Эффект преэклампсии на новорожденной заболеваемости. Эмбриональный биофизический профиль и вибрационное акустическое возбуждение в беременностях высокого риска

TI: [Effect of preeclampsia on neonatal morbidity]

TI: [Эффект преэклампсии на новорожденной заболеваемости]

TO: A praeeclampsia hatasa a neonatalis morbiditasra.

AU: Beke-A; Rigo-J Jr; Paulin-F

AD: Semmelweis Orvostudomanyi Egyetem I. Szuleszeti es Nogyogyaszati Klinika.

SO: Orv-Hetil. 1995 Sep 10; 136(37): 1999-2003

AB: In this study the outcome of two groups of premature infants born by caesarean section were compared from 52 hypertensive mothers with severe pre-eclampsia and from 30 normotensive mothers. The indication of caesarean section in pre-eclampsia was: proteinuria (> 500 mg/24 h), high blood pressure (> 160/100 mmHg), abnormal cardiotocogram and abnormality in flowmetry (fetal distress). Every infant was premature as well as in the control group. Significantly smaller mean birthweight and longer nursing-time in neonatal intensive care unit (NICU) were found in the pre-eclamptic group. Neonatal illnesses and complications are more frequent in the pre-eclamptic group. The time of ventilation was also longer. There are more early neurological disorders in the pre-eclamptic group than in the control one. The authors can establish that pre-eclamptic toxemia increases the morbidity in the neonatal period. This is due to the chronic intrauterine fetal distress as well as the retardation.

: В этом изучении результат двух групп преждевременных младенцев, несенных секцией монархиста был сравнен от 52 гипертензивных матерей с тяжелой преэклампсией и от 30 normotensive матери. Показание относительно секции монархиста в преэклампсии было: протеинурия (> 500 мг/24 h), высокое кровяное давление (> мм рт.ст. 160/100), патологический cardiotocogram и расстройство в flowmetry (патологическом состоянии плода). Каждый младенец был преждевремен также как в контрольной группе. Значительно меньший средний birthweight и более длинный грудной-разовый в новорожденной единице интенсивной терапии (NICU) был найден в пред--eclamptic группе. Новорожденные болезни и осложнения более частые пред--eclamptic группы. Время вентиляции было также более длинно. Есть более ранние неврологические нарушения в пред--eclamptic группе чем в контроле(управлении) один. Авторы могут отрабатывать, что пред--eclamptic токсемия увеличивает заболеваемость в новорожденном периоде. Это - вследствие хроническое внутриматочное патологическое состояние плода также как замедление.

TI: Fetal biophysical profile and vibratory acoustic stimulation in high-risk pregnancies.

TI: Эмбриональный биофизический профиль и вибрационное акустическое возбуждение в беременностях высокого риска.

AU: Petrovic-O; Frkovic-A; Matejcic-N

AD: Department of Obstetrics and Gynecology, University of Rijeka, Croatia.

SO: Int-J-Gynaecol-Obstet. 1995 Jul; 50(1): 11-5

AB: OBJECTIVES: To determine the influence of the non-stress test (NST) on the efficiency of the fetal biophysical profile (FBP) and to test the clinical usefulness of the FBP and its combination with vibratory acoustic stimulation (VAS) in managing high-risk pregnancies. METHODS: One hundred twenty fetuses of preeclamptic patients were included in a prospective study. Five standard variables of the FBP were observed ultrasonically following NST. In cases of non-reactive NST, external VAS was applied and the FBP score calculated and compared with the FBP score before VAS. RESULTS: Of 120 calculated FBPs, 102 (85%) had normal profile scores before VAS and 104 (86.7%) after VAS. No statistically significant difference was found. The sensitivity, specificity, and positive and negative predictive values of the FBP score in predicting poor perinatal outcome were 94.7%, 94.4%, 75% and 99%, respectively. VAS produced a high conversion (58.8%) of non-reactive NST to reactive fetal heart rate pattern. The false-negative rate of the FBP score was 9.8 per 1000, which did not increase after VAS. CONCLUSIONS: The efficiency of the FBP score was not significantly improved by VAS, although a high conversion of non-reactive to reactive NST was produced. The FBP with its three 'acute biophysical variables' was found to be an accurate method of antepartum assessment even without an NST. The low incidence of perinatal complications among patients with normal FBP scores, permits the conservative management of preterm high-risk pregnancies. ЦЕЛИ: определять влияние испытания ненапряжения (NST) на эффективности