METHOD FOR DIAGNOSING STATE OF FETUS AND NEWBORN BABY IN PATIENTS WITH CARDIOVASCULAR PATHOLOGY

摘要

The method for diagnosing the state of fetus and newborn baby in the patients with cardiovascular pathology provides for Dopplerometry and cardiotocography. The reactivity of the autonomic nervous system of fetus, the state of myocardial reflex according to the findings of cardiotocography in comparison with dopplerometric findings of uterine-placental and fetal blood circulation are assessed. The state of the newborn baby is predicted as follows: a) When reactivity index is 0.89(0.02 in the system of medial cerebral artery according to Dopplerometry with the score of 6-7 points according to cardiotocography, the active treatment of fetal hypoxia with the thorough monitoring of the treatment efficacy is required. b) When reactivity index is 0.93(0.03 in the system of medial cerebral artery according to Dopplerometry with the score of 6-7 points according to cardiotocography, the treatment of hypoxia in fetus with further monitoring of the state of fetus is suggested. In case of the worsening of the state of fetus in the setting of the treatment, one should consider the preparation for the delivery of the pregnant.