[Evaluation of fetal protective-adaptive reactions in gestosis and pelvic presentation].

Biophysical profile of the fetus (BPF) was determined with the use of ultrasonic scanning and cardiotocography in 21 pregnant women with the pelvic presentation of the fetus and 32 patients with gestosis. Uteroplacental and fetoplacental circulation were also under study. The results of studies were analyzed together with the data on the labor outcome and course of the neonatal period. The findings evidence a regular depression of some BPF elements in hypoxia. Circulatory disorders in gestosis are initiated by disorders of the uteroplacental circulation, followed by involvement of the fetoplacental circulation in this process. Reduced BPF parameters in pelvic presentation of the fetus evidence functional immaturity of the fetus. A close relationship between the results of BPF assessment and fetal Doppler ultrasonics data has been revealed.