in the structure of the causes of various types of pathological conditions of the perinatal period, great importance is attached to fetal hypoxia.As the frequency of the most common complication, which in some cases can lead to death of the fetus, both during fetal development, as well as childbirth.Causes fetal hypoxia determine the further choice of treatment strategy, so it is important to conduct a comprehensive examination of the pregnant woman.
Interconnection to the state of health of pregnant women
Causes fetal hypoxia during pregnancy are associated with the presence of the future mother of various diseases.This group of causative factors combined under the concept of maternal causes, which include the following diseases:
- violation of gas exchange in various diseases of the lungs, respiratory tract
- violation of hemodynamics in heart defects Heart defects - time heals? , which can carry hereditary or acquired in nature.This group includes diseases of the heart and blood vessels
- obstetric hemorrhage, which are accompanied by copious blood loss.Most often this occurs when placenta previa or abruption, uterine rupture
Causes fetal hypoxia may be associated with those diseases, which are the mother before the pregnancy.These diseases have a negative impact on the formation fetoplacental fetus resulting in varying degrees of hypoxia.A woman should be prepared for the forthcoming pregnancy, so the correction of common or systemic diseases should not be delayed before conception Conception, ovarian cycle, fertilization and genetics baby or spending at later stages of pregnancy.
mother to the disease as a causal factor in fetal hypoxia, also includes state of shock.They may develop not only because of obstetric pathology, as well as in emergency situations of different nature (for example, toxic shock).
hypoxic conditions due to reasons of fruit
hypoxia factors contribute to the fruit.The fruit of the womb may suffer the formation of his malformation, or different kinds of abnormalities, as well as infection.The cause of intrauterine infection is often a no treatment before pregnancy Infectious diseases in the mother.These include in particular those diseases that are extremely sexual transmission (eg, chlamydia).
most dangerous are those forms of diseases that develop in women for the first time during pregnancy.This pathology has the most severe complications often occur intrauterine infection.
timely detect signs of fetal suffering possible during the ultrasound scanning.Increased risk of infection of the fetus contribute to pockets of chronic infection in pregnant women.Heavy intrauterine infection develops upon exposure of the bacterial flora with severe forms of sepsis occur, causing death.
negative image reflected on the health of the fetus is recognized cardiovascular disease fetal congenital heart disease.As a result of circulatory disorders eventually develop heart failure Heart failure - when the heart is unable to cope with the work , which leads to changes in systemic hemodynamics.Among the congenital pathology, this pathology is the most frequent cause of death during the period of fetal development.
Causes fetal hypoxia: the impact of obstetric situation
At the initial stage of development of fetal hypoxia is necessary to assess the obstetric situation.If the situation is unfavorable, it may be assumed alarming state of development of fetal hypoxia.To adverse obstetric situation should include prolonged pregnancy, polyhydramnios or oligohydramnios, obstructed labor (various kinds of anomalies of labor activity, the protracted period of birth), and others.Symptoms threatening hypoxia tend to progression, lead to the suffering of the fetus as the outbreak of fetal hypoxia.
Causes and consequences of fetal hypoxia is very important to select the obstetric tactics.With the development of advanced fetal hypoxia addressed the issue of urgent therapeutic measures that involve urgent delivery (cesarean section).Confirmation of fetal suffering as a result of oxygen starvation is the presence of the first feces or meconium in the amniotic fluid.Meconium stains the water in a particular dark green color.When a child is born with meconium waters pediatrician (neonatologist) carries out a set of therapeutic measures aimed at improving the metabolic processes in the body of the newborn.
Due oxygen starvation occurs excessive accumulation of metabolic products in the body, accompanied by the development of acidosis (increased accumulation of carbon dioxide).
main complex therapeutic measures will be aimed at the restoration of disturbed metabolism impaired metabolism .
acidosis condition negatively affects the functional activity of all organs and systems, but primarily of the respiratory center.
If adverse obstetric situation is prolonged, the fetus will be in a state of chronic hypoxia (it lasts more than ten days).It is one of the causal factors of the backlog fetal development.Chronic hypoxia should be eliminated, so a pregnant woman should be hospitalized in specialized branch of the maternity hospital where she will be assisted in its entirety on the basis of the comprehensive survey of the state of the fetus and the pregnant woman.
should refrain from treating progressive fetal hypoxia in a women's clinic or hospital at home, since this condition can lead to intrauterine fetal death or due to not rationally selected regimens.