| 摘要 |
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to obstetrics and gynaecology, and can be used for individual prediction of antenatal fetus death in pregnant women and selection of optimised obstetric approach depending on prediction results. In pregnant women on 32 week of pregnancy the presence of factors influencing course and outcome of pregnancy are defined: social-biological factors, common and obstetric-gynaecologic anamnesis, extra-genital diseases, special aspects and complications of pregnancy, fetus condition, clinical-laboratory-instrumental findings, treatment-induced defects accompanying pregnancy. Define in points according to the prognostic table of fetus death their prognostic coefficients, denoted by sign "+" in case of aggressive nature factor and sign "-" in case of its protective nature. Derived prognostic coefficients are summed up. If total score is “+13 or more” antenatal fetus death is predicted. At such prognosis daily monitoring with the help of cardiotocography with estimation by W. Fisher scale is performed and biophysical profile by A.M scale is estimated twice a week. Vintzeleos. In case of normal and satisfactory condition of fetus pregnancy is prolonged and examination of fetus condition is continued in the same mode. In case of doubtful and poor condition of fetus patient is approved for labor by Cesarean section within 1-3 hours. If total score is “-13 or less”, absence of antenatal fetus death is predicted and pregnancy is prolonged. If total score is “more than -13 and less than +13” prognosis is considered to be uncertain. Note here that fetus condition is monitored two times a week using cardiotocography and fetus biophysical profile is estimated once a week. In case of normal and satisfactory condition of fetus pregnancy is prolonged and examination of fetus condition is continued in the same mode. In case of doubtful and poor condition of fetus patient is approved for labour by Cesarean section routinely.EFFECT: method enables accurate, objective and effective individual prediction of fetus death during pregnancy, optimise obstetric approach due to integrated assessment and taking into account the most significant prognostic factors, as well as optimum mode of fetus monitoring.1 cl, 1 dwg, 1 tbl, 4 ex |
