Intranatal fetal hypoxia: Diagnostic possibilities, reserves reducing the incidence of cerebral disorders in full-term newborns

• Main Authors: O. V. Remneva, N. I. Fadeeva, O. N. Filchakova, T. V. Burkova, Yu. V. Korenovsky
• Format: Article
• Language: Russian
• Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2016-03-01
• Series: Rossijskij Vestnik Perinatologii i Pediatrii
• Subjects: fall-term neonatal infant; perinatal central nervous system lesion; cardiotocography; meconium; lactic acidosis.
• Online Access: https://www.ped-perinatology.ru/jour/article/view/156
• ISSN: 1027-4065; 2500-2228

The diagnostic and prognostic values of individual markers for intranatal fetal hypoxia were estimated to identify reserves for reducing hypoxic CNS lesions in full-term newborns. A set of (clinical, ultrasonic, laboratory) studies was conducted in 102 women who had delivered via cesarean section during term delivery for progressive fetal hypoxia. Doppler abnormalities in the mother - placenta -fetus system showed low sensitivity when predicting hypoxic CNS lesions. The most important diagnostic and prognostic markers of intranatal fetal hypoxia leading to cerebral ischemia were as follows: fetal growth retardation with grade IB placental circulatory disorders; abnormal intranatal cardiotocography with lactic acidosis in amniotic fluid, thick meconium amniotic fluid.