THE MAIN STAGES OF DIAGNOSIS IN SPINAL INJURY

Abstract

complicated by bradycardia in the fetus and ended with intrapartum fetal death in an emergency caesarean section. In 3 patients birth were performed by caesarean section, and in 2 cases, birth were performed by natural birth ways. All of them preterm birth. 1 case was followed by intranatal fetal death, 1 child died after 2 months, and all the rest were alive. Conclusions. The following studies should be carried out for patients at risk: ultrasound, fetal dopplerometry, screening for infection, antibody titer during Rh immunization. Treatment methods require a multidisciplinary and highly qualified assistance in the form of cordocentesis with purpose of karyotyping, drug treatment in dependence on the detected infection ( antibiotic therapy, human immunoglobulin), amnioreduction for polyhydramnios, intrauterine blood transfusion for hemolytic anemia, transabdominal thoracocentesis or thoraco-amniotic shunt for fetal hydrothorax, and the search for new invasive methods and approaches, because hydrops fetalis is difficult to treat conservatively.