ВОЗМОЖНОСТИ ВАГИНАЛЬНОЙ БИПОЛЯРНОЙ РЕОГИСТЕРОГРАФИИ В ПРОГНОЗИРОВАНИИ И РАННЕЙ ДИАГНОСТИКЕ МАТОЧНО-ПЛАЦЕНТАРНОЙ НЕДОСТАТОЧНОСТИ

The article is devoted to the topical problem of modern obstetrics – early diagnosis of dysfunctions of the placenta in pregnant women with threatened abortion and extragenital pathology: arterial hypertension, hypotonia, pyelonephritis pregnant. Method of vaginal bipolar rheography, allowing synchronously register modulation of blood flow to the uterus on the side of implantations of conception and healthy side, in terms of pregnancy up to 16 weeks, there were 120 patients with threatening abortion, the somatic pathology and 30 women with physiological pregnancy. It is established, that in threatening abortion and hypotension, circulatory disorders in the uterus were significant (to 18,0 %) increase in the total arterial blood flow (judging by the Vmax and Vmid), in case of arterial hypertension in reducing it, and when pyelonephritis reliable changes of hemodynamics in the uterus compared with the indicators of the group of healthy pregnant women did not, from the -out. Early hemodynamic markers of formation of placental insufficiency in the first trimester of pregnancy in women with threatening abortion, chronic pyelonephritis, arterial hypertension and hypotonia was reduced, in comparison with the the norm, speeds bloodfilling of the vessels of the uterus large and, especially, medium and small-caliber on the side of the implant with at the same time-to the strengthening of venous outflow. The obtained results allow to recommend the use of a method of the vaginal bipolar rheography for early diagnosis and forecasting of the placental insufficiency.