Published October 30, 2020 | Version v1
Journal article Open

EVALUATION OF FETAL REACTIVITY IN A TEST WITH ACOUSTIC STIMULATION IN WOMEN WITH A HISTORY OF CESAREAN SECTION

  • 1. Kharkiv Medical Academy of Postgraduate Education

Description

Object of study: pregnancy in women with a history of cesarean section, perinatal period.

The problem to be solved: clarification of the perinatal significance of the factor “scarred uterus”, substantiation of the clinical significance of the test with acoustic stimulation of the fetus as a method for predicting early neonatal adaptation.

Main scientific results: it was found that pregnancy in women with a history of cesarean section is characterized by an increased perinatal risk and is associated with psychoemotional stress of the mother, which affects the reactivity of fetal cerebral hemodynamics. It has been shown that the test with acoustic stimulation of fetus allows one to gain an idea of the fetus's perception of stressful influences, which should be taken into account when drawing up a delivery plan.

The area of practical use of research results: obstetric departments of maternity hospitals and multidisciplinary hospitals.

An innovative technological product: technology for assessing the state of the fetus in full-term pregnancy, which allows predicting complications of early neonatal adaptation based on the susceptibility of the fetus in the test with acoustic stimulation.

Scope of application of an innovative technological product: obstetric clinical practice, perinatal medicine.

Files

EVALUATION OF FETAL REACTIVITY IN A TEST WITH ACOUSTIC STIMULATION IN WOMEN WITH A HISTORY OF CESAREAN SECTION.pdf

Additional details

References

  • WHO recommendations on non-clinical interventions to reduce unnecessary caesarean sections (2018). World Health Organization, 79. Available at: https://www.who.int/reproductivehealth/publications/non-clinical-interventions-to-reduce-cs/en/
  • Dubrova, L. Y. (2013). The improvement of medical support and delivery of women with a previous cesarean section. Kyiv.
  • Vdovichenko, Y. P., Gurzhenko, O. Y. (2015). Algorithm of diagnostics, prophylaxis and treatment of sexual disfunctions in women after caesarian section. Zdorovye zhenshiny, 5 (101), 66–68.
  • Orovou, E., Dagla, M., Iatrakis, G., Lykeridou, A., Tzavara, C., Antoniou, E. (2020). Correlation between Kind of Cesarean Section and Posttraumatic Stress Disorder in Greek Women. International Journal of Environmental Research and Public Health, 17 (5), 1592. doi: http://doi.org/10.3390/ijerph17051592
  • Garthus-Niegel, S., von Soest, T., Knoph, C., Simonsen, T. B., Torgersen, L., Eberhard-Gran, M. (2014). The influence of women's preferences and actual mode of delivery on post-traumatic stress symptoms following childbirth: a population-based, longitudinal study. BMC Pregnancy and Childbirth, 14 (1). doi: http://doi.org/10.1186/1471-2393-14-191
  • Garcia-Flores, V., Romero, R., Furcron, A.-E., Levenson, D., Galaz, J., Zou, C. et. al. (2020). Prenatal Maternal Stress Causes Preterm Birth and Affects Neonatal Adaptive Immunity in Mice. Frontiers in Immunology, 11. doi: http://doi.org/10.3389/fimmu.2020.00254
  • McCreary, J. K., Truica, L. S., Friesen, B., Yao, Y., Olson, D. M., Kovalchuk, I. et. al. (2016). Altered brain morphology and functional connectivity reflect a vulnerable affective state after cumulative multigenerational stress in rats. Neuroscience, 330, 79–89. doi: http://doi.org/10.1016/j.neuroscience.2016.05.046
  • Zakharova, L. A. (2015). Perinatal stress in brain programming and in the pathogenesis of neuropsychiatric diseases. Bulletin of the Russian Academy of Sciences. Biological series, 1, 17–26. doi: http://doi.org/10.7868/s0002332915010130
  • Entringer, S., Buss, C., Wadhwa, P. D. (2015). Prenatal stress, development, health and disease risk: A psychobiological perspective – 2015 Curt Richter Award Paper. Psychoneuroendocrinology, 62, 366–375. doi: http://doi.org/10.1016/j.psyneuen.2015.08.019
  • Tan, K. H., Smyth, R. M., Wei, X. (2013). Fetal vibroacoustic stimulation for facilitation of tests of fetal wellbeing. Cochrane Database of Systematic Reviews. doi: http://doi.org/10.1002/14651858.cd002963.pub2
  • Umana, O. D, Siccardi, M. A. (2020). Prenatal Non-stress Test. Available at: https://www.ncbi.nlm.nih.gov/books/NBK537123/
  • Sovili, M., Ljubic, A. (1992). Possibilities of Prenatal Examination of Reaction to Sound in fetuses with Congenital Infections. Journal of Perinatal Medicine section, Serbian Medical Society, 17–18.
  • Jardri, R., Houfflin‐Debarge, V., Delion, P., Pruvo, J., Thomas, P., Pins, D. (2011). Assessing fetal response to maternal speech using a noninvasive functional brain imaging technique. International Journal of Developmental Neuroscience, 30 (2), 159–161. doi: http://doi.org/10.1016/j.ijdevneu.2011.11.002
  • Selander, J., Rylander, L., Albin, M., Rosenhall, U., Lewné, M., Gustavsson, P. (2019). Full-time exposure to occupational noise during pregnancy was associated with reduced birth weight in a nationwide cohort study of Swedish women. Science of The Total Environment, 651, 1137–1143. doi: http://doi.org/10.1016/j.scitotenv.2018.09.212
  • Dumov, E. L., Nöcker-Ribaupierre, M., Andrushchenko, N. V., Iova, A. S. (2014). Acoustic stress in premature neonates: causes of appearance and methods of correction. Bulletin of the North-Western State Medical University named after I.I. Mechnikov, 6 (2), 101–109.
  • Gélat, P., David, A. L., Haqhenas, S. R., Henriques, J., Thibaut de Maisieres, A., White, T., Jauniaux, E. (2019). Evaluation of fetal exposure to external loud noise using a sheep model: quantification of in utero acoustic transmission across the human audio range. American Journal of Obstetrics and Gynecology, 221 (4), 343. doi: http://doi.org/10.1016/j.ajog.2019.05.036
  • Sood, A. K., Singh, S. (2011). Vibroacoustic stimulation and modified fetal biophysical profile for early intrapartum fetal assessment. The Journal of Obstetrics and Gynecology of India, 61 (3), 291–295. doi: http://doi.org/10.1007/s13224-011-0044-5
  • Safonova, I. N. (2016). Antenatal ultrasound monitoring and perinatal results in antepartum fetal distress. Eksperimentalnaya i klinicheskaya medicina, 1 (70), 131–138.
  • Antonets, V. A., Kazakov, V. V. (2014). On noninvasive assessment of acoustic fields acting on the fetus. Acoustic magazine, 60 (3), 320–326. doi: http://doi.org/10.7868/s0320791914030022
  • Đorđević, V., Panić, M., Stanojević, N. (2019). Risk Factors at Birth and their Impact on Prelingual and Early Lingual Development in Prematurus. 7-th International Conference on Fundamental and Applied Aspects of Speech and Language, 377–384. Available at: http://iefpg.org.rs/Conference/2019/S %26L2019_Program_and_Abstracts.pdf