surgumedВестник СурГУ. МедицинаVestnik SurGU. Meditsina2949-3447Сургутский государственный университет10.35266/2949-3447-2025-3-1surgumed-889Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНА. ОБЗОР ЛИТЕРАТУРЫCLINICAL MEDICINE. REVIEWSОСОБЕННОСТИ ПРЕНАТАЛЬНОГО УЗИ-СКРИНИНГА У БЕРЕМЕННЫХ C ИЗБЫТОЧНОЙ МАССОЙ ТЕЛА И ОЖИРЕНИЕМPECULIARITIES OF PRENATAL ULTRASOUND SCREENING IN PREGNANT WOMEN WITH OVERWEIGHT AND OBESITYhttps://orcid.org/0000-0003-2797-1926КудрявцеваЕ. В.KudryavtsevaE. V.

доктор медицинских наук, доцент, профессор

Doctor of Sciences (Medicine), Docent, Professor

elenavladpopova@yandex.ruhttps://orcid.org/0009-0008-9854-6410БенихисС. Е.BenihisS. E.

ассистент

Assistant Professor

Уральский институт управления здравоохранением им. А. Б. Блохина, ЕкатеринбургРоссияUral Institute of Health Management named after A. B. Blokhin, YekaterinburgRussian FederationУральский государственный медицинский университет Минздрава России, ЕкатеринбургРоссияUrals State Medical University, YekaterinburgRussian Federation2025311020251838–13Copyright © Кудрявцева Е.В., Бенихис С.Е., 20252025Кудрявцева Е.В., Бенихис С.Е.Kudryavtseva E.V., Benihis S.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surgumed.ru/jour/article/view/889

Избыточная масса тела и ожирение являются распространенными проблемами среди жен­щин репродуктивного возраста, влияющими на их здоровье и развитие плода. Метаболические нарушения, вызванные этими состояниями, усложняют проведение пренатальной диагностики, снижая информативность ультразвуковых исследований. Статья представляет обзор литературы, посвященный усовершенствованию методов пренатального скрининга у беременных с ожирением. В ней обсуждаются технические сложности, та­кие как снижение качества визуализации анатомических структур плода из-за увеличенного подкожно-жиро­вого слоя, и предлагаются способы улучшения диагностики, включая использование высокоточных аппаратов и индивидуальный подбор параметров ультразвукового исследования. Также рассматриваются вопросы оптимального времени проведения ультразвукового исследования и его влияние на результаты. В заключение подчеркивается важность дальнейших исследований для оптимизации процесса пренатальной диагностики у женщин с ожирением.

Overweight and obesity are common problems among women of  reproductive age, affecting their health and fetal development. Metabolic disorders caused by these conditions complicate prenatal diagnosis, reducing the informative value of ultrasound examinations. The paper presents a literature review dedicated to improving prenatal screening methods in obese pregnant women. It presents technical difficulties, such as reduced visualization quality of fetal anatomical structures due to an increased subcutaneous tissue, and suggests ways to improve diagnosis, including the use of high-precision devices and individual selection of ultrasound parameters. The optimal timing of ultrasound examination and its impact on the results are reviewed. The conclusion emphasizes the importance of further research for optimization of the process of prenatal diagnosis in women with obesity.

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The authors declare that there are no conflicts of interest present.