Condition of the mother–placenta–fetal system in pregnant women with a general gynecological anamnesis

The objective: based on the results of cardiotocographic (CTG) and ultrasound methods to determine the features of the fetoplacental complex (FPC) in pregnant women with a burdensome gynecological anamnesis.Materials and methods. 150 patients at 37–41 weeks of gestation were examined. The main group includes 100 pregnant women with chronic salpingo-ophoritis, the control group – 50 healthy pregnant women of the physiological obstetrics department. CTG monitoring of the fetus, ultrasound feto- and placentography, Doppler uterine-placental-fetal blood circulation were used to assess the state of FPC in pregnant women.Results. Analysis of fetal CTG and hemodynamic parameters in the uterine artery and umbilical vessels in pregnant women with chronic salpingo-ophoritis suggests that the course of pregnancy on the background of chronic salpingo-ophoritis in the mother is a factor that adversely affects the fetus and requires active pregnancy. Carrying out treatment-and-prophylactic measures for the purpose of improvement of perinatal results. The combination of unfavorable results of the examination by these methods, as well as adverse results after the usual comprehensive treatment in pregnancy 37–42 weeks is, in our opinion, an indication for emergency delivery according to the indications of the fetus.Conclusion. Identified disorders of uteroplacental and placental-fetal circulation should be regarded as those that correspond to the first degree of severity (disorders of uteroplacental with preservation of placental-fetal circulation). The results indicate the need to include women with chronic salpingo-ophoritis in the group of increased risk of placental dysfunction (PD) in order to prevent it in a timely manner, thereby reducing perinatal morbidity and mortality.