Clinical-sonographical and dopplerometric criteria of determining the obstetrician's tactics in cases of the umbilical cord entanglement of the fetal body

U. R. Khamadyanov; V. I. Ivakhah

doi:10.17816/JOWD89526

Journal of obstetrics and women's diseases ›› 2001, Vol. 50 ›› Issue (2) : 66 -71. DOI: 10.17816/JOWD89526

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Clinical-sonographical and dopplerometric criteria of determining the obstetrician's tactics in cases of the umbilical cord entanglement of the fetal body

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Abstract

The complex method of antenatal diagnostics of the cord entanglement round the body of the fetus is elaborated. It includes echography, color Doppler mapping, dopplerometry and actocardiography. On the basis of the data received the system of prognosing and estimating the severity of feta l hypoxia in the end of the third trimester pregnancy is suggested, that allows to choose the correct tactics of pregnancy and delivery management in different rates ofcord entanglement. The use o f this method made it possible to rise the effectiveness of antenatal diagnostics of this gestational complication from 23,5% to 79,4%, to decrease the frequency of postnatal asphyxia to 46,1% and, therefore, to avoid intra- and postnatal loss.

Keywords

сlinical echographic and Doppler criteria / entanglement with an umbilical cord / antenatal diagnostic method

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U. R. Khamadyanov, V. I. Ivakhah. Clinical-sonographical and dopplerometric criteria of determining the obstetrician's tactics in cases of the umbilical cord entanglement of the fetal body. Journal of obstetrics and women's diseases, 2001, 50(2): 66-71 DOI:10.17816/JOWD89526

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References

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[1]	Абрамченко В.В. Активное ведение родов. - СПб., 1997. - 666 с.

[2]	Богданова Ю.М., Ташбулатова Ф.Ф., Янгуразова Е.Р., Галеев Э.М. Обвитие пуповины вокруг частей тела плода: диагностика, акушерская тактика и перинатальные исходы // Здравоохр. Башкортостана. - 1999. - №3. - С. 44-45.

[3]	Демидов В.Н., Розенфельд Б.Е., Логвиненко А. В. Применение цветной допплерографии для диагностики обвития пуповиной шеи плода // Ультразвуковая диагностика в перинатологии. - М., 1991. - С. 11-12.

[4]	Кулаков В.И. Пренатальная медицина и репродуктивное здоровье женщин //Акуш. и гин. - 1997. -№5.~ С. 19-22.

[5]	Медведев М.В., Юдина Е.В. Задержка внутриутробного развития плода. - М., 1998. - 205 с.

[6]	Нисвандер К., Эванс А. Акушерство. Справочник Калифорнийского университета. - М., 1999. - 704 с.

[7]	Хасанов А.А. Алгоритм дородовой диагностики обвития пуповины // Современные методы диагностики и лечения в перинатологии. - Казань, 1993. - С. 253-254.

[8]	Belfort М.A., Moise К. J., Kirshon В., Saade G. The use of color flow Doppler ultrasonography to diagnose umbilical cord entanglement in monoamniotic twin gestations // Am. J. Obstet. Gynecol. - 1993. - Vol. 168, №2. - P. 601-604.

[9]	Cabaniss M.L. Analyses of mechanism fetal heart deceleration // Am. J. Obstet. Gynecol. - 1993. - Vol. 168, № 2. - P. 38-45.

[10]	Entezami M., Ragosch V., Hopp H., Weitzel H.K., Runkel S. Notch in the umbilical artery Doppler profile in umbilical cord compression in a twin //Ultraschall. Med. - 1997. - Vol. 18, № 6. - P. 277-279.