Chronical placental insufficiency: questions of diagnostics and obstetric management
DOI: 10.22138/2500-0918-2016-15-3-5-13
N.M. Diner, T.V. Uzlova, M.S. Kirsanov
South-Ural state medical university, Chelyabinsk, Russian Federation;
Teaching hospital of the South-Ural state medical university, Chelyabinsk, Russian Federation
Abstract.
Goal of research — to study the characteristics of anamnesis, pregnancy and labor outcomes in the women with uterine-placental-fetal circulation disturbance of different severity. Patients with chronic placental insufficiency have low social status, burdened somatic and obstetric and gynecological anamnesis, complicated gestation course (placental presentation, threatened miscarriage, preeclampsia, oligohydramnios/hydramnios, gestational pyelonephritis, anemia), high rate of premature operative labors and perinatal morbidity /mortality. Pathology rate and severity have been increasing in association with augmenting of circulation disturbance degree in the system “mother-placenta-fetus”. Studying the histological characteristics of afterbirths we have revealed the high percentage of inflammatory processes in placenta. When augmenting of placental insufficiency severity the character of inflammatory process changes from serous to purulent and purulonecrotic one.
Keywords:
gestation, chronic placental insufficiency, uterine-placental-fetal circulation disturbance
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Authors
Diner Natal'ja M.
Clinic of South-Ural State Medical University
Head of the department of pathology of pregnancy
Russian Federation, 454091, Cheljabinsk,
Cherkasckaja str., 2
natashadiner@mail.ru
Uzlova Tat'jana V.
South-Ural State Medical University
MD, Professor
Russian Federation, 454000, Cheljabinsk,
Vorovskogo str., 64
tatiana.uzlova@mail.ru
Kirsanov Mihail S.
Clinic South-Ural State Medical University
Head of the Cabinet of perinatal diagnostics
Russian Federation, 454091, Cheljabinsk,
Cherkasckaja str., 2
Corresponding author
Diner Natal'ja M.
natashadiner@mail.ru
Received — 8.07.2016
For citation:
Diner N.M., Uzlova T.V., Kirsanov M.S. Hronicheskaja placentarnaja nedostatochnost': voprosy diagnostiki i akusherskoj taktiki [Chronical placental insufficiency: questions of diagnostics and obstetric management]. Vestnik uralskoi meditsinskoi akademicheskoi nauki – Vestn. Ural. Med. Akad. Nauki. 2016, no. 3, pp. 5–13. DOI: 10.22138/2500-0918-2016-15-3-5-13 [In Russ.]
