Placental insufficiency - Causes, Diagnosis, Treatment
Fetoplacental insufficiency (FPI) called the complex symptoms of the placenta and fetus, caused by various complications of pregnancy. In varying degrees FPN reveal a third of women, so this issue is very important.
When disturbed placental insufficiency correct operation of the placenta, which is why developing fetal hypoxia, there is a delay of its development and growth. FPN could be the cause of preterm labor and violations of labor. Among the risk factors for placental insufficiency allocate chronic diseases pregnant (asthma, diabetes, heart disease, thyroid), chronic and exacerbated by infection, complicated course of pregnancy (preeclampsia, miscarriage threat of Rhesus-conflict), uterine pathology (myoma, endometritis), improper placement placentas, abortions and miscarriages, stress, poor diet, bad habits, bad ecology, early and late age. There are primary and secondary FPN. In primary placental insufficiency placental malfunctions are detected in 16-18 weeks. In this case, the majority of pregnant women in the future there is a miscarriage. Forecasts for secondary FPN more favorable. In severe placental insufficiency pregnant may notice more active fetal movements, and later vice versa - their reduction. At a delay of fetal development there is a discrepancy stomach size (height of standing uterus). SFH in centimeters should correspond approximately to the duration of pregnancy week by week. When the fetus on ultrasound study draws attention to the nature of locomotor activity, the degree of maturity of the placenta. Symptoms of placenta may be a change in the thickness of more than 5 mm to the normal range. When FPI causes premature aging of the placenta. In addition, there can be seen the calcium salt deposits, the gap, the cyst can vary the amount of water the size of the fruit does not meet the deadline. On doplerometrii estimated speed of blood flow in the vessels of the umbilical cord, uterus, fetus, if blood flow is usually broken FPN. To begin treatment of placental insufficiency, you must find the cause of violations of placental function and eliminate it, to carry out prevention of preeclampsia and abortion, to treat infectious diseases. It is also important to ensure proper rest and nutrition. Means, completely get rid of the FPI, no. All methods of treatment used placental insufficiency aimed at improving the uterine blood flow, blood clotting, optimize metabolic processes, improving gas exchange. Among the drugs used for the treatment of placental insufficiency, most common chimes aktovegin. To improve the blood flow using a dropper with glucose-novocaine mixture aminophylline, relaxation of the uterus - with magnesia, ginipralom. Correct blood clotting heparin, kleksanom. In each case, treatment should be administered solely by the attending physician.