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Hemodynamic changes with paradoxical blood flow in expectant management of abruptio placentae

Arabin, B; van Eyck, J and Laurini, Ricardo LU (1998) In Obstetrics and Gynecology 91(5 Pt 2). p.796-798
Abstract
BACKGROUND: Because the early diagnosis of abruption often is missed or misinterpreted, emergency situations frequently do not permit adequate management. CASE: A woman of 26-weeks' gestation was transferred with symptoms and laboratory findings typical for abruption. Ultrasound, including Doppler, revealed a subchorionic hematoma, pathologic blood flow in the uterine arteries, low pulsatility index values in the fetal cerebral and umbilical arteries (paradoxical blood flow), and high maximal velocities in the fetal aorta. Repeated Doppler and laboratory examinations revealed a gradual restoration to normal of the arterial uterine blood flow pattern, of paradoxical blood flow, aortic maximal velocities, and laboratory values. CONCLUSION:... (More)
BACKGROUND: Because the early diagnosis of abruption often is missed or misinterpreted, emergency situations frequently do not permit adequate management. CASE: A woman of 26-weeks' gestation was transferred with symptoms and laboratory findings typical for abruption. Ultrasound, including Doppler, revealed a subchorionic hematoma, pathologic blood flow in the uterine arteries, low pulsatility index values in the fetal cerebral and umbilical arteries (paradoxical blood flow), and high maximal velocities in the fetal aorta. Repeated Doppler and laboratory examinations revealed a gradual restoration to normal of the arterial uterine blood flow pattern, of paradoxical blood flow, aortic maximal velocities, and laboratory values. CONCLUSION: Serial Doppler measurements considering the paradoxical pattern illustrate pathophysiologic mechanisms of abruption that may assist in deciding whether to deliver immediately or to continue intense surveillance. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Obstetrics and Gynecology
volume
91
issue
5 Pt 2
pages
796 - 798
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:9572164
  • scopus:0031947313
ISSN
1873-233X
language
English
LU publication?
yes
id
bda13af8-c8de-4a6b-a4f4-00c00606d29f (old id 1114000)
alternative location
http://www.greenjournal.org/cgi/reprint/91/5/796
date added to LUP
2008-07-16 14:54:57
date last changed
2017-05-14 04:09:15
@article{bda13af8-c8de-4a6b-a4f4-00c00606d29f,
  abstract     = {BACKGROUND: Because the early diagnosis of abruption often is missed or misinterpreted, emergency situations frequently do not permit adequate management. CASE: A woman of 26-weeks' gestation was transferred with symptoms and laboratory findings typical for abruption. Ultrasound, including Doppler, revealed a subchorionic hematoma, pathologic blood flow in the uterine arteries, low pulsatility index values in the fetal cerebral and umbilical arteries (paradoxical blood flow), and high maximal velocities in the fetal aorta. Repeated Doppler and laboratory examinations revealed a gradual restoration to normal of the arterial uterine blood flow pattern, of paradoxical blood flow, aortic maximal velocities, and laboratory values. CONCLUSION: Serial Doppler measurements considering the paradoxical pattern illustrate pathophysiologic mechanisms of abruption that may assist in deciding whether to deliver immediately or to continue intense surveillance.},
  author       = {Arabin, B and van Eyck, J and Laurini, Ricardo},
  issn         = {1873-233X},
  language     = {eng},
  number       = {5 Pt 2},
  pages        = {796--798},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Obstetrics and Gynecology},
  title        = {Hemodynamic changes with paradoxical blood flow in expectant management of abruptio placentae},
  volume       = {91},
  year         = {1998},
}