ASSESSMENT OF THE STATE OF THE FETUS BY DOPPLEROMETRY IN PREGNANT WOMEN WITH PLACENTA INCRETA

Objective: Assessment of the state of the fetus by ultrasound dopplerography (USDG) and the condition of newborns from pregnant women with placenta increta in the early neonatal period. Materials and methods: 35 pregnant women with placenta increta were included in a retrospective study. All pregnant women underwent assessment of the state of the utero-placental-fetal blood flow using USDG. Results: Hemodynamic disorders were detected in 71.4% of pregnant women with placenta increta. Uteroplacental blood flow disorders were detected in 17/35 (48.6%), fetal-placental blood flow disorders – in 5/35 (14.3%); critical values of simultaneous disturbances of uteroplacental and fetal-placental blood flow, which did not reach critical changes (diastolic blood flow was preserved), were detected in 3/35 (8.5%) pregnant women. At the same time, an increase in the resistance index and the pulsation was revealed. Conclusion: The results of USG indicated hemodynamic disturbances in the fetoplacental complex in patients with placenta increta, since the conjugation of placental hemodynamics on the maternal and fetal sides was disturbed; the cause of these disorders was largely a pathologically invaded placenta. A relationship between hemodynamic disturbances in the fetoplacental complex and the birth of children in a state of asphyxia of varying severity was found. © 2023, Bionika Media Ltd.. All rights reserved.