Course of Pregnancy and Outcome of Birth Complicated with Pre-Eclampsia

Abstract

A number of scientific studies are being carried out in the world to study preeclampsia and develop optimal tactics for determining cardiac, central hemodynamics and studying blood flow in the liver [1,2,10,12,14]. In modern obstetric practice, there is an increasing need to revise traditional approaches to diagnosis, treatment and improvement of pregnancy and childbirth outcomes. Of paramount importance are the issues of identifying high-risk groups for the development of preeclampsia, based on changes in the parameters of intracardiac, central and regional hemodynamics, which will reduce severe complications and prevent maternal and infant morbidity and mortality [3,5,7,13]. Currently, the problem of preclinical diagnosis of preeclampsia and prevention of its severe forms are carried out in the following priority areas: the study of intracardiac, central, regional and hepatic blood flow, which makes it possible to predict severe forms of preeclampsia depending on the dynamics of changes in these parameters; selection of corrective differentiated therapy for solving the management of pregnancy and childbirth based on monitoring of blood flow indicators, improving the ability to predict the intra- and postnatal state of the fetus, based on indicators of intracardiac, central and regional hemodynamics [4,6,8,9,11].