Document Detail

Ductus venosus Doppler measurement during labor.
MedLine Citation:
PMID:  17605596     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To assess ductus venosus (DV) indices during the first stage of labor and the effect of ruptured membranes, meconium stained liquor and epidural analgesia (EDA). METHODS: Prospective cross-sectional study. Eighty-one women with low-risk singleton term pregnancies participated, 51 had normal labor (Group 1), and 30 experienced ruptured membranes and/or stained liquor (Group 2). Of the latter group 14 received EDA. The effect of various interventions and application of EDA on the ductus venosus index (DVI) and pulsatility index for veins (DV PIV) were tested. RESULTS: The feasibility rate was 94%. A significant increase of DV indices (DVI, DV PIV) was found in group 2 (P<0.001 and P<0.0005, respectively). The A-velocity was also significantly lower in group 2 (P<0.02). A markedly significant increase of DV indices (P<0.0001) among participants receiving EDA was observed in group 2. The mean+/-SD indices were: 0.53+/-0.10 for the DVI and 0.68+/-0.14 for the DV PIV in those women. There was a significant positive correlation of DV indices with the duration of amniorrhea in group 2 (PIV: r=0.66; P<0.002; DVI: r=0.68; P<0.001). CONCLUSIONS: Long-term amniorrhea seems to affect the fetal venous circulation reflected in increased DV waveform indices.
Norbert Szunyogh; Jozef Mikus; Pavol Zubor; Jozef Visnovsky; Jan Danko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  35     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  2007  
Date Detail:
Created Date:  2007-08-09     Completed Date:  2007-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  403-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Jessenius Faculty of Medicine, Martin, Slovakia.
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MeSH Terms
Amnion / surgery
Cross-Sectional Studies
Fetal Heart / physiology,  ultrasonography*
Fetal Membranes, Premature Rupture / physiopathology,  ultrasonography
Fetus / blood supply*
Labor, Obstetric / physiology*
Prospective Studies
Regional Blood Flow / physiology
Ultrasonography, Doppler, Pulsed

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