dopplergraphy in the estimation of the functional state of fetus 300 women are inspected with a singleton pregnancy, from them 200 somatically healthy women with physiology motion of pregnancy (group of norm) and 100 women with the complicated motion of pregnancy (group of pathology). In the complex of ultrasonic methods researches were included in V-mode, Doppler and actocardiographic. Research in V-mode was conducted on standard methods for II–III of trimesters of pregnancy.
Results. At violation of the functional state of fetus there are successive and associate changes of arterial, venous and endocardiac hemodynamics, which represent activation adaptation-scray mechanisms and severity of violation of circulation of blood. 4 stages which the developed classification of violations of hemodynamics of fetus is on the basis of are selected: 1 degree – compensated violation of hemodynamics of fetus (violation of blood stream is in a middle cerebral artery); 2 degrees are the subcompensated violation of hemodynamics of fetus: 2А is centralization of circulation (violation of blood stream is in a pectoral aorta) of blood, 2В is an increase of arterial wave (violation of blood stream is in a venous channel); 3 degrees are decompensated violation of hemodynamics of fetus (cardiac insufficiency). Perinatal prognosis depends on the degree of violation of hemodynamics of fetus and choice of method of delivery. In the cases of delivery by an operation caesarean section at a 1 degree a prognosis is favourable, at 2А - the asphyxia of new-born easy degree is forecast, at 2В – middle degree, at 3 is a prognosis unfavorable, regardless of method of delivery.
Conclusion. The complex use of ultrasonic methods of research is promoted by efficiency of estimation of the functional state of fetus, allows to develop rational tactic of conduct of pregnant, choose the optimum method of delivery which is instrumental in the decline of perinatal, and also early childhood illness and mortality.