Suspension of Uterine Kidney Stroke: Causes, Diagnosis, Treatment, Outcomes.

Suspension of Uterine Kidney Stroke: Causes, Diagnosis, Treatment, Outcomes.

    Often asymptomatic.
    The difference is the increase in pregnant woman's weight and the gestational age.
    A minor increase in pregnant woman's abdominal cavity.
    Increase or decrease the fetal motor activity.
    Inadequate increase in the size of the fetus according to the ultrasound of the fetus (USA).

The immediate cause of cardiac insufficiency is placental insufficiency (failure of the uterine-placenta-fetus system) associated with insufficient blood flow to the fetus and it is necessary for oxygen and nutrients to develop normal fetal development.

The risk factors for the growth of fetal growth are:

    Mother's social-biological peculiarities:
        Age is less than 18 years and more than 30 years
        malnutrition,
        smoke
        Alcohol and drug use
        Accepting certain medications (anti-convulsions (for treating convulsions), ACE inhibitors (for reducing blood pressure) and others)
        Occupational dangers (contact with harmful chemicals, x-rays, vibrations, extreme temperatures)
        Excessive physical and / or psycho-emotional stress.

    Mother's chronic diseases (heart and blood vessels diseases, kidney disease, diabetes) (blood glucose deligulation), blood diseases, etc.
    Tense obstetric and gynecological history:
        Menstrual dysfunction,
        Infertility
        miscarriage (spontaneous abortion (miscarriage), premature birth.
        Uterine forms of feminine (two horns, seat-shaped uterus),
        Cervical,
        The presence of chronic infection in the pelvic organs (inflammation of the supplements, chronic endometritis, pyelonephritis).

    Complications of pregnancy:
        Placenta location and annex annexes (the place of the child, the body that performs the communication and interaction of the mother and the fetus) - low appendix, placenta prezia,
        Infectious diseases during pregnancy (flu, ARVI, etc.)
        Multiple pregnancy (the presence of more than 1 uterine egg)
        Acute pregnancy (high blood pressure and kidney dysfunction)
        According to the incompatibility of maternal and fetal blood:
            Rh factor (protein on red blood cells)
            Blood group (according to AB0 system).

    Genetic (genetic infections of associated cells) infections (Down Syndrome, Patao Syndrome) Disorders. Cause asymmetric impediment to increase the fetal growth.
    Fetal injuries (renal impairment, central nervous system).

Obesity-gynecologist will help treat the disease
Diagnostics

    Life history analysis: was given to mother, surgery and other infectious and chronic diseases
    Analysis of obstetrics and gynecological history - gynecological diseases, surgical intervention, pregnancy, childbirth, especially their course, results.
    Physical examination of pregnant woman - height, weight, weight gain.
    External Obesity Study:
        Abdominal surface measurement
        By palpation of the fetus through the abdominal wall to determine its size,
        Measure the height at the end of the uterus and determine the conformity of the norms of this period.

    Ultrasound examination of placenta (pediatrics, the body that interacts with the mother and the fetus and interaction) - determines the maturity of its maturity, size, and uterus.
    Ultrasonic fetometry - Determine the size of the parts of the fetus, their ratio and according to the gestational period ultrasound.
    Cardiotocograph (synchronous record of fetal heart compression, its physical activity and contraction of the uterus) - allows the condition of the fetus, the presence of hypoxia (enough oxygen levels in the fetal tissues).
    An evaluation of fetal biophysical profile - Analysis of motor activity and tone of the tone (muscle tension), number of respiratory motion, amnitomic fluid volume and placenta maturity.
    Doperometer is the study of the uterine-placenta-fetal system arteries and veins blood flow.
    Laboratory studies - Determination of hormonal and specific pregnancy proteins in maternal blood.

Complications and consequences

    Death of the fetus fruit
    Fetal damage to the fetus
    Aspiration of the fetus (shower) during labor.
    Making the fruit of the fetus by fetus (the introduction of fetal calories into its lungs) causes the newborn's severe lung damage.
    Violation of the central nervous system of the fetus, which in the future will go with neurological disorders of the child.
    Neonatal thyroid hypothyroidism (temporary failure of the thyroid gland).
    Activation of urinary infection in newborns (on the background of reduction of immunity).

Prevention of cervical throat

    Pregnancy and timely preparation (elimination of unwanted pregnancy, timely detection and treatment of women's chronic and gynecological diseases before pregnancy starts).
    Pregnant women are timely
"Transfers for outpatient care in obstetrics and gynecology", edited by V.I. Kulakov. - M: "GEOTAR-Media", 2007
"Oblivion: National Leadership" ed. Ek Ahlamazyan. - M: "GEOTAR-Media", 2013.
The main reasons for IUGR development

Delayed fetal development can occur during pregnancy (usually in the third trimester) and is due to the following reasons:

    Mother's bad habits (alcoholism, smoking, drug addiction)
    Extraginal diseases of the woman (urinary diseases, respiratory and circulatory systems, arterial hypertension, infectious diseases)
    Obesity and gynecological diseases (menstrual disorders, primary infertility, complication of previous pregnancy, anomalies of uterine structure)
    Complications of this pregnancy (early and late gestosis, multiple pregnancy, anemia, low water, high hydration, placenta premature etc.)
    Pathology of the fetus (cervical infection, anomalies of development).

IUGR classification

There are two forms of cervical rupture that differ from the clinical signs, the causes of development, and further development of the fetus and predict the viability: symmetric and asymmetric form.

Symmetrical form is characterized by a homogeneous reduction in the size of the fetus and all its organs. This form often develops in early stages and is caused by fetal disease (chromosomal disorders, uterine infections) and mammary habits. Symmetric backwardness can cause a child's risk of developing a central nervous system.

Reduce body weight by asymmetric form with normal growth of the fetus (at low weight). The child develops the urine and breast soft tissue, the lack of normal size of the body. It may be uneven development of internal bodies. If you do not treat it, it starts at first and ends with the brain that can cause the death of the fetus. Asymmetric form often occurs in the third trimester due to placenta failure and is due to the exaggerative diseases of maternal and pregnancy complications.

There are three IUGR gravity:

    First degree (easy). The size of the fetus behind normal characteristic of this period of pregnancy, not more than two weeks,
    Second degree. Development of premature fruit for 2-4 weeks
    Third degree (hard). Fetus measures four weeks or more at normal levels. As a rule, the third quality ZVUR is irreversible and leads to the death of the fetus.