• The value of the sonographic evaluation of blood flow in the ductus venosus in the diagnosis of placental dysfunction, and predicting the course of labor 
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The value of the sonographic evaluation of blood flow in the ductus venosus in the diagnosis of placental dysfunction, and predicting the course of labor 

HEALTH OF WOMAN.2015.7(103):54–57; doi 10.15574/HW.2015.103.54 
 

The value of the sonographic evaluation of blood flow in the ductus venosus in the diagnosis of placental dysfunction, and predicting the course of labor 
 

Melnik Y. M., Zhuk S. I., Pekhnо N. V.

Kiev city center of reproductive and perinatal medicine

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

In the article the datas of inspection at 42 pregnant with fetoplacental insufficiency and 20 healthy pregnant are presented. The results of Doppler research in ductus venosus and also delivery outcomes in the groups are analysed.

It is set, that maximal speed of blood stream in the late diastolic phase has been reliably lower in women with fetoplacental insufficiency. The most informing for fetoplacental insufficiency were indirect indexes, such as systolic and diastolic ratio in the early and late diastolic phases, index of resistance and index of blood stream speed in the ductus venosus. The caesarian section was used more often at women with fetoplacental insufficiency confirmed in Doppler research. In this group at the new-borns was verified reliably lower Apgar score indexes, more often were the syndrome of meconium aspiration, hypoxia and neonatal intensive care unit admissions. 
 

Key words: Doppler research, ductus venosus, fetoplacental insufficiency, delivery. 
 

REFERENCES

1. Демидов ВН, Бычков ПА, Логвиненко АВ и др. 1989. Возможности ультразвукового определения срока беременности во II и III триместрах. Акушерство и гинекология 8:20–23.

2. Полянин AA, Коган ИЮ. 2002. Венозное кровообращение плода при нормально протекающей и осложненной беременности. СПб, Петровский фонд:158.

3. Реброва ОЮ. 2004. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTICA. М, Медиа-сфера:312.

4. Стрижаков АН, Баев ОР, Тимохина ТФ. 2002. Возможности и перспективы изучения венозного кровотока плода для диагностики и оценки тяжести фетоплацентарной недостаточности. Вопросы гинекологии, акушерства и перинатологии 1;1:70–73.

5. Федорина ТА, Тянтерева СГ, Кочергина ЛА. 2007. Сравнительная характеристика морфологического и ультразвукового методов исследования венозного протока у плодов на разных сроках гестации. Медицинская визуализация 3:120–127.

6. Crimmins S, Desai A, Block-Abraham D et al. 2014. A comparison of Doppler and biophysical findings between liveborn and stillborn growth-restricted fetuses. Am. J. Obstet. Gynecol. 211;6:669.

7. Rizzo G, Capponi A, Arduini D et al. 1994. Ductus venosus velocity waveforms in appropriate and small for gestational age fetuses. Early Hum. Dev. 39;1:15–26. http://dx.doi.org/10.1016/0378-3782(94)90066-3

8. Everett TR, Peebles DM. 2015. Antenatal tests of fetal wellbeing. Semin. Fetal Neonatal. Med. 20;3:138–143. http://dx.doi.org/10.1016/j.siny.2015.03.011; PMid:25936927

9. Yaman C, Arzt W, Aigner M et al. 1997. Fetal outcome in reduced flow in the ductus venosus during atrial contraction. Gynakol. Geburtshilfliche Rundsch. 37;4:203–208. http://dx.doi.org/10.1159/000272855

10. Hadlock FP, Deter RL, Harrist RB. 1984. Sonographic detection of abnormal fetal growth patterns. Clin. Obstet. Gynecol. 27;2:342–351. http://dx.doi.org/10.1097/00003081-198406000-00009

11. Hernandez-Andrade E. 2015. Optimal strategies for managing fetal growth restriction. Minerva Ginecol. 67;1:47–63. PMid:25323420

12. Hecher K, Campbell S, Snijders R et al. 1994. Reference ranges for fetal venous and atrioventricular blood flow parameters. Ultrasound Obstet. Gynecol. 4;5:381–390. http://dx.doi.org/10.1046/j.1469-0705.1994.04050381.x; PMid:12797146