Outcome of small-for-gestational-age fetuses according to umbilical artery Doppler: Is there any yield from additional middle cerebral artery Doppler?
| Autor: | Tongta Nanthakomon, Boonchai Uerpairojkit |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Middle Cerebral Artery medicine.medical_specialty Adolescent Birth weight Umbilical Arteries law.invention Young Adult Pregnancy law medicine.artery Internal medicine medicine Humans reproductive and urinary physiology Retrospective Studies Ultrasonography Fetus Fetal Growth Retardation business.industry Infant Newborn Obstetrics and Gynecology Umbilical artery Prognosis Thailand medicine.disease Intensive care unit Anesthesia Infant Small for Gestational Age Pediatrics Perinatology and Child Health Middle cerebral artery Cardiology Small for gestational age Female Apgar score business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 23:900-905 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.3109/14767050903353208 |
| Popis: | To investigate the outcome of small-for-gestational-age (SGA) fetuses in relation to the features of umbilical artery (UA) Doppler and to explore the prognosticator of middle cerebral artery (MCA) Doppler in SGA fetuses with normal UA impedance.Two hundred ninety-seven patients were classified into Group 1 with normal UA and MCA pulsatility index (PI), Group 2 with normal UA but abnormal MCA PI and Group 3 with abnormal UA PI/absent or reversed end diastolic flow. Neonatal outcomes were compared between each group.Neonatal intensive care unit (NICU) admission, duration of hospital stay and perinatal mortality were higher in Group 3 as compared to the others. Group 2 had a lower birth weight and more fetuses with 5-min Apgar score7 than Group 1; NICU admission and need for ventilators were also significantly higher than Group 1.SGA fetuses with abnormal UA Doppler suffered more morbidity and mortality compared to those with normal UA Doppler. SGA fetuses with normal UA PI but abnormal MCA PI had worse outcomes compared to those with normal UA and MCA PI. |
| Databáze: | OpenAIRE |
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