HEALTH OF WOMAN.2015.5(101):156–158; doi 10.15574/HW.2015.101.156
 

The state of the fetal circulation in congenital malformations of the fetus
 

Galich S. R., Schurko D. M., Schurko M. I.

Odessa national medical University
 

There was analyzed the dopplerometric study of 53 pregnant women in the third trimester of pregnancy with congenital malformations. 1 group included pregnant women with congenital malformations, 2 group was composed of pregnant women with congenital malformations and placental dysfunction (PD). A comparison group consisted of 20 pregnant women who gave birth to healthy full-term infants.

The blood flow was determined in the uterine arteries (UA), umbilical artery (UA), medial cerebral artery (MCA) and fetal aorta. Assessment of the blood flow velocity curves was carried out by the resistance index (RI), the pulse index (PI) and the ratio of the maximum systolic and end diastolic velocity (S/D).

The analysis of the dopplerometric indices in the uterine arteries showed that pregnant women with congenital malformations were observed to have an increase in RI. S/D did not have a significant difference. The blood flow to the UA in CMF revealed a significant increase in S/D and had no difference in RI. The analysis of the cerebral blood flow in MCA and showed a decrease in PI and absence of oscillations of RI S and S/D. The increase in S/D and lack of significant difference in IR and PI was observed in the aorta of the fetus with congenital malformations. In combination of CMF and PD, RI and S/D in UA and MCA is increased.
 

Key words: congenital malformations of fetal development, dopplerometry, fetal circulation.
 

REFERENCES

1. Громова АМ, Лихачев ВК, Добровольская ЛН и др. 2011. Динамика изменений кровотока в маточно-плацентарном и плодово-плацентарном бассейнах при прееклампсии. Світ медицини та біології 2:111–114.

2. Воскресенский ВЛ. 2004. Оценка состояния плода. Кардиотокография. Допплерометрия. Биофизический профіль учебное пособие. Воскресенский СЛ. Минск, Книжный Дом:304.

3. Слюсар ТИ, Белоусов СГ, Джамилова ОА и др. 2011. Оценка состояния плода при его задержке внутриутробного развития. Таврический медико-биологический вестник 14;3,2(55):185–187.

4. Медведев МВ. 2007. Основы допплерографии в акушерстве: практическое пособие для врачей. М, Реал Тайм:72.

5. Meizner I, Katz M, Lunfeld E, Insler V. 1986. Umbilical and uterine artery flow velocity waveforms in pregnancies complicated by major fetal anomalies. Prenat.Diagn. 17;7:491–496. http://dx.doi.org/10.1002/pd.1970070705

6. Trudinger BJ, Cock CM. 1985. Umbilical and uterine artery flow velocity waveforms in pregnancies complicated with fatal abnormalities. Brit.J.Obstet. Gynecol. 92;7:666–670.