Document Detail


Perinatal outcome in fetuses with loss of end-diastolic blood flow velocities in the descending aorta and/or umbilical arteries.
MedLine Citation:
PMID:  1756997     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Continuous- and pulsed-wave Doppler velocimetry was used as an additional method of antenatal surveillance in high-risk pregnancy care. During a 30-month period with 4,169 deliveries 226 patients (5.4%) with complicated pregnancies (intrauterine growth retardation, diabetes, hypertension) were investigated. The results had only marginal influence on obstetrical management. In 38 fetuses absence of end-diastolic blood flow velocities (AEDF) was detected in the descending fetal aorta and/or umbilical arteries. Mean birth weight of these fetuses was 1,441 +/- (SD) 690 g at a mean gestational age of 31.8 +/- 6.8 weeks at birth. Twenty fetuses (53%) were growth-retarded (less than 3rd centile). Six fetuses died in utero and 7 during the perinatal period (34% mortality). There was a significant deterioration of perinatal outcome with AEDF in the umbilical arteries at the last antenatal Doppler scan. With AEDF in the descending fetal aorta the Doppler parameter Vmean and with AEDF in the umbilical arteries the pulsatility index yielded additional prognostic information. Doppler velocimetry of the fetal and umbilical vascular system could be of additional value for antenatal surveillance in high-risk pregnancies.
Authors:
B Hüneke; M H Carstensen; H J Schröder; M Günther
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  32     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  1991  
Date Detail:
Created Date:  1992-02-06     Completed Date:  1992-02-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  167-72     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University Hospital Eppendorf, University of Hamburg, FRG.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aorta, Thoracic / ultrasonography
Birth Weight
Blood Flow Velocity
Female
Fetal Diseases / epidemiology,  ultrasonography*
Humans
Infant Mortality
Infant, Newborn
Pregnancy
Pregnancy Complications / ultrasonography*
Pregnancy Outcome / epidemiology*
Ultrasonography, Prenatal*
Umbilical Arteries / ultrasonography

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


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