• The course of pregnancy, labors and perinatal outcomes at the patients, the children who have travailed the normotrofycal at monochorial two at birth

The course of pregnancy, labors and perinatal outcomes at the patients, the children who have travailed the normotrofycal at monochorial two at birth

HEALTH OF WOMAN. 2017.4(120):94–97; doi 10.15574/HW.2017.120.94

Melnik O. V.
National Medical Academy of Postgraduate Education P. L. Shupyk, Kiev

The objective: an assessment of a course of pregnancy, labors and perinatal outcomes of a delivery at multiple monochorial pregnancy at the birth of children with normal body weight.

Patients and methods. Clinical research of a course of pregnancy, labors and perinatal outcomes at 45 patients at whom multiple, monochorial pregnancy came spontaneously was conducted and came to the end with the birth the normotrofycal of children. For comparison similar indicators at 45 with a byhorial two at birth were used. The complex of the conducted researches included clinical, ehografical, dopplerometrical, morphological and statistical methods.

Results. The course of pregnancy at monochorial two at birth is characterized by the high frequency of development of a growth inhibition of fetus/fetuses (51.1%), preeclampsia (33.3%), abortion threats (64.1%) and premature births (66.7%) even for lack of specific complications of monochorial type of placentation that justifies high rates of an operational delivery (46.7%). Body height of fetuses at monochorial type of placentation is characterized authentically by lower fetometrical indicators in comparison with one-fetal pregnancy, since the second half of pregnancy. The growth inhibition of fetus/fetuses at monochorial two at birth is formed by 28-32 week of gestation, and at 20.6% of pregnant women the growth inhibition of both fetuses, at 30.4% – one develops.

Conclusion. The received results needs to be considered when developing algorithm of diagnostic and treatment and prophylactic actions at multiple pregnancy.

Key words: multiple pregnancy, labors, perinatal outcomes.

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