zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2025-22-1-01zdor-2758Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESСовременные подходы к ведению беременных пациенток с задержкой роста плодаModern approaches to the management of pregnant patients with fetal growth restrictionhttps://orcid.org/0000-0003-0562-3357ЭйнышЕ. А.EinyshE. A.

Эйныш Елена Александровна - к.м.н., доцент, доцент кафедры акушерства и гинекологии с курсом ФПКиП.

Гомель

Elena A. Einysh - Candidate of Medical Sciences, Associate Professor at the Department of Obstetrics and Gynecology with the course of Advanced Training and Retraining.

Gomel

miv65@mail.ruhttps://orcid.org/0000-0002-8465-9368ЛызиковаЮ. А.LyzikovaYu. A.

Лызикова Юлия Анатольевна - д.м.н., доцент, профессор кафедры акушерства и гинекологии с курсом ФПКиП.

Гомель

Yuliya A. Lyzikova, Doctor of Medical Sciences, Associate Professor, Professor at the Department of Obstetrics and Gynecology with the course of Advanced Training and Retraining.

Gomel

lyzikovayulia@yandex.byhttps://orcid.org/0009-0004-7822-1361БодрусеваА. Н.BodrusevaA. N.

Бодрусева Анна Николаевна - врач-терапевт перинатального центра.

Гомель

Anna N. Bodruseva - General Practitioner of the Perinatal Center.

Gomel

0melanna@inbox.ruhttps://orcid.org/0000-0001-6487-2738КравцоваН. В.KrautsovaN. V.

Кравцова Наталья Валерьевна - заведующий отделением патологии беременности.

Гомель

Natalyia V. Krautsova - Head of the Pathologic Pregnancy Department.

Gomel

dariyakravts@gmail.comhttps://orcid.org/0000-0001-7176-6941КиселеваТ. А.KiselyovaT. A.

Киселева Татьяна Александровна - заведующий 2-м обсервационным отделением.

Гомель

Tatyana A. Kiselyova - Head of the Observation Department No2.

Gomel

kista2@ya.ruГомельский государственный медицинский университетGomel State Medical UniversityГомельская городская клиническая больница № 3Gomel City Clinical Hospital No. 3202529032025221714Copyright © Эйныш Е.А., Лызикова Ю.А., Бодрусева А.Н., Кравцова Н.В., Киселева Т.А., 20252025Эйныш Е.А., Лызикова Ю.А., Бодрусева А.Н., Кравцова Н.В., Киселева Т.А.Einysh E.A., Lyzikova Y.A., Bodruseva A.N., Krautsova N.V., Kiselyova T.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/2758

Проведен аналитический обзор литературы по современным подходам к ведению беременных пациенток с задержкой роста плода (ЗРП), который выявил основные проблемы, касающиеся терминологии, диагностики, лечения, профилактики и родоразрешения у пациенток с данной патологией. Данные литературных источников проиллюстрированы собственными наблюдениями, которые показывают, что ЗРП остается сложной проблемой акушерства, в том числе в этическом отношении, и требует высокой степени профессиональной компетентности и ответственности при выборе тактики ведения беременности у пациенток с данным осложнением. На основании проведенного исследования сделан вывод о необходимости внедрения международных подходов к проблеме ЗРП в клиническую практику акушеров-гинекологов Республики Беларусь.

An analytical review of literature data on modern approaches to the management of pregnant patients with fetal growth restriction (FGR) was carried out, which revealed the main problems relating to terminology, diagnosis, treatment, prevention and delivery of patients with this pathology. Data from literary sources are illustrated by personal observations, which showed that FGR remains a complex problem of obstetrics and requires a high degree of professional competence and ethical responsibility when choosing tactics for pregnancy management. According to the conducted study, it was concluded that it is necessary to introduce international approaches to the problem of FGR into the clinical practice of obstetricians and gynecologists of the Republic of Belarus.

задержка роста плодамалый для гестационного возраста плодплацентарная недостаточностьультразвуковая фетометриядопплерометриякардиотокографияfetal growth restrictionsmall for gestational age fetusplacental insufficiencyultrasound biometryDoppler velocimetrycardiotocographyИсследование проведено без спонсорской поддержкиThe study was conducted without sponsorshipReferencesBlue NR, Page JM, Silver RM. Recurrence Risk of Fetal Growth Restriction: Management of Subsequent Pregnancies. Obstet Gynecol Clin North Am. 2021 Jun;48(2):419-436. DOI: https://doi.org/10.1016/j.ogc.2021.03.002Blue NR, Page JM, Silver RM. Recurrence Risk of Fetal Growth Restriction: Management of Subsequent Pregnancies. Obstet Gynecol Clin North Am. 2021 Jun;48(2):419-436. DOI: https://doi.org/10.1016/j.ogc.2021.03.002Клинические рекомендации, утвержденные МЗ РФ. Акушерство. Недостаточный рост плода, требующий предоставления медицинской помощи матери (задержка роста плода), ٢٠٢١. [дата обращения 2024 май 27]. 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The authors declare that there are no conflicts of interest present.