Placental Insufficiency

Ovarian Insufficiency: Prevention

To prevent placental insufficiency (placental insufficiency), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Malnutrition Micronutrient deficiency (vital substances) – see micronutrient therapy. Pleasure food consumption Alcohol Tobacco (smoking) Drug use Drugs, unspecified Overweight (BMI ≥ 25; obesity). Disease-related risk factors (detected by intensified prenatal care). Anemia (anemia) Diabetes mellitus … Ovarian Insufficiency: Prevention

Ovarian Insufficiency: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate placental insufficiency (placental insufficiency): Leading symptoms Acute placental insufficiency Bleeding Breast hard, highly pressured uterus/painful uterus (Couvelaire’s uterus = hematoma spread/spreading of a hematoma into the uterine musculature/muscle of the uterus visible during sectio (cesarean section)) with premature, partial, or total placental abruption Fetal bradycardia (drop in fetal … Ovarian Insufficiency: Symptoms, Complaints, Signs

Ovarian Insufficiency: Drug Therapy

Therapeutic target The goal is to prevent harm to the baby by taking appropriate measures. Therapy recommendations Pharmacotherapeutic options are available only for acute placental insufficiency when induced by labor. The procedure is called intrauterine resuscitation or emergency tocolysis. For emergency tocolysis are used: Betamimetics (synonyms: β2-sympathomimetics, ß2-sympathomimetics, β2-adrenoceptor agonists, beta-stimulators). Nitrates (nitro compounds) Oxytocin … Ovarian Insufficiency: Drug Therapy

Ovarian Insufficiency: Diagnostic Tests

Mandatory medical device diagnostics. Sonography (ultrasound examination) Biometry (measurement of the fetus/unborn child) [esp. reduced fetal abdominal circumference]. Amniotic fluid volume (oligohydramnios). Doppler sonography (ultrasound examination that can dynamically visualize fluid flow (especially blood flow); measures blood flow pattern in uterine arteries (uterine arteries) and fetal blood flows in arteries and veins) in the pregnant … Ovarian Insufficiency: Diagnostic Tests

Ovarian Insufficiency: Surgical Therapy

Management of fetal growth restriction (FGR) in relation to each stage (after). FGR stage Pathophysiological correlate Criteria (min. 1) Monitoring Delivery I Mild placental insufficiencyFGR < 3rd percentile. Estimated weight <3rd percentile PI UA > 95th percentile PI ACM < 5th percentile CPR < 5th percentile 1 x weekly Introduction37. SSW II severe placental insufficiency … Ovarian Insufficiency: Surgical Therapy

Ovarian Insufficiency: Medical History

Medical history (history of illness) represents an important component in the diagnosis of placental insufficiency. Vegetative history including nutritional history. Malnutrition Micronutrient deficiency Alcohol Smoking Drugs Self-history Age of the pregnant woman: 35 years Overweight (BMI ≥ 25, obesity). Pre-existing conditions: Anemia (anemia) Diabetes mellitus Heart disease Hypertension (high blood pressure), preeclampsia (disease occurring during … Ovarian Insufficiency: Medical History

Ovarian Insufficiency: Or something else? Differential Diagnosis

Certain conditions originating in the perinatal period (P00-P96). Maternal care for fetal growth retardation (abnormal fetal growth retardation). Child to Small for gestational age/pregnancy age [Small-for-dates/child too small for gestational age]. Light for gestational age [Light-for-dates/child too light for gestational age] Harm to the fetus and newborn caused by. Umbilical cord prolapse Placenta praevia (malposition … Ovarian Insufficiency: Or something else? Differential Diagnosis

Ovarian Insufficiency: Complications

The following are the major conditions or complications that may be contributed to by placental insufficiency (placental insufficiency): Certain conditions originating in the perinatal period (P00-P96). Maternal care for fetal growth retardation (abnormal fetal growth retardation; fetal growth restriction). Child to Small for gestational age/pregnancy age [Small-for-dates/child too small for gestational age]. Light for gestational … Ovarian Insufficiency: Complications

Ovarian Insufficiency: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Auscultation (listening) of the heart. Auscultation of the lungs Gynecological examination Inspection Vulva (external, primary female sex organs) … Ovarian Insufficiency: Examination