Multivascular Doppler surveillance in high risk pregnancies
(2012) In Journal of Maternal-Fetal & Neonatal Medicine 25(7). p.970-974- Abstract
- Objectives: Analysis of fetal arterial and venous Doppler predictability for adverse perinatal outcome. Methods: Blood flow in the uterine, umbilical and middle cerbral arteries, umbilical vein, ductus venosus and Galen vein were examined with in 72 h of delivery in 88 high-risk pregnancies. The managing clinicians were only informed about the results of the umbilical artery Doppler. The Doppler results were correlated to adverse perinatal outcome. Results: Doppler abnormalities were seen in both preterm and term pregnancies. Umbilical venous pulsations (n = 13) were strongly correlated to Apgar score <7 at 5 min, abnormal blood gases, need for ventilation assistance and operative delivery for fetal distress. Twenty-four fetuses had... (More)
- Objectives: Analysis of fetal arterial and venous Doppler predictability for adverse perinatal outcome. Methods: Blood flow in the uterine, umbilical and middle cerbral arteries, umbilical vein, ductus venosus and Galen vein were examined with in 72 h of delivery in 88 high-risk pregnancies. The managing clinicians were only informed about the results of the umbilical artery Doppler. The Doppler results were correlated to adverse perinatal outcome. Results: Doppler abnormalities were seen in both preterm and term pregnancies. Umbilical venous pulsations (n = 13) were strongly correlated to Apgar score <7 at 5 min, abnormal blood gases, need for ventilation assistance and operative delivery for fetal distress. Twenty-four fetuses had brain sparing in the middle cerebral artery, and forty-five had abnormal umbilical artery Doppler. These were correlated to admission in the neonatal intensive care unit, operative delivery and prematurity. Brain sparing in middle cerebral artery was also correlated to ventilation disturbances in the newborns. Abnormal ductus venosus blood velocity was only seen in 9 cases and not related to adverse outcome. Galen vein pulsations (n = 26) seem to appear earlier than pulsations in the umbilical vein and were not related to adverse outcome. conclusion: Umbilical vein pulsations were better correlated to adverse perinatal outcome than were other Doppler findings including ductus venosus. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2863763
- author
- Cheema, Riffat LU ; Bayoumi, Mohamed Z. and Gudmundsson, Saemundur LU
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Galen vein, middle cerebral artery, ductus venosus, fetus, perinatal outcome, Doppler ultrasound, umbilical venous pulsations
- in
- Journal of Maternal-Fetal & Neonatal Medicine
- volume
- 25
- issue
- 7
- pages
- 970 - 974
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000305704000020
- scopus:84862886560
- pmid:21749170
- ISSN
- 1476-7058
- DOI
- 10.3109/14767058.2011.602141
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Research Unit for Urogynaecology and Reproductive Pharmacology (013242710), Pediatrics/Urology/Gynecology/Endocrinology (013240400)
- id
- 8623e1bb-5fee-4569-b68e-cec6888af3e8 (old id 2863763)
- date added to LUP
- 2016-04-01 11:16:17
- date last changed
- 2022-01-26 06:46:43
@article{8623e1bb-5fee-4569-b68e-cec6888af3e8,
abstract = {{Objectives: Analysis of fetal arterial and venous Doppler predictability for adverse perinatal outcome. Methods: Blood flow in the uterine, umbilical and middle cerbral arteries, umbilical vein, ductus venosus and Galen vein were examined with in 72 h of delivery in 88 high-risk pregnancies. The managing clinicians were only informed about the results of the umbilical artery Doppler. The Doppler results were correlated to adverse perinatal outcome. Results: Doppler abnormalities were seen in both preterm and term pregnancies. Umbilical venous pulsations (n = 13) were strongly correlated to Apgar score <7 at 5 min, abnormal blood gases, need for ventilation assistance and operative delivery for fetal distress. Twenty-four fetuses had brain sparing in the middle cerebral artery, and forty-five had abnormal umbilical artery Doppler. These were correlated to admission in the neonatal intensive care unit, operative delivery and prematurity. Brain sparing in middle cerebral artery was also correlated to ventilation disturbances in the newborns. Abnormal ductus venosus blood velocity was only seen in 9 cases and not related to adverse outcome. Galen vein pulsations (n = 26) seem to appear earlier than pulsations in the umbilical vein and were not related to adverse outcome. conclusion: Umbilical vein pulsations were better correlated to adverse perinatal outcome than were other Doppler findings including ductus venosus.}},
author = {{Cheema, Riffat and Bayoumi, Mohamed Z. and Gudmundsson, Saemundur}},
issn = {{1476-7058}},
keywords = {{Galen vein; middle cerebral artery; ductus venosus; fetus; perinatal outcome; Doppler ultrasound; umbilical venous pulsations}},
language = {{eng}},
number = {{7}},
pages = {{970--974}},
publisher = {{Taylor & Francis}},
series = {{Journal of Maternal-Fetal & Neonatal Medicine}},
title = {{Multivascular Doppler surveillance in high risk pregnancies}},
url = {{http://dx.doi.org/10.3109/14767058.2011.602141}},
doi = {{10.3109/14767058.2011.602141}},
volume = {{25}},
year = {{2012}},
}