PERINATOLOGIYA I PEDIATRIYA.2015.2(62):25-28;doi10.15574/PP.2015.62.25

Echographic features fetoplacental complex of women with post-term pregnancy, and prolonged

Zhabchenko I. A., Yaremko A. E., Lischenko I. S., Dziuba E. N., Kovalenko T. N.

SI «Institute of pediatrics, obstetrics and gynecology NAMS of Ukraine», Kiev, Ukraine

Objective — to establish perinatal risk in women with post_term pregnancy, and prolonged by ultrasound and Doppler fetal and fetoplacental complex.

Patients and methods. Before delivery of antenatal echographic study conducted fetoplacental complex in 54 pregnant women with post-term and prolonged pregnancy and 22 women with physiological gestation.

Results. The results of complex ultrasonic monitoring fetal and fetoplacental complex before birth show that signs of placental dysfunction were found in 100% of pregnant women with post-term pregnancy, and 82% of women with prolonged gestation, which is three times higher than that of women with full-term pregnancy (31% ). The findings suggest that perinatal risk after 40 weeks. gestation in women with prolonged pregnancy.

Conclusions. Conservative — ozhidatelnaya tactics to conduct the ultrasound monitoring fetal and fetoplacental unit in pregnancy for a period of over 40–41 weeks. will complete a pregnancy separate genera in 74% of patients with post-term pregnancy, and prolonged gestation and birth of children living with satisfactory Apgar scores. Antenatal echographic monitoring of changes in fetoplacental complex revealed perinatal risk in pregnant women with term pregnancy and choose the adequate tactics of pregnancy and childbirth.

Key words: ultrasound, post-term, prolonged pregnancy, placental dysfunction, fruit.