Outcomes of pregnancy and delivery large fetus

Abstract

In spite of large number of studies on the issue of delivery pregnant with large fetus, avowed tactics of pregnancy and delivery does not exist. High rates of mother’s birth trauma and adverse perinatal outcomes during delivery large fetus are great medical and social problem.The aim of the study was to investigate the course of pregnancy and delivery, and perinatal outcomes during delivery large fetus.Materials: literary data of foreign and domestic authors in the period from 1991 to 2016.Methods: a systematic review and synthesis of the literature data.Conclusion: It is necessary to determine an optimum tactics of pregnancy and delivery large fetus that will reduce significantly perinatal morbidity and mortality.

The Importance of Configuration for Understanding Birth Trauma

“…It is believed that when traction with obstetric forceps and a vacuum extractor with a moderate and pronounced configuration increases the risk of birth damage to the fetus [3]. Our studies have shown that with an increase in the degree of configuration, the frequency of many brain lesions, primarily leptomeningeal hemorrhages, increases Clinical studies have shown that with the second and third degrees of the configuration of the head, early deceleration is observed: with the second degree, the appearance of early decelerations, and with the third degree, the appearance of early and sporadic decelerations [6]. Light and moderate configurations do not lead to pathological changes but expressed (pathological) degree leads to compression hypoxia of the fetal brain [7] and birth trauma.…”