THE VALUE OF ULTRASONOGRAPHIC ASSESSMENT OF CERVICAL LENGTH IN COMPLEX DIAGNOSTICS OF THREATENING PRETERM BIRTH IN PREGNANT WOMEN WITH DILATED CARDIOMYOPATHY SYNDROME

Van A.V.^1,2, Doroshenko D.A.^1,2, Lapochkina O.B.¹, Konisheva O.V.¹, Zubarev A.R.², Prints G.D.¹, Dobrokhotova Yu. Je.²

¹ – O.M. Filatov City clinical hospital №15.

² – N.I. Pirogov National Research Medical University.

 

Moscow, Russian.

 

 

Threatening premature labor against the backdrop of the cardiovascular pathology is one of the most important problems in modern obstetrics, combining a high risk for both mother and fetus.

Purpose. To identify the features of the pregnancy course in women with threatening preterm delivery on the background of cardiovascular disease and improve prenatal diagnosis using ultrasonographic assessment of cervical length.

Methods and Materials. A total of 55 pregnant women with pathology of the cardiovascular system, gestational age 22-36 weeks and threatened preterm labor were divided into three groups:

Group 1 - 30 patients without disruption of the left ventricle geometry and function;

Group 2 - 10 patients with threatening preterm labor and dilated cardiomyopathy syndrome in history;

Group 3 - 15 patients with dilated cardiomyopathy syndrome, diagnosed during the current pregnancy.

Ultrasonographic assessment of cervical length in combination with cardiomyocytes function assessment by speckle-tracking method on the ultrasound scanners Aplio^тм 500 and Aplio^тм Artida Toshiba company were performed to all patients.

Results. Patients with dilated cardiomyopathy syndrome diagnosed before or during pregnancy had significantly more frequent too early and early preterm labor.

Conclusion. Revealed a correlation between the presence of dilated cardiomyopathy syndrome and threatening preterm labor. Ultrasonographic assessment of cervical length contributes to early prediction of preterm delivery. Pregnant women with dilated cardiomyopathy syndrome are at high risk for threatening preterm delivery.

 

Keywords: pregnancy, premature birth, ultrasonographic assessment of cervical length, dilated cardiomyopathy, echocardiography.

 

Corresponding author: Prints G.D., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Van A.V., Doroshenko D.A., Lapochkina O.B., Konisheva O.V., Zubarev A.R., Prints G.D., Dobrokhotova Yu. Je. The value of ultrasonographic assessment of cervical length in complex diagnostic of threatening preterm birth in pregnant woman with dilated cardiomyopathy syndrome. REJR. 2016; 6 (1): 83-88. doi: 10.18411/a-2016-009