A role of clinical factors is in pathogeny of fetal growth retardation

Abstract

DOI: 10.52705/2788-6190-2023-04-3
УДК 618.33-007-092-07

The objective: to set the role of clinical factors in pathogeny of fetal growth retardation, and
also obstetric tactic of conduct of these women.
Materials and methods. For the decision of the put purpose it is complex inspected by us 260
pregnant with the asymmetric form of fetal growth retardation and 260 new-born which partedon 3 groups.
The first group was made by 100 women in which pregnancy was completed
by birth of the worn full-term children fetal growth retardation of I of degree (100 new-born);
second group – 80 patients with fetal growth retardation of the II degree, in which pregnancy
was completed by birth of the worn full-term children with intrauterine growth retardation of the
II degree (80 new-born); 80 women in which pregnancy was completed by birth of premature
infants in the term of gestation 34–36 weeks with fetal growth retardation of the III degree entered
in the third group (80 new-born).
In the complex of the conducted researches were included clinical, echographic, doppler, cardiotocographic,
morphological and statistical.
Results. The delay of development of fetus behaves to multifactorial pathology and is the result
of operating on the organism of pregnant of complex of biomedical, social and ecological
factors. Determination of specific gravity each of them and the estimation of risk degree allows
with greater exactness to forecast development of this pathology and is one of ways of decline
of perinatal complications and neomortality at the fetal growth retardation.
Except for the exposure of risk factors, for the inspection of pregnant obstetric methods – measuring
of height of standing of bottom of uterus and circle of stomach, position-finding and fetal
presentation were used, auscultation of him cardiac activity. However individual variability indexes
and their subjective estimation substantially limit possibilities of clinical methods of diagnostics. In
this connection for description of the state of the fetoplacental system used: ultrasonic scan-out
of placenta and fetus, cardiotocography fetus and dopler of uteroplacental, fetoplacental and fetal
blood flow, which presently are such, which conduct in diagnostics of placenta disfunction, delay
of development and hypoxia of fetus, and, consequently, in determination of obstetric tactic.
Conclusion. Placenta disfunction which determines severity of hypoxia and degree of fetal
growth retardation as a result of influence of complex of clinical factors. Their combination,
duration of action, determine shown of not only morphological changes in a placenta but also
it functional insufficiency.
The got results must be taken into account at development of algorithm of diagnostic and
treatment-and-prophylactic measures for the women of groups of dif ferent to the risk.