FEATURES OF FETOPLACENTARY COMPLEX INDICATORS IN PREGNANCY COMPLICATED BY GESTATIONAL HYPERTENSION

Abstract

Violation of the functional state of the fetoplacental system is the main reason for the complicated course of pregnancy and childbirth, which also have adverse consequences for the fetus and newborn. In order to determine the state of the fetoplacental complex, we conducted a study based on the results of an echographic examination in patients with gestational arterial hypertension. 100 pregnant women were examined and divided into groups. The main group included 50 pregnant women with gestational hypertension, whom we included in the risk group for the development of preeclampsia. 50 healthy pregnant women were included in the control group. Indicators of the state of the fetoplacental complex were determined using a GE Voluson S10 device (USA). On the basis of the results of the ultrasound examination carried out in the period of 34-40 weeks, points were determined, which were entered into the scale of I.S. Sidorova, I.O. Makarov (2000). Analyzing the data of the study of the state of hemodynamics in the fetoplacental complex with the help of ultrasound, it is possible to trace the presence of a progressive deterioration of its condition in women with gestational arterial hypertension, who must be included in the group of high risk of developing placental dysfunction and preeclampsia. Indicators of the average score for the assessment of the condition of the fetoplacental complex according to the classification of I.S. Sydorova, I.O. Makarova (2002) testify to the development of a compensated form of placental dysfunction in women whose pregnancy is complicated by hypertensive conditions and preeclampsia. The category of patients with detected ultrasound signs of violations of the fetoplacental complex requires more careful observation and decision-making depending on the term of pregnancy and the progression of signs of placental dysfunction.