Ductus venosus velocimetry in monitoring pregnancy in women with pregestational diabetes mellitus

Abstract

Objective

Applications of Doppler Studies for Fetal Surveillance in Diabetic Pregnancies

“…The sensitivity of the ductus venosus index in predicting adverse perinatal outcome in pre-existing diabetic pregnancies was thus 53.3% and specificity was 74.5%, with a positive predictive value of 32% and negative predictive value of 87.7%. The authors concluded that it should be useful to include ductus venosus Doppler indices as part of antenatal screening of pregnancies complicated by pre-existing diabetes mellitus (Wong et al, 2010).…”

Use of the myocardial performance index as a prognostic indicator of adverse fetal outcome in poorly controlled gestational diabetic pregnancies

“…Umbilical artery (UA) Doppler velocimetry is widely used to monitor high‐risk pregnancies; however, it has not been shown to be an effective test of fetal well‐being in diabetic pregnancies . Similarly, the efficacy of ductus venosus Doppler velocimetry for monitoring fetuses of diabetic pregnancies is unsatisfactory …”

Ultrasound diagnosis of diabetic fetopathy

“…При СД в ВП выявлены наиболее ранние (до 10-й недели) отклонения ГД от нормы [52]. Однако чувствительность пульсационного индекса вены (ПИВ) в ВП невысокая -53,3%, а специфичность -74,6% [53]. Минутный объем ВП ниже в группе диабета (94,3 мл/мин/кг) по сравнению с таковыми в контроль-ной группе (109,5 мл/мин/кг).…”