[Doppler analysis of fetal renal function in fetus with obstructive uropathy]

Proper prediction of obstructive uropathy consequences in the fetus before birth have remained to be the subject of numerous discussions and scientific research. The means to prevent destructive (life-threatening), irreversible prenatal uropathy results depend largely on early and appropriate defect recognition and since when consistent intrauterine treatment decreasing uropathy's negative effects is being implemented. The purpose of this study was to broaden prenatal diagnostics of urinary system in fetus by introducing new doppler parameters which enable to evaluate renal function in the case of obstructive uropathy. This research concentrated also on finding the most accurate prognostic doppler indicators for fetal renal functions allowing to provide the intrauterine treatment.

All of the participants that took part in the study were pregnant women (67 women to be exact) diagnosed by prenatal ultrasonography with bilateral obstructive uropathy. Out of this group 45 women meeting classification criteria were incorporated in further research.

The conducted research have allowed to come to following conclusions: Determining of renal blood flow indicators distinctly increased the chances to achieve credible prognostic assessment of fetal renal functions in cases of obstructive uropathy.