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№2' 2014
OBSTETRICS AND GYNECOLOGYInternational Medical Journal, Vol. 20., Iss. 2, 2014, P. 55−58.
THE STATE OF FETOPLACENTAL COMPLEX AT DISORDERS OF VILLOUS TREE FORMATION IN FETAL GROWTH RETARDATION SYNDROME
Kyiv City Maternity Hospital No. 5
Kharkiv National Medical University
Fetal growth retardation syndrome, resulting from morphological and functional changes in the placenta, is an urgent problem of modern obstetrics. The villi of the placenta due to compensatory adaptation mechanisms can change forming of the villus tree with the purpose of stimulation of vascular growth and normalization of placenta blood flow. With the purpose of investigation of the state of fetoplacental complex at different variants of disorders in forming villous tree at fetal growth retardation syndrome, morphological examination of the placenta in pregnant as well as ultrasonography, Doppler study, cardiotomography were performed. The obtained findings after ultrasound assessment of the degree of the placenta maturity proved that this method does not allow to assess the villous tree maturity but reflects the placenta maturity in the whole. At investigation of fetal growth retardation syndrome it is necessary to pay attention to the factors determining supply of the placenta with the maternal blood, the most characteristic of them is disturbance of the blood flow in the umbilical artery. New diagnostic ultrasound signs, reflecting the state of the villous tree at fetal growth retardation syndrome should be searched for purposefully.
Key words: placenta, ultrasonography, fetal growth retardation syndrome, villous tree, artery of the umbilical cord.