Antenatal Screening for Intrauterine Growth Retardation with Umbilical Artery Doppler Ultrasonography

Beattie, R. B.; Dornan, James

doi:10.1097/00006254-199001000-00010

Cited by 22 publications

(26 citation statements)

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“…It is similar to opinion by Dorman B et al 31 Sensitivity of absent diastolic flow was 100% (Table 5). …”

Section: Discussionsupporting

confidence: 90%

Umbilical artery Doppler indices in relation to fetal outcome in high risk pregnancy

Bhattacharjee

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Umbilical artery Doppler indices in relation to fetal outcome in high risk pregnancy. The aim of this study was to study the umbilical artery Doppler velocimetry in predicting the fetal outcome in high risk pregnancy. This is a prospective study done over a period of 1 year in Silchar Medical College and Hospital from 1st September 2011 to 31st August 2012. 100 women with singleton pregnancy with high risk admitted in SMCH were subjected to umbilical artery Doppler along with morphology and biometry scan after fulfilling the inclusion and exclusion criteria.Methods: 100 women with high risk pregnancy were evaluated by umbilical artery velocimetry between 28 and 41 weeks of pregnancy. Outcome of pregnancy was recorded for the normal Doppler group (n = 79; 79%), the low-end diastolic flow group (n = 19; 19%) and the group with absent/reversed diastolic flow (n = 2; 2%).Results: Mothers with abnormal velocimetry had more number of caesarean sections than those with normal velocimetry. The diagnosis to delivery interval, gestational age at delivery and average birth weight were comparatively lower with higher incidence of admission to neonatal intensive care unit in foetuses with abnormal umbilical Doppler velocimetry. Sensitivity, specificity, positive and negative predictive values of Doppler for detecting abnormal fetal outcome were 43%, 83%, 33% and 88% respectively. Statistical analysis used: sensitivity, specificity and predictive values.Conclusions: Fetuses with normal flow velocimetry are at lower risk than those with abnormal velocimetry in terms of poor Apgar score and neonatal intensive care admission. The average birth weight of the neonates with abnormal Doppler studies was lower than that of neonates with normal velocimetry. Doppler velocimetry studies of umbilical artery can provide the obstetrician important information regarding fetal wellbeing to help him improve fetal outcome.

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“…It is similar to opinion by Dorman B et al 31 Sensitivity of absent diastolic flow was 100% (Table 5). …”

Section: Discussionsupporting

confidence: 90%

Umbilical artery Doppler indices in relation to fetal outcome in high risk pregnancy

Bhattacharjee

2018

Int J Reprod Contracept Obstet Gynecol

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“…When combining our results and previous reports, the incidence of persistent AEDV was 10% (25/251) in triplets and quadruplets [12][13][14], and 7.3% (28/385) in twin pregnancies [14,17,18]. In contrast, in low-risk singleton pregnancies, the incidence of AEDV was 0.14% (3/2,097) [18]. In a review of the 1,204 cases of AEDV reported in the literature, 57% of the singleton pregnancies with AEDV were complicated by maternal hypertensive disorders.…”

Section: Discussionsupporting

confidence: 82%

“…In a review of more than a thousand singleton pregnancies, persistent AEDV was associated with a perinatal mortality of 36% [18]. The perinatal mortality rate in our study was 50%.…”

Section: Discussionsupporting

confidence: 43%

Umbilical Artery Waveforms in Triplet and Quadruplet Pregnancies

Ezra¹,

Jones²,

Farine³

1999

Gynecol Obstet Invest

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The incidence of abnormal umbilical waveforms in triplet and quadruplet pregnancies and its correlation with adverse pregnancy outcome was studied by a retrospective review of all our triplet and quadruplet pregnancies (1986–1993) with documented Doppler flow assessment. Obstetrical outcomes were analyzed in relation to abnormal umbilical artery waveforms. Nineteen triplet and 4 quadruplet pregnancies were studied. Of 73 fetuses, 6 had abnormal umbilical artery waveforms (8.2%). All abnormal waveforms were characterized by persistent absence of the end-diastolic velocities (AEDV). In comparing the abnormal and normal groups, significant differences were found in birth weights (910 ± 433 vs. 1,724±434 g; p = 0.0004), small for gestational age rate [5/6 (83%) vs. 5/67 (7.5%); p = 0.0003], and perinatal mortality rate [3/6 (50%) vs. 2/67(3%); p = 0.001]. There were no differences in congenital anomalies, gestational age at birth, and neonatal intensive care admission. In conclusion, it seems that Doppler umbilical artery waveforms in multiple pregnancies were either normal or extremely abnormal (e.g. AEDV). AEDV was associated with adverse perinatal outcomes such as low birth weight, growth restriction and perinatal mortality.

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“…Umbilical artery Doppler is an important tool for recognition of intrauterine growth restriction (IUGR) in the preterm fetus 1 . However its role in the diagnosis of IUGR in late gestation is controversial since abnormal umbilical artery Doppler waveforms are rare 2 and perinatal morbidity attributable to IUGR may occur when umbilical artery blood flow is normal 3 .…”

Section: Introductionmentioning

confidence: 99%

Fetal cerebral blood flow redistribution in late gestation: identification of compromise in small fetuses with normal umbilical artery Doppler

Hershkovitz

Kingdom

Geary

et al. 2000

Ultrasound in Obstet & Gyne

242

166

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Antenatal Screening for Intrauterine Growth Retardation with Umbilical Artery Doppler Ultrasonography

Cited by 22 publications

References 0 publications

Umbilical artery Doppler indices in relation to fetal outcome in high risk pregnancy

Umbilical artery Doppler indices in relation to fetal outcome in high risk pregnancy

Umbilical Artery Waveforms in Triplet and Quadruplet Pregnancies

Fetal cerebral blood flow redistribution in late gestation: identification of compromise in small fetuses with normal umbilical artery Doppler

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