Fetal damage models

Authors

  • Renato Augusto Moreira de Sá Fundação Oswaldo Cruz
  • Paulo Roberto Nassar de Carvalho Fundação Oswaldo Cruz
  • Fernanda Campos da Silva Perinatal, Rede D’Or
  • Fernando Maia Peixoto Filho Fundação Oswaldo Cruz

DOI:

https://doi.org/10.5327/JBG-0368-1416-20211312003

Keywords:

cardiotocography, placental circulation, fetal development, fetal hypoxia, fetal monitoring

Abstract

There are different pathophysiological processes that can put the fetus at risk. Hence, the effectiveness of various fetal tests depends on the underlying pathophysiological condition. The pathophysiological processes that can cause fetal death or damage are decreased uteroplacental blood flow, decreased gas exchange at the level of the trophoblastic membrane, metabolic processes, fetal sepsis, fetal anemia, fetal heart failure, and umbilical cord accidents. Diseases that lead to chronic fetal suffering takedifferent paths, requiring, as a consequence, different obstetric behaviors, according to each pattern of involvement of the conceptus. Each of these processes involves one of the chronic fetal distress models and requires a specific maternal–fetal surveillance pattern for each condition in order to avoid perinatal morbidity and mortality.

Downloads

Download data is not yet available.

Author Biographies

Renato Augusto Moreira de Sá, Fundação Oswaldo Cruz

Instituto Fernandes Figueira, Fundação Oswaldo Cruz Perinatal, Rede D’Or Universidade Federal Fluminense

Paulo Roberto Nassar de Carvalho, Fundação Oswaldo Cruz

Instituto Fernandes Figueira, Fundação Oswaldo Cruz

Fernanda Campos da Silva, Perinatal, Rede D’Or

Perinatal / Rede D’Or, Universidade Federal do Estado do Rio de Janeiro

Fernando Maia Peixoto Filho, Fundação Oswaldo Cruz

Instituto Fernandes Figueira / Fundação Oswaldo Cruz, Perinatal / Rede D’Or 

References

Bukowski R, Hansen NI, Pinar H, Willinger M, Reddy UM, Parker CB, et al. Altered fetal growth, placental abnormalities, and stillbirth. PLoS One. 2017;12(8):e0182874. https://doi.org/10.1371/journal.pone.0182874

Bukowski R, Hansen NI, Willinger M, Reddy UM, Parker CB, Pinar H, et al. Fetal growth and risk of still- birth: a population-based case-control study. PLoS Med. 2014;11(4):e1001633. https://doi.org/10.1371/journal.pmed.1001633

Kontopoulos E, Vintzileos A. Condition-specific antepartum fetal testing. Am J Obstet and Gynecol. 2004;191(5):1546-51. https://doi.org/10.1016/j.ajog.2004.07.012

Di Renzo GC. The great obstetrical syndromes. J Matern Fetal Neonatal Med. 2009;22(8):633-5. https://doi.org/10.1080/14767050902866804

Brosens I, Pijnenborg R, Vercruysse L, Romero R. The “Great Obstetrical Syndromes” are associated with disorders of deep placentation. Am J Obstet Gynecol. 2011;204(3):193-201. https://doi.org/10.1016/j.ajog.2010.08.009

Gabbay-Benziv R, Baschat AA. Gestational diabetes as one of the “great obstetrical syndromes”--the maternal, placental, and fetal dialog. Best Pract Res Clin Obstet Gynaecol. 2015;29(2):150-5. https://doi.org/10.1016/j.bpobgyn.2014.04.025

Published

2021-07-13

How to Cite

Sá, R. A. M. de, Carvalho, P. R. N. de, Silva, F. C. da, & Peixoto Filho, F. M. (2021). Fetal damage models. Jornal Brasileiro De Ginecologia, 131(2), 95–97. https://doi.org/10.5327/JBG-0368-1416-20211312003

Issue

Section

Artigos Originais