Significance of umbilical artery Doppler velocimetry in the perinatal outcome of the growth restricted fetuses
| Autor: | Soni Neelu, Gokhale Suneeta, Deshmukh Anshul |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Fetus Obstetrics business.industry Obstetrics and Gynecology Gestational age Intrauterine growth restriction Umbilical artery Oligohydramnios Velocimetry Laser Doppler velocimetry medicine.disease medicine.anatomical_structure medicine.artery medicine Original Article business reproductive and urinary physiology Artery |
| Popis: | ObjectivesTo evaluate the role of umbilical artery Doppler in growth restricted fetuses.MethodsIn a prospective observational study, 100 pregnant women with growth restricted fetuses confirmed by ultrasound were evaluated by umbilical artery Doppler velocimetry after 28 weeks of gestation. Outcome of the pregnancy was recorded for the normal Doppler group (n=54) and abnormal Doppler group (n=46). Abnormal Doppler group consisted of low end diastolic flow group (n=29) and absent or reversed end diastolic flow (REDF) group (n=17).ResultsFetuses with abnormal umbilical flow velocimetry had higher incidence of oligohydramnios and abnormal NST compared to the fetuses with normal umbilical flow. The average birth weight and gestational age at delivery were lower in the abnormal Doppler group. Neonates with abnormal umbilical artery velocimetry had increased incidence of caesarean delivery, low apgar scores at birth, increased NICU admissions, increased requirement of positive pressure ventilation, and higher perinatal morbidity and mortality.ConclusionUmbilical artery Doppler velocimetry should be used in the management of the intrauterine growth restricted fetuses, as it helps in differentiating fetus with pathological growth restriction at risk for perinatal complications from small and healthy fetuses. |
| Databáze: | OpenAIRE |
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