Nowadays obstetricians recommend to plan pregnancy and to conduct a thorough examination before this couple.This saves a pregnant woman from a variety of problems that may occur with infection or other diseases (internal organs, endocrine and nervous systems, metabolism, and so on) that have harmful effects on the fetus.
What is placenta and placental insufficiency
placenta - a temporary organ that is produced during pregnancy and provides a link with the mother of the fetus, that is, eating and breathing fetus.When failure of some functions of the placenta (hormonal, metabolic improves metabolism and losing weight without dieting et al.) There is placental (fetoplacental) insufficiency (FPI), which can lead to serious violations of the fetus.
Violation of the placenta can occur under the influence of various factors, such as chronic diseases of internal organs, endocrine diseases, exposure to toxins (alcohol, smoking, drugs), infections (including sexually transmitted diseases), tr
acute placental insufficiency
Placental insufficiency can have both acute and chronic.Acute placental insufficiency occurs against a background of acute disorders of utero-placental circulation.Such situations often arise in premature detachment of normally situated placenta and cause abortion.
chronic placental insufficiency
chronic placental insufficiency occurs gradually as a result of violations of adaptive mechanisms in conjunction with disorders of blood circulation in the placenta,violation of its power and slow reverse development.This process may offset when the body cope with disturbances (it does not require treatment) and decompensated - the body is unable to cope with disturbances, the woman needs help.
Absolute (asthma) placental insufficiency occurs in severe and is accompanied by oxygen starvation of the fetus, which can lead to its destruction.Pregnancy in these women often occurs on the background of the threat of interruption.There are two main forms of chronic placental insufficiency, which may be combined:
- violation of the Food, in which impaired absorption and assimilation of nutritious foods, as well as the synthesis of its own metabolism products Metabolism: The basis of life of all living fetus;
- respiratory dysfunction due to insufficient supply of oxygen.
chronic placental insufficiency can cause intrauterine growth retardation or fetal death.
chronic placental insufficiency eventually leads to the fact that the fetus does not receive the necessary nutrients and oxygen behind in weight and development.This condition is called intrauterine growth retardation Fetal development - week after week (IUGR).In contrast, children with low birth weight who were born perfectly normal, these children may suffer development of internal organs, the nervous system, the immune system Immunity - the types and characteristics of children in adult etc.
for timely diagnosis of fetal growth retardation held control over its growth (height measurement of uterine fundus above the vagina), determination of placental hormones in the mother's blood, the registration of fetal heart rate (cardiotocography, to avoid hypoxia - lack of oxygen), fetal ultrasound.As a rule, children who have had IUGR and birth behind their peers, often sick, they may have may have problems with memory, concentration, and perseverance.But all this can be overcome.
treatment of placental insufficiency
chronic placental insufficiency, which manifests itself in growth retardation, must be treated in order to normalize the metabolism and maintain the vital functions of the fetus.At the same time, the sooner treatment is started, the more effective it will be.Treatment must necessarily be individualized and take into account, the cause of placental insufficiency.
women with placental insufficiency need a rest, limit physical activity, high-grade feed.
of the medicines used drugs relaxing the uterus to dilate blood vessels, reducing blood viscosity and facilitate its passage through the capillaries, improves nutrition of the placenta (eg, aktovegin), vitamins (especially vitamin C and E) and amino acids (they help to normalize the blood andenrich it with substances necessary for the construction of organs and tissues of the fetus, its synthesis of enzymes and hormones), blood oxygen enrichment (e.g., breath oxygen-enriched air at a pressure in the pressure chamber and the other.)
Usually all these treatments give results, and children bornwithout serious violations.But if the fetus continues to lag behind in weight, there are signs of oxygen deficiency, then held an emergency delivery.
Remember that worrying about the welfare of the child is necessary before pregnancy, which is why it is recommended to plan the birth of a child.