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Modern Methods of diagnostic and classification of feto-placental insufficiency and fetal distress

E. C. Tartarashvili, A. P. Chkheidze, T. O. Tchitchinadze, M. Z. Nanikashvili,
T. C. Gognadze, T. A. Barbakadze,  A. R. Kakhadze, M. V. Kantaria
Obstetrics and gynecology  clinic ⌠Gineca■, Tbilisi, Georgia

Key words: perinatology, fetal distress, feto-placental insufficiency

         According to the WHO Experts' Committee in the EU member countries approximately 50.000 deliveries out of 5. 000.000 end in perinatal death or other similarly undesirable outcomes. Nonetheless severe situation is observed in Georgia with the perinatal mortality reaching 31.2%.

The aim of our work was to lower perinatal morbidity and mortality by offering new modern methods of prevention, diagnosis and treatment.

Materials and methods: We have supervised 200 pregnant women from the high-risk group. We used colour Dopplerography, dynamic sonography, hypoxic test √ Asphyxia Index (AI) and cardiotocography.

The modern methods of epidemiological study were used and the index of relative risk, and the sensitivity and specificity of the diagnostic methods were determined. For statistical apparence we determined the x╡ criterion.

Results: Determination of AI and Dopplerographic evaluation of the fetus give the objective information on the fetal distress. A new classification of the fetal distress and feto-placental insufficiency were suggested..

Epidemiological data show that the fetal distress in pregnants aged 30-45 yrs is 2.4 times as often as in 18-30 -yr age group. The fetal distress in pregnants living in cities is 2..2 times more frequent than in those living in the country. The results of epidemiological study should be considered for the proper management of pregnancy and delivery.

Conclusions: Our classification of the fetal distress and the feto-placental insufficiency should be considered as the suggestion for the rational obstetrical tactics. Data, achieved indicate that suggested clinical classification of the fetal distress and feto-maternal insufficiency together with the complex therapy, elaborated on its basis, reduced the mortality to the point of 10┴.

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