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Doppler velocimetry for predicting outcome of pregnancies with decreased fetal movements

Korszun, P; Dubiel, M; Kudla, M and Gudmundsson, Saemundur LU (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)
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author
organization
publishing date
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
id
ab3b2ebe-cc9e-48ab-9b37-25a7ad10e87d (old id 326264)
date added to LUP
2007-11-02 11:32:29
date last changed
2017-01-01 07:14:35
@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},
  keyword      = {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},
  volume       = {81},
  year         = {2002},
}