Dopplerographic research is one of the most reliable, safe, painless methods for detecting various pathologies. This type of diagnosis is used to study the kidneys, vertebral arteries, veins of the neck and head, arteries of the upper and lower extremities, to detect varicose veins. Also, this study is widely used in pregnancy. In this article, we will consider this particular case.
What information does a dopplerographic study provide?
Using this method, doctors can evaluate how the pregnancy proceeds, give predictions regarding its further course and upcoming birth. A Doppler study not only allows you to assess the condition of the uterine arteries and the umbilical cord - with it you can see the blood flow inside the heart of a child and check if there are any circulatory disorders in the brain. Such a study helps to detect gestosis at an early stage, when the pathology is manifested only by a deterioration in blood circulation in the uterus due to the narrowing of its arteries. Subsequently, with this diagnosis, the pregnant woman develops edema and the pressure rises.
Heart disease, placental abruption, impaired normal functioning of the vessels of the placenta - all this and much more can be detected using a method such as a dopplerographic study. The price of this procedure depends on the clinic where it is carried out. For prevention, ultrasound dopplerography is prescribed at 23-24 and 30-34 weeks of pregnancy. However, if necessary, the procedure is carried out at any stage of pregnancy.
When is a dopplerographic study necessary?
The main indications for the procedure are:
- pregnant diseases (diabetes, kidney disease, hypertension, vascular problems)
- multiple pregnancy ;
- rhesus sensitization;
- preeclampsia;
- early maturation of the placenta;
- retardation of fetal development;
- pathology of previous pregnancies;
- water shortage, polyhydramnios;
- entwining the umbilical cord.
What are the standards for Dopplerographic examination, your doctor will tell. If any deviations from normal results are detected, the doctor will adjust the further management of pregnancy and take the necessary measures to prevent gestosis and delay fetal development.
The severity of violations
I degree A - pathology of the utero-placental blood flow with normal fetal-placental blood flow.
I degree B - a situation opposite to I degree A.
In this case, a follow-up examination is necessary every 5-7 days, if the condition worsens, a daily dopplerographic examination is necessary. In the absence of significant pathology, pregnancy and natural childbirth are possible.
II degree - both blood flows are disturbed, but deviations are not critical.
In this situation, a follow-up examination is necessary every 2 days or daily in case of deterioration. If the gestational age is more than 32 weeks and there are signs of severe fetal suffering, an emergency caesarean section may be performed.
III degree - serious pathologies of fetal-placental blood flow with the preservation or violation of the uteroplacental.
With such a violation, a daily study is carried out and, as a rule, a cesarean section is performed.