Features of Trophoblastic Blood Flow in Pregnant Women in the Period from 7th to 10th Week of Thrombophilia Complex Origin
Abstract
Objective. To identify the features of trophoblastic blood flow in pregnant women with thrombophilia in the first trimester of pregnancy, according to doppler velocimetry.
Materials and methods. It was made ultrasound doppler velocimetry and the determination of parameters of blood flow in the vessels of the trophoblast in 80 pregnant women aged between 18 and 40 years on the stage of pregnancy from 7 th to 10 th weeks of gestation. According to the doppler velocimetry it was allocated 4 types of trophoblastic blood flow in pregnant women in this period. According to the pulse – wave doppler highlighted type 2 trophoblastic blood flow.
Results. In pregnant women with indicators of highly resistant type of blood flow, as well as a lack of locus trophoblastic blood flow there is a high correlation between the resistance index in the vessels of the trophoblast with indicators of blood hemostasis analysis system. The course of pregnancy until the end of the first trimester. It was determined that: highly resistant type, as well as the absence of loci trophoblastic blood flow is poor prognostic ultrasound feature and lowe resistant blood flow – prognostically favorable US-sign percentage safely occurring pregnancies in women with lowe resistant trophoblastic blood flow in the two times higher than in the group with highly resistant type loci and absence trophoblastic circulation. It was show the high specificity and sensitivity of the doppler velocimetry study trophoblastic blood flow.
Conclusions. Using the proposed method allows to reveal risk to predict spontaneous abortion and missed abortion in the first trimester and assign anticoagulant therapy in a timely manner.
About the Authors
O. V. Astafieva
Kuban State Medical University of the Ministry of Health Care of the Russian Federation
Russian Federation
Russian Federation
doct. of med. sci., professor at the Department of Radiology,
350063, Krasnodar, Sedina str., 4
M. A. Asriyants
Kuban State Medical University of the Ministry of Health Care of the Russian Federation
Russian Federation
Russian Federation
graduate student at the Department of Radiology,
Krasnodar
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Review
For citations:
Astafieva O.V., Asriyants M.A. Features of Trophoblastic Blood Flow in Pregnant Women in the Period from 7th to 10th Week of Thrombophilia Complex Origin. Medical Visualization. 2016;(5):114-119. (In Russ.)
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