Evolutive particularities of gestational period in Rh incompatibility

Abstract

In spite of a large number of studies, the Rh incompatibility remains one of the most controversai problems in contemporary obstetrics, because of the influence of it on perinatal morbidity and mortality. The study was based on evaluation of 247 cases of Rh incompatibility, in IMSP SCMN1. Anamnestic facts, clinical and paraclinical evidences (imunological tests, USG exam, Doppler) and evolution of gestation was determined. In 95,5% cases pacients were included in group between 18 and 35 years old. In 159 cases (64,4±3,0%) were atested primiparous and in 35,6±3,0% - multipara. In 65 cases (26,3±3,0%) the anamnesis was complicated by medical and spontanious abortion, with a high level among primiparous. The evolution of gestational period was catracterised by the associated extragenital diseases in 86 cases (34,8±3,0%), the presence of viral and bacterian infections (43 cases - 17,4±2,4%), etc. The diagnosis of Rh incompatibility was established by clinical and paraclinical examinations. In the majority of cases the pacients were unsensibilized, and only in 8 cases (3,2±1,1%) was atested a high level of antibodies (1:8 -1:16). In 231 cases (93,5±1,6%) babies were bom per vias naturalis and in 16 (6,5±1,6%) - by ceasarian section. The Rh incompatibility is one of the actual problems in obstetrics; wich needs to be evaluated in the near future. In these cases, the possible isoimmunisation need to be diagnosticated in early gestational period, for making a correct decision in its management.