Clinical Research
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Year 2023, , 84 - 88, 27.12.2023
https://doi.org/10.55994/ejcc.1345685

Abstract

References

  • 1- Campbell S, Pearche JMF, Hackett G. Qualitative Assessment of Uteroplacental Blood Flow Early Screening Test for High Pregnancies. Obstet Gynecol 1986; 68: 649.
  • 2- Ducey J, Schulman H, Farmakides G. A classification of hypertension in pregnancy based on Doppler velocimetry. Am J. Obstet Gynecol 1987; 157: 680-5.
  • 3- Berkowitz GS, Chitkara U. Sonographic estimation of fetal weight and Doppler analysis of umbilical artery velocimetry in prediction of intrauterine growth retardatio: A prosoective study. Am J Obstet Gynecol 1988; 158: 1149-53.
  • 4- Meher S, Hernandez Andrade E, Basheer SN, Lees C. Impact of cerebral redistribution on neurodevelopmental outcome in small-for-gestational-age or growth-restricted babies: a systematic review. Ultrasound Obstet Gynecol 2015; 46: 398-404.
  • 5- Gramellini D, Folli MC, Raboni S. Cerebral -Umbilical Doppler ratio as a predictor of adverse perinatal outcome. Obstet Gynecol 1992;79: 416-20.
  • 6- Cruz-Martinez R, Figueras F: The role of doppler and placental screening. Best Pract Res Clin Obstet Gynaecol. 2009, 23: 845-855.
  • 7- Hecher K, Bilardo CM, Stigter RH, Ville Y, Hackelöer BJ, Kok HJ, et al. Monitoring of fetuses with intrauterine growth restriction: a longitudinal study. Ultrasound Obstet Gynecol 2001; 18: 564-70.
  • 8- Zimmerman P, Alback T, Koskinen J. Doppler flow velocimetry of the umbilical artery, uteroplacental arteries and fetal middle cerebral artey in prolonged pregnancy. Ult Obst Gny.1995; 5; 189-97.
  • 9- Sekizuka N. Combined examination of middle cerebral artery and umbilical artery flox velocity waveforms in growth -retarded fetuses. Asia-Oceni-J-Obster-Gynecol 1993; 19: 13.
  • 10- Hidar S, Zaafouri R, Bouguizane S, Chaïeb A, Jerbi M, Bibi M, et al. Prognostic value of fetal aortic isthmus Doppler waveform in intrauterine growth retardation: prospective longitudinal study. J Gynecol Obstet Biol Reprod (Paris) 2004; 33: 745-52.
  • 11- Mari G, Hanif F, Kruger M, Cosmi E, Santolaya-Forgas J, Treadwell MC, et al. Middle cerebral artery peak systolic velocity: a new Doppler parameter in the assessment of growth-restricted fetuses. Ultrasound Obstet Gynecol 2007; 29: 310-6.

ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES

Year 2023, , 84 - 88, 27.12.2023
https://doi.org/10.55994/ejcc.1345685

Abstract

Objective:To investigatetheutility of theumbilicalartery (UA) andmiddlecerebralartery (MCA) Doppler indicesandtheirratios in determiningintrauterinegrowthrestriction (IUGR) andunfavorablebirthoutcomes in preeclampticpregnancies.
MaterialandMethod:Thisprospectivestudyincluded 59 preeclampticpregnantwomenand 63 healthypregnantwomen (controls) at a gestationalweek of 31-40 whowerefollowedup at thegynecologyandobstetricsclinic of a tertiaryhospitalover a 16-month period.Aftertheevaluation of normal andpreeclampticpregnanciesusing B-Modeultrasonography, the Doppler indexvalues of the UA and MCA weredeterminedusing Doppler ultrasonography. Bydeterminingthevelocity-time wavespectraforthe UA and MCA, thesystole/diastoleratio (S/D), resistiveindex (RI), andpulsatilityindex (PI) valueswerecalculatedfollowingtheautomaticalgorithm of thedevice.
Results:The UAS/D (3.47±1.29) and UA RI (0.69±0.13) values of thepreeclampticgroupstatisticallysignificantlydifferedfromthose of thecontrols (2.50 ± 0.30 and 0.59 ± 0.06, respectively) (p<0.001). The Doppler indices of theMCAwerelower in preeclampticpregnancies (PI: 1.28±0.34, RI: 0.73±0.09), andthiswasmoreprominent in fetuseswith IUGR (p<0.001). Therewerealsosignificantdifferencesbetweenthepreeclampticandhealthycontrolgroups in terms of the UA/MCA and MCA/UA Doppler indexratios (p<0.001).
Conclusion:Non-invasive Doppler indicescan be used in combinationtoincreasediagnosticaccuracyandprevent fetal mortalityandmorbidity .

