Outcomes of pregnancy and childbirth for mother and fetus in preeclampsia
Abstract
The purpose of the study: to study the features of the course of pregnancy and childbirth for the mother and fetus with preeclampsia. Materials and methods. A prospective cohort study was conducted using a continuous sample of 95 women who were delivered at the Clinic of the South-Urals State Medical University (Chelyabinsk) in 2021. The family and personal anamnesis of women, the outcomes of pregnancy and childbirth were studied (the results were obtained by means of a questionnaire, analysis of medical documentation: the dispensary book of a pregnant woman, the history of childbirth). Results and conclusions. Preeclampsia is associated with placental insufficiency, which more often begins in the second trimester with changes in uterine blood flow and progresses with increasing severity of hypertensive disorders. In severe preeclampsia, its early manifestation [32.5 (29–35) weeks] was noted and associated with disorders of uterine (90.3%) and umbilical cord blood flow (32.3%), fetal growth retardation (54.8%), more often with early onset of pathology (63.2%). Pregnancy outcomes in women with severe preeclampsia are associated with a high rate of premature birth (58.8%), emergency cesarean section (94.1%), hypotrophy (47.1%) and asphyxia (55.9%) of newborns, which requires resuscitation.
About the Authors
М. G. Ryabikina
Clinic of the South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
Е. G. Syundyukova
South-Urals State Medical University; Clinic of the South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
V. S. Chulkov
Yaroslav the Wise Novgorod State University
Russian Federation
Russian Federation
Chelyabinsk
В. I. Medvedev
South-Urals State Medical University; Clinic of the South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
Т. V. Uzlova
South-Urals State Medical University; Clinic of the South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
N. М. Diner
Clinic of the South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
Е. Y. Kotlyarova
Clinic of the South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
N. A. Filippova
South-Urals State Medical University; Clinic of the South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
К. А. Rogozhina
Clinic of the South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
Т. S. Mikhailovskaya
Clinic of the South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
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Review
For citations:
Ryabikina М.G., Syundyukova Е.G., Chulkov V.S., Medvedev В.I., Uzlova Т.V., Diner N.М., Kotlyarova Е.Y., Filippova N.A., Rogozhina К.А., Mikhailovskaya Т.S. Outcomes of pregnancy and childbirth for mother and fetus in preeclampsia. Title in english. 2023;18(4):3-10. (In Russ.)
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