Relationship between umbilical and fetal cerebral blood flow velocity waveforms and umbilical venous blood gases
Autor: | O. Bailliart, B. Guyot, Ph. Bonnin, J. P. Martineaud, C. Benard, Ph. Blot |
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Rok vydání: | 1992 |
Předmět: |
Fetus
Radiological and Ultrasound Technology business.industry Obstetrics and Gynecology Gestational age Umbilical artery General Medicine Venous blood Umbilical vein Reproductive Medicine medicine.artery Anesthesia Circulatory system medicine Radiology Nuclear Medicine and imaging Internal carotid artery medicine.symptom business Acidosis |
Zdroj: | Ultrasound in Obstetrics and Gynecology. 2:18-22 |
ISSN: | 0960-7692 |
Popis: | Nineteen women (mean ± SD: 28 ± 5 years) with small fetuses relative to gestational age (mean ± SD: 32 ± 2.2 weeks of gestation) were referred to our unit for cordocentesis for the determination of fetal karyotyping. Four of these 19 patients had small-for-gestational-age ultrasound-derived measurements under the third centile for gestational age. Fetal blood gases were measured in the umbilical vein. Umbilical artery and fetal internal carotid artery Doppler examinations were performed 15 min before cordocentesis. The results showed a progressive and proportional increase in umbilical artery resistance index with hypoxia (p < 0.001), hypercapnia (p < 0.025) and acidosis (p < 0.005). Moreover, the results showed a progressive and proportional decrease in fetal internal carotid artery resistance index with hypoxia (p < 0.01), hypercapnia (p < 0.01) and acidosis (p < 0.025). Fetal blood gases are therefore related to umbilical circulatory function and cerebral vasodilatation, suggesting fetal vascular redistribution. Copyright © 1992 International Society of Ultrasound in Obstetrics and Gynecology |
Databáze: | OpenAIRE |
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