References

  • 1- Campbell S, Pearche JMF, Hackett G. Qualitative Assessment of Uteroplacental Blood Flow Early Screening Test for High Pregnancies. Obstet Gynecol 1986; 68: 649.
  • 2- Ducey J, Schulman H, Farmakides G. A classification of hypertension in pregnancy based on Doppler velocimetry. Am J. Obstet Gynecol 1987; 157: 680-5.
  • 3- Berkowitz GS, Chitkara U. Sonographic estimation of fetal weight and Doppler analysis of umbilical artery velocimetry in prediction of intrauterine growth retardatio: A prosoective study. Am J Obstet Gynecol 1988; 158: 1149-53.
  • 4- Meher S, Hernandez Andrade E, Basheer SN, Lees C. Impact of cerebral redistribution on neurodevelopmental outcome in small-for-gestational-age or growth-restricted babies: a systematic review. Ultrasound Obstet Gynecol 2015; 46: 398-404.
  • 5- Gramellini D, Folli MC, Raboni S. Cerebral -Umbilical Doppler ratio as a predictor of adverse perinatal outcome. Obstet Gynecol 1992;79: 416-20.
  • 6- Cruz-Martinez R, Figueras F: The role of doppler and placental screening. Best Pract Res Clin Obstet Gynaecol. 2009, 23: 845-855.
  • 7- Hecher K, Bilardo CM, Stigter RH, Ville Y, Hackelöer BJ, Kok HJ, et al. Monitoring of fetuses with intrauterine growth restriction: a longitudinal study. Ultrasound Obstet Gynecol 2001; 18: 564-70.
  • 8- Zimmerman P, Alback T, Koskinen J. Doppler flow velocimetry of the umbilical artery, uteroplacental arteries and fetal middle cerebral artey in prolonged pregnancy. Ult Obst Gny.1995; 5; 189-97.
  • 9- Sekizuka N. Combined examination of middle cerebral artery and umbilical artery flox velocity waveforms in growth -retarded fetuses. Asia-Oceni-J-Obster-Gynecol 1993; 19: 13.
  • 10- Hidar S, Zaafouri R, Bouguizane S, Chaïeb A, Jerbi M, Bibi M, et al. Prognostic value of fetal aortic isthmus Doppler waveform in intrauterine growth retardation: prospective longitudinal study. J Gynecol Obstet Biol Reprod (Paris) 2004; 33: 745-52.
  • 11- Mari G, Hanif F, Kruger M, Cosmi E, Santolaya-Forgas J, Treadwell MC, et al. Middle cerebral artery peak systolic velocity: a new Doppler parameter in the assessment of growth-restricted fetuses. Ultrasound Obstet Gynecol 2007; 29: 310-6.
There are 11 citations in total.

Details

Primary Language English
Subjects Intensive Care, Clinical Sciences (Other)
Journal Section Original Articles
Authors

Filiz Taşçı 0000-0002-8981-171X

Özlem Bilir 0000-0001-9016-1665

Publication Date December 27, 2023
Submission Date August 18, 2023
Acceptance Date September 25, 2023
Published in Issue Year 2023

Cite

APA Taşçı, F., & Bilir, Ö. (2023). ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES. Eurasian Journal of Critical Care, 5(3), 84-88. https://doi.org/10.55994/ejcc.1345685
AMA Taşçı F, Bilir Ö. ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES. Eurasian j Crit Care. December 2023;5(3):84-88. doi:10.55994/ejcc.1345685
Chicago Taşçı, Filiz, and Özlem Bilir. “ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES”. Eurasian Journal of Critical Care 5, no. 3 (December 2023): 84-88. https://doi.org/10.55994/ejcc.1345685.
EndNote Taşçı F, Bilir Ö (December 1, 2023) ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES. Eurasian Journal of Critical Care 5 3 84–88.
IEEE F. Taşçı and Ö. Bilir, “ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES”, Eurasian j Crit Care, vol. 5, no. 3, pp. 84–88, 2023, doi: 10.55994/ejcc.1345685.
ISNAD Taşçı, Filiz - Bilir, Özlem. “ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES”. Eurasian Journal of Critical Care 5/3 (December 2023), 84-88. https://doi.org/10.55994/ejcc.1345685.
JAMA Taşçı F, Bilir Ö. ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES. Eurasian j Crit Care. 2023;5:84–88.
MLA Taşçı, Filiz and Özlem Bilir. “ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES”. Eurasian Journal of Critical Care, vol. 5, no. 3, 2023, pp. 84-88, doi:10.55994/ejcc.1345685.
Vancouver Taşçı F, Bilir Ö. ROLE OF FETAL UMBILICAL AND MIDDLE CEREBRAL ARTERY DOPPLER INDICES IN DETERMINING INTRAUTERINE GROWTH RESTRICTION IN PREECLAMPTIC PREGNANCIES. Eurasian j Crit Care. 2023;5(3):84-8.

Indexing and Abstracting

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