Lubchich A, Babazhanova Sh
Republic Perinatal Center Tashkent, Uzbekistan.
Georgian Med News. 2007 Oct(151):23-6.
The aim of the research was to evaluate the effect of delivery methods on perinatal outcomes in case of absent end-diastolic flow in the umbilical artery. Prospective observational was carried out on 58 pregnant women of whom 32 women delivered via Caesarian operation, 26 women - via vaginal birth. The research included pregnancy termination study: intranatal mortality rate, perinatal mortality rate, Low Apgar Score at birth, newborn admission to intensive care unit. Intranatal mortality rate in women delivered via vaginal birth was 19%; perinatal mortality rate was twice lower in Caesarian operation group compared with that of vaginal birth group. The number of newborns who were admitted to the newborn intensive care unit was 4, 4 times higher in vaginal birth group vs. Caesarian operation group. There was invert correlation between Caesarian operation rate and perinatal mortality rate with absent end diastolic flow in the umbilical artery. Absent end-diastolic flow in the umbilical arteries or in the aorta of fetus is characterized by increased perinatal mortality and morbidity. In case of absent end-diastolic flow in the umbilical artery Caesarian operation is recommended to decrease perinatal mortality.
该研究的目的是评估在脐动脉舒张末期血流缺失的情况下分娩方式对围产期结局的影响。对58名孕妇进行了前瞻性观察，其中32名妇女通过剖宫产分娩，26名妇女通过阴道分娩。该研究包括妊娠结局研究：产时死亡率、围产期死亡率、出生时阿氏评分低、新生儿入住重症监护病房情况。经阴道分娩的妇女产时死亡率为19%；剖宫产组的围产期死亡率比阴道分娩组低两倍。入住新生儿重症监护病房的新生儿数量，阴道分娩组是剖宫产组的4倍。剖宫产率与脐动脉舒张末期血流缺失时的围产期死亡率呈负相关。胎儿脐动脉或主动脉舒张末期血流缺失的特征是围产期死亡率和发病率增加。在脐动脉舒张末期血流缺失的情况下，建议进行剖宫产以降低围产期死亡率。
