THE SYSTEM OF ASSESSING THE SEVERITY OF CHRONIC PLACENTAL INSUFFICIENCY
It is established that the assessment of the severity ofCKD can be performed using the complex point scale with the score grade following diagnostic criteria: the degree of discrepancy data UZ-fetometry of fetal gestational age, evaluation by diagnostic scale SU (UZ-component and laboratory testing), the degree of disturbance of flow, an integrated indicator of the status of the fetus, the reactions of cardiovascular system of the fetus. When calculating on a comprehensive point scale the final score ranging from 1 to 3 points PTI diagnose the severity of chronic renal failure (dysfunction of the placenta); from 4 to 9 points - II CT severity chronic renal failure (decompensated chronic placental insufficiency); from 10 to 13 points - article III the severity ofCKD (progressive decompensated placental insufficiency); 14 points or more - IV degree of severity of CKD (critical placental insufficiency). Standardization of the diagnosis of CKD using a complex point scale with the calculation of the outcome index of severity of ESRD and developed on the basis of clinical classification improve the accuracy of assessment of severity of placental insufficiency, optimize obstetric tactics and improve perinatal outcomes.