Author:
Bednarek Szymon,Głogiewicz Małgorzata,Adamczak Rafał,Dubiel Mariusz
Abstract
The well-being of the fetus depends on the efficiency of its circulatory system and the proper maternal-fetal exchange. Hemodynamic changes can occur due to disturbance of fetal and maternal homeostasis, malformations, pregnancy pathology, and medications. Preterm labor directly affects maternal-fetal haemodynamics, both due to uterine contractions and medications used to inhibit it. Research on maternal-fetal haemodynamics in preterm labor is currently focused mainly on the safety of the used tocolytics. In this chapter, we will discuss the basic principles of fetal haemodynamics, ultrasound methods of maternal-fetal circulation assessment, and the influence of preterm labor on maternal-fetal haemodynamics, with particular emphasis on medications used in threatening and progressive preterm labor.
Reference70 articles.
1. Zhao H, Wong R, Doyle T, Nayak N, Vreman H, Contag C, Stevenson D. Regulation of Maternal and Fetal Hemodynamics by Heme Oxygenase in Mice, Biology of Reproduction, Volume 78, Issue 4, 1 April 2008, Pages 744-751.
2. Van Mieghem T, Deprest J, Verhaeghe J. Fetal and maternal hemodynamics in pregnancy: new insights in the cardiovascular adaptation to uncomplicated pregnancy, twin-to-twin transfusion syndrome and congenital diaphragmatic hernia. Facts Views Vis Obgyn. 2011;3(3):205-213.
3. Moore K. et al. Embriologia i wady wrodzone. Edra Urban&Partner. Wrocław. 2013.
4. Mavrides E, Moscoso G, Carvalho JS, Campbell S, Thilaganathan B. The anatomy of the umbilical, portal and hepatic venous systems in the human fetus at 14-19 weeks of gestation. Ultrasound Obstet Gynecol. 2001 Dec;18(6):598-604. doi: 10.1046/j.0960-7692.2001.00581.x. PMID: 11844197.
5. Robson SC. Assessment of hemodynamics usin Doppler ultrasound. Ultrasound Obstet Gynecol. 2000;15:456-459.