| Evidence-based approach to umbilical artery Doppler fetal surveillance in high-risk pregnancies: an update. | |
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MedLine Citation:
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PMID: 21048454 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Antepartum fetal surveillance with Doppler ultrasound of umbilical artery has shown significant diagnostic efficacy in identifying fetal compromise in pregnancies complicated with fetal growth restriction and preeclampsia. Moreover, randomized clinical trials and their meta-analyses have shown its effectiveness in decreasing perinatal mortality (level I evidence). This is the only antepartum fetal test that has shown this level of effectiveness. There is no evidence that routine Doppler in low-risk pregnancies improves the outcome. It is recommended that umbilical artery Doppler should be the standard of practice in managing high-risk pregnancies complicated with fetal growth restriction and preeclampsia (level A recommendation). However, its use should be integrated with other current fetal monitoring tests (levels B and C recommendation). The overall management should also be guided by additional clinical considerations such as the gestational age, fetal and maternal status, and obstetrical conditions. |
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Authors:
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Dev Maulik; David Mundy; Erica Heitmann; Devika Maulik |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical obstetrics and gynecology Volume: 53 ISSN: 1532-5520 ISO Abbreviation: Clin Obstet Gynecol Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0070014 Medline TA: Clin Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 869-78 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Women's Health, UMKC School of Medicine, Kansas City, Missouri, USA. Dev.Maulik@tmcmed.org |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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