Intrapartum prediction of emergency delivery due to non-reassuring fetal status at 40 weeks’ gestation in low-risk pregnancies: contribution of Doppler parameters, maternal history, and intrapartum clinical characteristics
| Autor: | Stefano De Marinis, Nicola Persico, Raigam Jafet Martinez Portilla, Barbara Acaia, Stefano Acerboni, Francesca Crovetto, Luigi Fedele, Annachiara Basso, Federica Rossi, Nicola Cesano, Enrico Ferrazzi |
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| Rok vydání: | 2019 |
| Předmět: |
Middle Cerebral Artery
medicine.medical_specialty Gestational Age Ultrasonography Prenatal Umbilical Arteries symbols.namesake Pregnancy medicine.artery medicine Humans Prospective Studies Maternal history Fetus Cesarean Section business.industry Obstetrics Infant Newborn Parturition Obstetrics and Gynecology Fetal doppler Ultrasonography Doppler Pulsatile Flow Small gestational age Infant Small for Gestational Age Pediatrics Perinatology and Child Health Middle cerebral artery symbols Gestation Female business Doppler effect |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. :1-9 |
| ISSN: | 1476-4954 1476-7058 |
| Popis: | To assess the added value of Doppler parameters, maternal history, and intrapartum clinical characteristics for the prediction of emergency delivery due to non-reassuring fetal status in low-risk pregnancies.This was a prospective cohort of low-risk pregnancies undergoing ultrasound assessment at 40 weeks' gestation within 7 days of delivery. The main outcome was emergency cesarean section due to non-reassuring fetal status. The association between Doppler parameters, intrapartum clinical characteristics, and maternal history was performed by logistic regression. The predictive performance of the constructed models was assessed by receiver operating characteristic (ROC) curve analysis and the area under the curve (AUC).From 403 included pregnancies, 18.6% (In low-risk pregnant woman at term, the addition of MCA Z-score to a previous model comprising maternal history and intrapartum clinical findings, significantly improves the prediction of emergency delivery due to non-reassuring fetal status. |
| Databáze: | OpenAIRE |
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