[Clinical significance of factors affecting the course of pregnancy and the status of newborn infants born to women with uterine scar].
Clinical, ultrasonic (fetoscopy, placentography, Doppler metry of uteroplacental and fetoplacental blood flow), and radioimmunological methods (measurement of follicle-stimulating and luteinizing hormones, estradiol, estriol, progesterone) were used to examine 98 pregnant with a cicatrix onto the uterus. The early neonatal period was studied thoroughly in some newborns. The acid-base balance, umbilical vascular blood gases, arterial blood oxygen saturation, heart rate, blood pressure, and body temperature were measured. Having no clear-cut negative action on the uteroplacental and fetoplacental blood flow, an inadequate cicatrix was found to be a risk factor for fetal hypotrophy. Due to lower adaptative possibilities, the newborns to mothers having a cicatrix onto the uterus should constitute a risk group for complications in the neonatal period. It is concluded that repeated elective cesarean section performed in the period close to delivery is one of the factors that lower perinatal mortality and morbidity of babies born to mothers with a cicatrix on the uterus.
Strizhakov
A N
AN
Lebedev
V A
VA
D000328:Adult; D001034:Apgar Score; D002585:Cesarean Section; D002921:Cicatrix / Q000503:physiopathology*; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology*; D005323:Fetal Monitoring / Q000379:methods; D006801:Humans; D007231:Infant, Newborn / Q000502:physiology*; D010927:Placental Insufficiency / Q000209:etiology*; D011247:Pregnancy; D014599:Uterus / Q000503:physiopathology*
Klinicheskoe znachenie faktorov, vliiaiushchikh na techenie beremennosti i sostoianie novorozhdennykh u zhenshchin s rubtsom na matke.