EP18.25: Fetal condition and pregnancy outcomes at pre‐eclampsia

Preeclampsia associated with unfavorable conditions of the fetus and a high frequency of perinatal fetal loss. Purpose To evaluate a fetal biometric parameters and Doppler indicators in the umbilical artery during pregnancy with preeclampsia and compare them with postnatal outcomes. Methods Total examined 67 singleton pregnancies with pre-eclampsia: 38 (56,7%) with moderate preeclampsia and 29 (42,3%) with severe preeclampsia. We spent a fetal ultrasound which included biometric study and umbilical artery Doppler Results At moderate pre-eclampsia we identified 8 (21%) cases of FGR and 4 (14,3%) cases AEDF/ REDF without FGR. These patients had been delivered urgently at 36,29±0,48 weeks. No antenatal losses. Early infant mortality up to 3 days was in the 1 cases (2,6%) and early infant mortality after to 3 days was in 2 cases (5,2%). These were FGR fetuses with AEDF/REDF. Conclusion The study of blood flow in the umbilical artery in preeclampsia rationally as foetuses with FGR and non-FGR. Urgent delivery improves perinatal outcomes in AEDF/ REDF at moderate pre-eclampsia. FGR with AEDF/ REDF at severe preeclampsia had been associated with poor perinatal outcomes. Figure 1. AEDF/ REDF in the umbilical artery