Health status of children born from pregnant women with placenta accreta; [Состояние здоровья детей, рожденных от беременных с врастанием плаценты]

One of the frequent causes of massive obstetric bleeding is placenta accreta, an unpredictable and iatrogenic pathology, where maternal mortality varies from 7 to 52%. The purpose of the study: to assess the condition of newborns from pregnant women with placenta accreta. Material and methods. Seventy pregnant women and their 70 newborns were examined, of which: 40 with placenta accreta and their 40 newborns who made up the 1st group; 30 healthy pregnant women and their 30 newborns who made up the 2nd control group. A retrospective analysis of the course of gestation and perinatal outcomes was carried out. Questionnaire charts were compiled to collect obstetric, gynecological and somatic history. The assessment of newborns was carried out on the Apgar score at the 1st and 5th minutes. Ultrasound and neurosonography of newborns were used. Results. Analyzing the results of the study, it was found that women with placenta accreta often have a violation of utero-placental-fetal circulation, childbirth ends prematurely, while premature babies are often born in a state of asphyxia. These children have a high incidence of neurological disorders, more complex postnatal adaptation is observed, and concomitant pathology is more often detected. Conclusion. It is possible that the high frequency of asphyxia and neurological diseases in children born to women with placenta accreta is associated with a violation of utero-placental-fetal circulation during pregnancy and a prematurity. These data are very important not only for obstetricians making it possible to develop tactics for the management and delivery of a pregnant woman with placenta accreta, but also for neonatologists to correctly assess the condition of the fetus, determine the tactics of management and treatment of newborns, as well as including them from an early stage in a high-risk group for neurological disorders. © 2023 National Academy of Pediatric Science and Innovation. All rights reserved.