Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Review Article Volume 2 Issue 9

Low Value of Apnea-test on Fetal Survival in Intrauterine Hypoxia is Universal Indicator for Planned Caesarean Section

NA Urakova1 and AL Urakov2,3*

1Department of Obstetrics and Gynecology, Izhevsk State Medical Academy of the Ministry of Health Russian Federation, Izhevsk, Russia
2Department of General and Clinical Pharmacology, Izhevsk State Medical Academy of the Ministry of Health Russian Federation, Izhevsk, Russia
3Department of Modeling and Synthesis of Technological Structures, Udmurt Federal Research Center of the Ural branch Russian Academy of Sciences, Izhevsk, Russia

*Corresponding Author: AL Urakov, Department of General and Clinical Pharmacology, Izhevsk State Medical Academy of the Ministry of Health Russian Federation, Izhevsk, Russia.

Received: August 03, 2020; Published: August 28, 2020

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Abstract

The review is devoted to the justification of apnea-test on fetal survival for hypoxia in a pregnant woman as a criterion for choosing the type of planned delivery through the natural birth canal or by Cesarean section. It is shown that during physiological childbirth in women, the uterus repeatedly worsens the blood supply to the placenta, which causes intrauterine hypoxia of the fetus at each contraction. This is because during contractions, the uterus squeezes not only the fetal bladder with amniotic fluid and the fetus, but also the placenta, as well as blood vessels that are located inside the uterine wall and through which arterial blood flows to the placenta. Therefore, when giving birth through the natural birth canal, the fetus is forced to repeatedly experience periods of hypoxia. However, the ability of fetuses to survive periods of intrauterine hypoxia in future births today is not taken into account when choosing the type of delivery. It has been shown that apnea-test on fetal survival at hypoxia can increase the accuracy of choosing the planned type of birth resolution. It has been established that if the period of immobility of the fetus during respiratory retention by its mother is less than 10 seconds, then childbirth through the natural birth canal is contraindicated, since this can cause drowning of the fetus in amniotic fluid, asphyxia, encephalopathy and pneumonia of the newborn. Planned Caesarean section can improve the prognosis of childbirth.

Keywords: Pregnancy; Delivery; Caesarean Section; Apnea-test; Intrauterine Hypoxia; Diagnostics; Indications

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References

  1. “Safe prevention of the primary cesarean delivery”. Obstetric Care Consensus No. 1. American College of Obstetricians and Gynecologists. Obstetrics and Gynecology 123 (2014): 693-711.
  2. Caesarean section.
  3. Caesarean Section.
  4. Cook K and Loomis C. “The Impact of Choice and Control on Women's Childbirth Experiences”. Journal of Perinatal Education 21.3 (2012): 158-168.
  5. Van der Gucht N and Lewis K. Women's experiences of coping with pain duddring childbirth: a critical review of qualitative research”. Midwifery 31.3 (2015): 349-358.
  6. Kukla R and Wayne K. "Pregnancy, Birth, and Medicine". The Stanford Encyclopedia of Philosophy (Spring 2018 Edition), Edward N. Zalta (ed.).
  7. Howard K., et al. “Early mother-child separation, parenting, and child well-being in Early Head Start families”. Attachment and Human Development 13.1 (2011): 5-26.
  8. Lagan M., et al. “Advocacy for mothers with psychiatric illness: a clinical perspective”. International Journal of Mental Health Nursing 18.1 (2009): 53-61.
  9. Urakov AL., et al. “Method for assessment of fetus resistance to hypoxia by M.Y. Gausnekht”. RU Patent 2432118. 27.10. (2011).
  10. Urakov AL and Urakova NA. “Ultrasonic monitoring of the motor activity of the fetus during the breath of a pregnant woman - a new functional test for the stability of the fetus to hypoxia”. 18TH World Congress on Controversies in Obstetrics, Gynecology and Infertility (COGI) (October 24-27, 2013, Vienna, Austria) Editor Z. Ben-Rafael. Milano (Italy): Monduzzi editoriale proceedings (2014): 165-170.
  11. Urakova NA and Urakov AL. “Low score of the functional test for fetal resistance to intrauterine hypoxia as an indication for early resolution of labor by Сesarean section”. International Journal of Applied and Fundamental Research (In Russia) 10.2 (2014): 89-93.
  12. Urakova NA., et al. “Method for time of day determination for Caesarean section”. Ru patent 2626302. 25.07.2017. 
  13. Neonatal Respiratory Disorders, 2 Ed. Ed. By A.Greenough and A.D.Milner. Taylor and Francis Group (2003).
  14. Nye GA., et al. “Human placental oxygenation in late gestation: experimental and theoretical approaches”. Journal of Physiology 596.23 (2018): 5523-5534.
  15. Urakov A and Urakova N. “Fetal hypoxia: Temperature value for oxygen exchange, resistance to hypoxic damage, and diagnostics using a thermal imager”. Indian Journal of Obstetrics and Gynecology Research 7.2 (2020): 232-238.
  16. Turner JM., et al. “The physiology of intrapartum fetal compromise at term”. American Journal of Obstetrics and Gynecology 222.1 (2020): 17-26.
  17. Stages of labour.
  18. Zala R., et al. “A case of posterior reversible encephalopathy syndrome in a pregnant woman with sickle cell anemia”. Indian Journal of Obstetrics and Gynecology Research 5.1 (2018): 163-166.
  19. Hutter D., et al. “Causes and mechanisms of intrauterine hypoxia and its impact on the fetal cardiovascular system: A review”. International Journal of Pediatrics (2010): 401323.
  20. Thompson L., et al. “Intrauterine hypoxia: clinical consequences and therapeutic perspectives”. Research and Reports in Neonatology 5 (2015): 79-89.
  21. Phillips TJ., et al. “Treating the placenta to prevent adverse effects of gestational hypoxia on fetal brain development”. Science Report 7 (2017): 9079. 
  22. Radzinsky VE., et al. “Assessment of the sustainability of the fetus to intrauterine hypoxia during the period of breath-holding a pregnant woman”. Reproductive Health. Eastern Europe 1 (2012): 119-127.
  23. Nalivaeva NN., et al. “Role of prenatal hypoxia in brain development, cognitive functions, and neurodegeneration”. Frontiers in Neuroscience 12 (2018): 825.
  24. Zakerihamidi M., et al. “Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women's Perceptions in The North of Iran”. International Journal of Community Based Nursing and Midwifery 3.1 (2015): 39-50. 
  25. Lavender T., et al. “Caesarean section for non-medical reasons at term”. Cochrane Database System Review 2012.3 (2012): CD004660.
  26. Mylonas I and Friese K. “Indications for and Risks of Elective Cesarean Section”. Deutsches Ärzteblatt International 112 (2015): 489-495. 
  27. Standards for maternal and neonatal care. World Health Organization, Department of Making Pregnancy Safer and Department of Reproductive Health and Research (2007).
  28. Maternity Standards. RCOG (2008). 
  29. Clinical Practice Guidelines: Pregnancy care. Australian Government. Department of Health (2019).
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Citation

Citation: NA Urakova and AL Urakov. “Low Value of Apnea-test on Fetal Survival in Intrauterine Hypoxia is Universal Indicator for Planned Caesarean Section”. Acta Scientific Women's Health 2.9 (2020): 11-15.




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Acceptance rate35%
Acceptance to publication20-30 days
Impact Factor0.742

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