Document Detail


Doppler examination in the evaluation of outcomes in pregnancies complicated by gestational hypertension and fetal intrauterine growth retardation--is it enough?
MedLine Citation:
PMID:  22905469     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The relations between abnormal umbilical and cerebral Doppler, cerebral-umbilical (C/U) ratio, and outcomes in pregnancies complicated by gestational hypertension and fetal intrauterine growth retardation were evaluated.
MATERIALS AND METHODS: A retrospective study of 53 monofetal pregnancies in 2010 was conducted at the Institute of Gynecology and Obstetrics, Belgrade.
STATISTICAL ANALYSIS: chi-square likelihood ratio test, Student's t-test and Spearman's coefficient correlation.
RESULTS: There was not a significant correlation between the timing of registration of abnormal umbilical Doppler to delivery and outcomes of high-risk pregnancies. There was a significant correlation between C/U ratio and APGAR-5 (p = 0.003). We found a significant correlation between neonatal birth weight and APGAR-5 (p = 0.000), neonatal asphyxia (p = 0.000), intracranial hemorrhage (p = 0.000) and respiratory distress syndrome (p = 0.000).
CONCLUSION: Umbilical and cerebral artery Doppler is a relatively poor predictor of neonatal outcome. It seems that neonatal birth weight is the best predictor of neonatal outcome in high-risk pregnancies.
Authors:
I Babovic; S Plesinac
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical and experimental obstetrics & gynecology     Volume:  39     ISSN:  0390-6663     ISO Abbreviation:  Clin Exp Obstet Gynecol     Publication Date:  2012  
Date Detail:
Created Date:  2012-08-21     Completed Date:  2012-09-11     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  7802110     Medline TA:  Clin Exp Obstet Gynecol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  222-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight
Cesarean Section
Female
Fetal Growth Retardation / physiopathology*
Humans
Hypertension, Pregnancy-Induced / physiopathology*
Laser-Doppler Flowmetry* / instrumentation
Male
Microcirculation / physiology
Middle Cerebral Artery / physiopathology
Placenta / physiopathology
Predictive Value of Tests
Pregnancy
Pregnancy Outcome*
Regional Blood Flow
Umbilical Arteries / physiopathology*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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