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![]() CODREANU, Nadejda, IVANOVA, Elena, GLADCHI, Valentina. The velamemtous insertion of the umbilic cord and the maternal-fetal morbidity. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 435. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 435-435 | ||||||
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Actuality. The velamentous insertion of the umbilical cord (VCI) poses serious problems when the umbilical vessels are located in the region of the internal orifice of the cervix, this situation is called vasa praevia, a condition that is associated with high perinatal mortality when not diagnosed prenatally. Purpose. Research on the impact of VCI in the incidence of vasa praevia and maternal-fetal morbidity. Materials and methods. A case-control study for the years 2019-2021 in Gheorghe Paladi municipal clinical hospital, which included 103 patients with VCI in group 1 and 100 patients with central / marginal umbilical cord insertion in group 2. Research results. The study estimated the incidence of VCI 0.54% of all births over 3 years. USG as a prenatal diagnosis established the incidence of VCI in 24% of cases, of which only in 2.9% vasa praevia, which denotes reservations in the prenatal diagnosis. The comparative study showed that VCI presents a true statistical risk for morbidity manifested by: vasa praevia (OR = 5.21, CI-0.59: 45.42 (95%), P ˂ 0.5), IUGR (OR = 4.40, CI-1.20: 16.14 (95%), P ˂ 0.05), antenatal death of the fetus (OR = 5.05, CI-0.57: 44.02 (95%), P ˂ 0.5), preeclampsia (OR = 7,02, CI-2.58: 19.13 (95%), P ˂ 0.01), placenta praevia (OR = 5.44 CI-1.16: 25.52 (95%) P ˂ 0.5), postpartum complications with manual placental abruption (OR = 3.13 CI-1.54 – 6.44 (95%), P ˂ 0.,01), instrumental control of the uterine cavity (OR = 4.5, CI-1.74: 11.6 (95%), P ˂ 0.01). Conclusion. Prenatal diagnosis of VCI associated with the vasa praevia has a significant impact on tactics and birth outcome and reduces maternal-fetal morbidity and perinatal mortality. |
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Cuvinte-cheie vasa praevia, antenatal death, postpartum hemorrhage, vasa preavia, moartea antenatala, hemoragie postpartum |
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