THE RESULTS OF ULTRASOUND STUDIES IN PREGNANT WOMEN WITH A HIGH RISK OF INTRAUTERINE INFECTION OF THE FETUS

Abstract

Given the often asymptomatic disease in women, the absence of clear clinical criteria of intrauterine infection in newborns, the clinical diagnosis of this disease is virtually impossible without modern laboratory tests. Modern methods of diagnostics of intrauterine infection assuming phased use of clinical and laboratory examinations of the pregnant woman, fetus, and newborn. Given the non-specificity of clinical manifestations of intrauterine infection of the fetus, prenatal diagnosis of this pathology is the most difficult, so it is highly rational for the phased detection of pathology [1,3,8,17,18]. At the first stage, based on the collection of anamnestic data and a general clinical examination, a high-risk group for the development of IUI is identified. At the second stage, with the help of a comprehensive ultrasound examination, echographic markers of vertically transmitted infection are determined, as well as signs of fetoplacental insufficiency with an assessment of its severity. Signs of fetal hypoxic lesions are directly recorded (fetal biophysical profile, Doppler study of fetal blood flow) [16,17,19]. In the third stage of diagnosis vertically transmitted infection, a number of authors recommend the use of invasive methods when the object of study is the fruit itself. For this purpose, according to the author, it is necessary villus sampling, amniocentesis, cordocentesis with the subsequent bacteriological investigation. These techniques, however, involve hazards to the fetus and mother are rarely used [4,5,7,9]. Informative and extremely important in the diagnosis of VTI in the postnatal period is a histological examination of the placenta [7,12,15,17,20].