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Multivascular Doppler surveillance in high risk pregnancies

Cheema, Riffat LU ; Bayoumi, Mohamed Z. and Gudmundsson, Saemundur LU (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)
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author
organization
publishing date
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
ISSN
1476-7058
DOI
10.3109/14767058.2011.602141
language
English
LU publication?
yes
id
8623e1bb-5fee-4569-b68e-cec6888af3e8 (old id 2863763)
date added to LUP
2012-08-01 09:42:36
date last changed
2017-06-25 03:26:49
@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 &lt;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},
  keyword      = {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},
  volume       = {25},
  year         = {2012},
}