Akusherstvo i ginekologii͡a
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Akush Ginekol (Mosk) · Jan 1989
[Clinical and morphological aspects of abruptio placentae with hemorrhagic shock].
Seven histories of deliveries, complicated with abruptio placentae with hemorrhagic shock, and fetal autopsy protocols were examined, while the placentas and the uteri, removed at surgery were studied morphologically. Pregnancy had been complicated by gestosis in all patients. ⋯ Uterine, placental and fetal morphologic changes were qualified as shock-related. It is concluded that progressive abruptio placentae is an indication for abdominal delivery.
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Possibilities of prenatal echographic diagnosis of nonimmune hydrops fetalis are described. This diagnosis has been made in 16 fetuses between 21 and 40 weeks of gestation. ⋯ It is emphasized that purposive echocardiographic screening to detect congenital heart diseases and arrhythmias is essential in fetuses with nonimmune hydrops. Congenital fetal malformations combined with nonimmune hydrops justify termination of pregnancy, as antenatal or early neonatal death will occur in most such cases.