The combination of computerized cardiotocography and amniotic fluid index for the prediction of neonatal acidemia at birth: a modified biophysical profile

Piazze, Juan; Anceschi, Maurizio M.; Berretta, A. Ruozzi; Vitali, Saverio; Maranghi, Luca; Amici, F; Cosmi, Ermelando V.

doi:10.1080/714052769

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…The authors recommended the combination of the NST and OCT as the best indirect method and suggested a direct measure of the metabolic parameters in IUGR fetuses with abnormal tests since the positive predictive value of indirect methods was still low. Piazze et al [18] suggested that the computerized CTG and amniotic fluid index (modified FBP) may be valuable in the prediction of neonatal academia and help in the management of third-trimester high-risk pregnancies. Cozmi et al [22] supported previous studies that were conducted in fetuses with idiopathic growth restriction, low birth weight and umbil-ical artery reversed flow, and absent ductus venosus or reversed flow are associated with an increased perinatal morbidity and mortality, but CTG is not significant in the prediction of perinatal outcome.…”

Section: Discussionmentioning

confidence: 99%

“…nonreactive) is usually further assessed by additional antenatal surveillance tests [15] . The variables of the FBP and Doppler variables were often compared with other methods of perinatal monitoring [3,[16][17][18][19] . Dubiel et al [16] compared the Doppler assessment of umbilical arterial blood flow and the NST, a component of the FBP, in 599 pregnant women with a decrease in fetal movements.…”

Section: Discussionmentioning

confidence: 99%

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Doppler Cerebro-Umbilical Ratio and Fetal Biophysical Profile in the Assessment of Peripartal Cardiotocography in Growth-Retarded Fetuses

Habek

Salihagić²,

Jugović³

et al. 2007

Fetal Diagn Ther

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Objective: The aim of the study was to examine the value of the fetal biophysical profile (FBP) and the Doppler cerebro-umbilical ratio (C/U) in the assessment of peripartal cardiotocography (CTG) in growth-retarded fetuses. Methods: The prospective study included 58 pregnant women with singleton pregnancy from 28 to 42 weeks of gestation with clinically and ultrasonically verified late intrauterine growth retardation (IUGR). After assessment of the FBP, flow velocity waveforms from the umbilical and middle cerebral arteries were recorded and the C/U ratio was calculated. The C/U ratio and the FBP were assessed twice a week. The last peripartal CTG was used as an outcome parameter. Results: The FBP score was statistically significant when associated with peripartal CTG (p < 0.001). The mean value of the FBP was 7.77 ± 0.28 for infants with a normal peripartal CTG, 6.13 ± 0.41 for infants with a prepathological CTG and 4.40 ± 0.60 for infants with a pathological peripartal CTG. There was also a statistically significant association between the C/U ratio ≧1 and normal CTG (p < 0.005), but there was no statistically significant difference between prepathological and pathological CTG in relation to C/U ratio values (p > 0.05). Normal and pathological peripartal CTG was correlated with the perinatal outcome, but prepathological CTG was not correlated with results of the perinatal outcome (p > 0.05). Conclusions: Our results showed that both methods of fetal monitoring need to be used in perinatal monitoring of growth-retarded fetuses. The two methods can be used as important parameters in deciding to end pregnancies with IUGR when pathological values occur.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Doppler Cerebro-Umbilical Ratio and Fetal Biophysical Profile in the Assessment of Peripartal Cardiotocography in Growth-Retarded Fetuses

Habek

Salihagić²,

Jugović³

et al. 2007

Fetal Diagn Ther

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Intrauterine Growth Restriction. Guideline of the German Society of Gynecology and Obstetrics (S2k-Level, AWMF Registry No. 015/080, October 2016)

Kehl

Dötsch

Hecher

et al. 2017

Geburtshilfe Frauenheilkd

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Aims The aim of this official guideline published and coordinated by the German Society of Gynecology and Obstetrics (DGGG) was to provide consensus-based recommendations obtained by evaluating the relevant literature for the diagnostic treatment and management of women with fetal growth restriction. Methods This S2k guideline represents the structured consensus of a representative panel of experts with a range of different professional backgrounds commissioned by the Guideline Committee of the DGGG. Recommendations Recommendations for diagnostic treatment, management, counselling, prophylaxis and screening are presented.

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Management of fetal growth restriction

Alberry

Soothill

2007

Archives of Disease in Childhood - Fetal and Neonatal Edition

173

133

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The combination of computerized cardiotocography and amniotic fluid index for the prediction of neonatal acidemia at birth: a modified biophysical profile

Abstract: We suggest that the cCTG + AFI score may be of value in the prediction of neonatal acidemia and help in the management of third-trimester high-risk pregnancies.

Cited by 5 publications

References 14 publications

Doppler Cerebro-Umbilical Ratio and Fetal Biophysical Profile in the Assessment of Peripartal Cardiotocography in Growth-Retarded Fetuses

Doppler Cerebro-Umbilical Ratio and Fetal Biophysical Profile in the Assessment of Peripartal Cardiotocography in Growth-Retarded Fetuses

Intrauterine Growth Restriction. Guideline of the German Society of Gynecology and Obstetrics (S2k-Level, AWMF Registry No. 015/080, October 2016)

Management of fetal growth restriction

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