Olijnyk Y. The evolution of haemodynamic indexes in the moment of beginning preeclampsia and postpartum

112 pregnant women and postpartum, which had complications in the course of pregnancy as preeclampsia and also 129 pregnant women and postpartum who had non-complicative pregnancy were exemined. The aim of the investigation was to study the changes of haemodynamics indexes which characterize the micro- and macrocirculation, when pre-hestose or preclinical phase of hestose, clinical manifestation of it have been developed, during its regressing postpartum period for the further profilactic of complication. We used some methods of research such as information of anamnes, complex clinico-laboratory investigation, special examining with using tool-making method such as integral reography, which includes three methods: central cardiohaemodynamic (CCH), central and perypheral haemodynamic (CPH) and perypheral haemodynamic (PH) by a modern nativ apparatus - integral reoanalisator RA5-01. Theoretical results are the folowing: Haemodynamics premises of the begining of preeclampsia have been determined; haemodyn amics violations at the moment of the begining preeclampsia and postpartum have been revealed; principles of early diagnosis of preeclampsia, furthe prophylactic of complicates for the mother and fetus have been worked out. Practical recommendations wich were offered in the work are the folowing: Hhe possibility to use the method of integral reography for preclinical diagnose preeclampsia, diagnose of its grave degree; dynamic observation of the effective treatment, prophylactic of complications for mother and fetus; reveling the rates of regress of preeclampsia after delivery. At the same time modern diagnostic model of preeclampsia was worked out. Novelty of its work are the folowing: At first complexes investigation of changes haemodynamics indexes with the help noninvasive methods when noncomplicative pregnant, at the moment of begening of hestosis and postpartum have been conducted; changes of haemodynamics of healthy pregnant women and postpartum have been standarted; the possibilityof diagnosis of late nt deficiency circulation of the blood, which characterize the existence of preclinical form of hestosis has been fixed; early diagnostic indexes of preeclampsia have been determined. The results of investigation allowed to recommend and implicate this method to the work in obstetric and gynecology practice of Kiev city clinical hospital 2, women patient clinic №2 Dniprovsc's Rigion Medical United (RMU) and №3 Vatutin's RMU of Kiev.