Saratov JOURNAL of Medical and Scientific Research

labour traumatism

Ultrasonic Dopplerometry in diagnosis of cervical injury in birth process

Year: 2017, volume 13 Issue: №1 Pages: 047-050
Heading: Radiology Article type: Original article
Authors: Chekhonatskaya M.L., Bakhmach V.O., Zabozlaev F.G., Chekhonatsky V.A.
Organization: Russian Medical Academy of Post-graduate Education, Saratov State Medical University
Summary:

The goal was to carry out the comparative analysis of ultrasonic Doppler indices and data of morphometric methods of uterine cervix examination of women with prenatal moving of amniotic fluid depending on presence or absence of uterine cervix trauma in labor. Material and methods. 148 pregnant women with prenatal moving of amniotic fluid were examined. The main group included 64 pregnant women with uterine cervix ruptures; the comparison group consisted of 84 patients without any labor trauma. Ultrasonic and morphological examinations of uterine cervix were carried out. Results. Cavernous transformation of venous cervical bloodstream closely correlated (r = 0,67, p <0.001) with the index of vascularization degree and labortrauma degree. Conclusion. The revealed echomorphological relationship in uterine cervix of pregnant women with various labor outcomes allowed using these data to predict uterine cervix rupture in labor process.

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Analysis of Effectiveness and Safety of Assisted Delivery

Year: 2014, volume 10 Issue: №2 Pages: 346-349
Heading: Proceedings of all-Russia week of science with international participants Article type: Original article
Authors: Kozlova T.U., Khvorostukhina N.F., Novichkov D.A., Bebeshko O.I.
Organization: Saratov State Medical University
Summary:

Aim: to study the outcomes of labour after the application of «KIWI» vacuum-system. Materials and Methods. Retrospective analysis of labour records with vacuum-extraction of fetus (main group: n=35) and with emergency cesarean section (comparison group: n=18)on indications similar to those in the main group, has been undertaken. Results. High rate of extragenital pathology in groups (70,7% and 72,3%) as well as aggravated obstetric-gynecologic anamnesis (36,9% and 55,6%) has been revealed. Pregnancies of 50,7% women of the main group have been complicated by placentofetal insufficiency and chronic fetal hypoxia; in the comparison group 27,7% threatened miscarriage has been observed accordingly in 20% and 33,3%. Conditions for vacuum extraction have been the following: fetus asphyxia (52,3%), labour pains weakness (47,7%). Having evaluated the state of health of the new-born children of the main groupstraight complications (cephalohematomas, cervical injury, subaponeurotic hemorrhage, Duchen-Erb paresis, intraventricularhemorrage) have been observed in 53,8% of children. In the comparison group direct complications have been marked in 22,3% of cases. Conclusions. Comparatively high rate of labour traumatism in the main group may be explained by violations in conditions and techniques of vacuum-extractions as well as by non-observance of indications and contra-indications for the application of this operational method during the labour of pregnant women of high risk groups.

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