Health babıes in predictable preeclampsia

Amaç Our aim was to predict extreme complicalions of Pregnancy lnduced Hypertension (PIH) and make adequate newborns.

Yöntem

 İn hard form of PIH we have made the test forms of day to day platelets, transaminases, proteinuria, acidum uricum and precisely C reactive proteine (CRP) and fibronectine (FN). If termination of pregnancy is necessary. we have to made the artefitial maturation of fetus lungs by giving dexamethasone directly to the fetus by interventional ultrasonography.

Bulgular

From 75 women with PIH group, during last year, we have had 73% (55cases) of increased CRP and decreased FN. All of these pregnancies were between 28. and 32. weeks of gestation. Blood preasure was in upper optimal levels (120-140/75-80), ac uricum was high in 65%, and CRP and FN become pathological before other parametrem of preeclampsia. Looking after the doppler flow we have found high residual flow in arteria umbilicalis and intrauterine growth retardation in 80% cases. in 73% doppler shows higher cerebral resislance, and low biophysical profile (2-4)./ We have given dexamelhason intramuscular to fetus directly in 3 acts, first, third and fifth day. We have made the positive efect of having alive neonatus in 70% (29-32 wg) from 850g to 1200g. Apgar score 2-5. in 25% we have had respiratory distress syndrome, and in approximately 5% we made earlier finishing of gestation, saving mothers life.

Sonuç

Using new test in predieting complication of PIH, PE, as FN and CRP are very usesfull in combination of fetus therapy by dexamethason given directly to fetus.

Anahtar Kelimeler

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