Document Detail


Fetal Doppler velocimetry.
MedLine Citation:
PMID:  15062454     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The introduction of new techniques for evaluating fetal status, particularly fetuses at theoretical risk for hypoxic ischemic encephalopathy, requires the most rigorous evaluation before widespread clinical deployment. The considerations extend beyond clinical value to the significant medicolegal implications of a failure to predict or ascertain compromise. The attitudes to clinical Doppler velocimetry have been shaped to a large extent by these practical concerns and the initial skepticism, which is a necessary component of scientific rigor. Available data strongly indicate, however, that in competent hands umbilical artery Doppler im-proves the clinical management of IUGR pregnancies. Failure to use Doppler may have the undesirable effect of increasing the risk of adverse outcome in the growth-restricted fetus. There is also strong evidence of benefit in the management of the Rh isoimmunization. Although numerous other clinical applications are on the horizon, much more information is needed to determine objectively the benefits and risks of these newer applications.
Authors:
Laura Detti; Giancarlo Mari; Chih-Chien Cheng; Ray O Bahado-Singh
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology clinics of North America     Volume:  31     ISSN:  0889-8545     ISO Abbreviation:  Obstet. Gynecol. Clin. North Am.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-05-27     Completed Date:  2004-10-05     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8709551     Medline TA:  Obstet Gynecol Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  201-14     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, 234 Albert Sabin Way, Cincinnati, OH 45267, USA.
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity
Coronary Circulation
Female
Fetal Growth Retardation / ultrasonography
Fetus / blood supply*
Hematocrit
Humans
Liver / blood supply,  embryology,  ultrasonography
Pregnancy
Ultrasonography, Doppler*
Ultrasonography, Prenatal*
Umbilical Veins / physiology,  ultrasonography
Vena Cava, Inferior / embryology,  ultrasonography

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


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