Detection of perinatal risk based on the results of antenatal ultrasonographic monitoring

Safonova, I.

doi:10.15574/pp.2016.67.76

Cited by 2 publications

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“…Reduction of BPP to 6-7 points accompany 63.4% of pregnancies with fetal IUGR. Placental ultrasound marker of premature maturation to gestation in 21.4%, the presence of petrifications in 58.5% [13], [14].…”

Section: Resultsmentioning

confidence: 99%

Features of Ultrasound Imaging in Fetal Intrauterine Growth Retardation

Berezhna

2021

Med. and Ecol. probl.

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Fetal growth retardation complicates an average of 10% of all pregnancies. Today, ultrasound examination is used in obstetrics for diagnosis. Therefore, early detection of this complication is the key to adequate treatment and reduction of perinatal consequences. A deeper understanding of the early accompanying ultrasound parameters will allow timely detection or prevention of intrauterine fetal development. The aim of the research was to conduct an ultrasound antenatal examination of women with intrauterine growth retardation. Ultrasound fetometry and placentometry were conducted in women with intrauterine growth retardation (the main group, n-41) and women in the comparison group with the physiological course of pregnancy (n-12). At the initial ultrasound examination, among women in the main group, fetuses below the 10th percentile were probably more common and had a decrease in biparietal head size and abdominal circumference (p = 0.001, p = 0.08). With repeated ultrasound examination, the frequency of detecting decreased indicators of biparietal head size, head circumference, abdominal circumference, femoral shaft length below the 10th percentile among women in the main group increases by 1.5 times, and significantly differs from the indicators of the comparison group. (p = 0.0002, p = 0.001). A decrease in the biophysical profile of the fetus to 6-7 points accompanies 63.4% of pregnancies with intrauterine growth retardation. The amniotic fluid index below the 5th percentile in relation to the gestational age in women at the initial examination was 2.4%, and at the second examination - 7.3%. The placental ultrasound marker of premature maturation by gestational age 21.4%, the presence of petrification in 58.5%. In case of timely detection of the fetometric and placentometric changes, it is possible, from the standpoint of modern obstetrics, to start etiopathogenetic therapy and prevention of this complication of pregnancy.

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Section: Resultsmentioning

confidence: 99%

Features of Ultrasound Imaging in Fetal Intrauterine Growth Retardation

Berezhna

2021

Med. and Ecol. probl.

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Prenatal Diagnosis of Congenital and Hereditary Pathology in Women Who Had Covid-19 During Pregnancy

Korinets¹,

Sharhorodska²,

Prokopchuk³

et al. 2023

Act. Probl. of the Modern Med.

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The recent investigation of genetic and demographic processes in Ukraine has revealed an exacerbation of the demographic crisis due to a high level of reproductive losses in women that is manifested by an increased frequency of lost pregnancies and the birth of offspring being at a high risk of disability and mortality. Corona virus disease 2019 (COVID-19) caused by severe acute respiratory syndrome due to infection with the SARS-CoV-2 coronavirus spread rapidly around the world is potentially associated with complicated pregnancy. Unforeseen consequences of the COVID-19 pandemic pose a threat to the health of pregnant women. The effects of COVID-19 can be expected to become evident over years. Therefore, epidemiological information on the identification of population groups that may be at risk of severe complicated reactions is critically important. It is also essential to evaluate the situation at the different levels of population in order to outline the general directions of state policy in terms of effective countermeasures against the COVID-19 pandemic. Aim: to investigate the frequency and structure of congenital and hereditary pathology diagnosed by non-invasive and invasive methods of prenatal diagnosis in women who contracted COVID-19 during pregnancy. Material and methods. Ultrasound diagnosis of pregnant women who contracted COVID-19 during pregnancy was carried out using the Voluson E8 device and chorion biopsy in pregnant women. Collection of chorionic villi in the 1st trimester of pregnancy was carried out by aspiration method through cervical access under constant ultrasound control using a TROFOCAN catheter. An analysis of the frequency and structure of congenital and hereditary pathology was conducted based on the findings of non-invasive and invasive methods of prenatal diagnosis. Results. The study had demonstrated that the frequency of diagnosis of congenital foetal malformations is 6.3%. In the structure of congenital pathology, 2.5% of women had developmental anomalies of the cardiovascular system, 2.5% had congenital anomalies of the bone system, and 1.3% had multiple congenital malformations. Invasive prenatal diagnosis performed in 3.7% of women detected chromosomal pathology in 3.7% of women, and in particular, trisomy 21 of chromosomes was diagnosed in 2.5% of women, Turner syndrome was found in 1.3% of women. The frequency of chromosomal pathology in women who contracted COVID-19 during pregnancy is 3.7%. In 51 (63.7%) women who contracted COVID-19 during pregnancy, ultrasound examination of pregnant women has revealed certain features and pathological changes, especially in the structure of the placenta and changes in uteroplacental blood flow: 26.3% of women were diagnosed on premature aging of the placenta; 13.7% of women had the impairment of uteroplacental blood flow, and 23.7% of women were diagnosed as having concomitant pathology. Conclusion. The frequency of congenital malformations diagnosed by non-invasive prenatal diagnosis in women who contracted COVID-19 during pregnancy was 6.3%. The frequency of chromosomal pathology in the women was 3.7%. In 63.7% of women who contracted COVID-19 during pregnancy, certain features and pathological changes were detected during ultrasound examination, especially in the structure of the placenta and changes in uteroplacental blood flow.

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Detection of perinatal risk based on the results of antenatal ultrasonographic monitoring

Cited by 2 publications

References 0 publications

Features of Ultrasound Imaging in Fetal Intrauterine Growth Retardation

Features of Ultrasound Imaging in Fetal Intrauterine Growth Retardation

Prenatal Diagnosis of Congenital and Hereditary Pathology in Women Who Had Covid-19 During Pregnancy

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