Doppler velocimetry for predicting outcome of pregnancies with decreased fetal movements
(2002) In Acta Obstetricia et Gynecologica Scandinavica 81(10). p.926-930- Abstract
- Aim. The aim of this study was to evaluate umbilical artery (UA) and uterine artery (Ut.A) Doppler velocimetry in a low-risk pregnancy group with decreased fetal movements. Material and methods. Eight hundred and eighty-eight women were examined because of decreased fetal movements. All fetuses were alive on maternal admission. In all cases, UA and Ut.A Doppler velocimetries were performed, as well as a nonstress test (NST). The managing clinician was informed only of the UA Doppler. Results. In the group of 135 women who gave birth within 2 days, UA velocimetry was abnormal in seven fetuses. In 11 cases, Ut.A vascular resistance was abnormal and in 18 cases 'notch' was stated. There were 19 emergency sections in this group. Signs of... (More)
- Aim. The aim of this study was to evaluate umbilical artery (UA) and uterine artery (Ut.A) Doppler velocimetry in a low-risk pregnancy group with decreased fetal movements. Material and methods. Eight hundred and eighty-eight women were examined because of decreased fetal movements. All fetuses were alive on maternal admission. In all cases, UA and Ut.A Doppler velocimetries were performed, as well as a nonstress test (NST). The managing clinician was informed only of the UA Doppler. Results. In the group of 135 women who gave birth within 2 days, UA velocimetry was abnormal in seven fetuses. In 11 cases, Ut.A vascular resistance was abnormal and in 18 cases 'notch' was stated. There were 19 emergency sections in this group. Signs of increased placental vascular resistance were correlated with need for operational delivery because of fetal distress. Among the remaining 753 women who delivered after more than 2 days after examination, UA velocimetry showed abnormality in five fetuses. In 42 cases the Ut.A pulsatility index was abnormal and in 118 cases an early end diastolic 'notch' was present. There was one perinatal death in this group. Conclusions. Decreased fetal movement perception by mothers should be taken seriously. Abnormal placental Doppler was an infrequent finding in these low-risk pregnancies. However, adding UA and Ut.A Doppler velocimetries to conventional NST surveillance might be reassuring for managing clinicians. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/326264
- author
- Korszun, P ; Dubiel, M ; Kudla, M and Gudmundsson, Saemundur LU
- organization
- publishing date
- 2002
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- umbilical artery, Doppler ultrasound, fetal movements, uterine artery
- in
- Acta Obstetricia et Gynecologica Scandinavica
- volume
- 81
- issue
- 10
- pages
- 926 - 930
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000178370700005
- pmid:12366482
- scopus:0036797575
- ISSN
- 1600-0412
- DOI
- 10.1034/j.1600-0412.2002.811005.x
- 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: Pediatrics/Urology/Gynecology/Endocrinology (013240400)
- id
- ab3b2ebe-cc9e-48ab-9b37-25a7ad10e87d (old id 326264)
- date added to LUP
- 2016-04-01 16:45:57
- date last changed
- 2022-02-27 23:27:58
@article{ab3b2ebe-cc9e-48ab-9b37-25a7ad10e87d,
abstract = {{Aim. The aim of this study was to evaluate umbilical artery (UA) and uterine artery (Ut.A) Doppler velocimetry in a low-risk pregnancy group with decreased fetal movements. Material and methods. Eight hundred and eighty-eight women were examined because of decreased fetal movements. All fetuses were alive on maternal admission. In all cases, UA and Ut.A Doppler velocimetries were performed, as well as a nonstress test (NST). The managing clinician was informed only of the UA Doppler. Results. In the group of 135 women who gave birth within 2 days, UA velocimetry was abnormal in seven fetuses. In 11 cases, Ut.A vascular resistance was abnormal and in 18 cases 'notch' was stated. There were 19 emergency sections in this group. Signs of increased placental vascular resistance were correlated with need for operational delivery because of fetal distress. Among the remaining 753 women who delivered after more than 2 days after examination, UA velocimetry showed abnormality in five fetuses. In 42 cases the Ut.A pulsatility index was abnormal and in 118 cases an early end diastolic 'notch' was present. There was one perinatal death in this group. Conclusions. Decreased fetal movement perception by mothers should be taken seriously. Abnormal placental Doppler was an infrequent finding in these low-risk pregnancies. However, adding UA and Ut.A Doppler velocimetries to conventional NST surveillance might be reassuring for managing clinicians.}},
author = {{Korszun, P and Dubiel, M and Kudla, M and Gudmundsson, Saemundur}},
issn = {{1600-0412}},
keywords = {{umbilical artery; Doppler ultrasound; fetal movements; uterine artery}},
language = {{eng}},
number = {{10}},
pages = {{926--930}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Obstetricia et Gynecologica Scandinavica}},
title = {{Doppler velocimetry for predicting outcome of pregnancies with decreased fetal movements}},
url = {{http://dx.doi.org/10.1034/j.1600-0412.2002.811005.x}},
doi = {{10.1034/j.1600-0412.2002.811005.x}},
volume = {{81}},
year = {{2002}},
}