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Umbilikal Arter Doppler Flowmetrisinde Ters Akım ya da Diyastol Sonu Akım Kaybıyla Birlikte İntrauterin Gelișme Geriliği ve/veya Preeklampsi Olan Gebeliklerin Perinatal Sonuçları

Yıl 2012, Yıl: 2012 Sayı: 3, 99 - 104, 01.11.2012

Öz

AMAÇ: İntrauterin büyüme geriliği bulunan yüksek riskli gebe grubunda
yapılan umblikal arter Doppler incelemesi sonucunda ters
akım veya diastol sonu akım kaybı bulunan gebelerde perinatal sonuçları
incelemek.
YÖNTEM: Çalıșmaya gebelik haftası ≥30 olan 44 gebe alındı. Bütün
gebelerde intrauterin gelișme geriliği ve/veya preeklampsi vardı.
Umbilikal arter Dopplerinde ters akım veya diastol sonu akım kaybının
gebelik sonuçlarını predikte edebilmesi araștırıldı. İstatistiksel analizde
Pearson Ki-kare ve Fisher Exact testleri kullanıldı.
BULGULAR: Ortalama gebelik haftası; son adet ve ultrasonografiye
göre sırasıyla 34,4 ve 29 bulundu. Ortalama yeni doğan yoğun
bakımda kalma süresi 8,1 günken, ortalama doğum ağırlığı 1604
gramdı. 26 gebede preeklampsi ve 24 gebede oligohidroamniyos
saptandı. Neonatal ölüm 9 olguda ve intrauterin ölüm 1 olguda
gözlendi.
13 gebede ters akım veya diastol sonu akım kaybı tespit edildi
(%29,5). Bu fetüslerde 5. dakika Apgar skoru ve doğum sırasındaki
gebelik haftası anlamlı olarak daha düșüktü. Benzer olarak bu
olgularda, yenidoğan yoğun bakım ünitesine gereksinim süresi ve
perinatal ölüm oranları daha yüksekti.
SONUÇ: Umbilikal arter Doppler incelemelerinde ters akım veya
diastol sonu akım kaybı görülmesi yüksek riskli gebeliklerdeki kötü
prognozu belirlemede oldukça yararlı bir parametredir.

Perinatal Outcomes of Pregnancies with Intrauterine Growth Restriction and/or Preeclampsia Associated with Reverse Flow or Absence of End-diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry

Yıl 2012, Yıl: 2012 Sayı: 3, 99 - 104, 01.11.2012

Öz

AIM: To evaluate the perinatal outcome of high risk pregnancies
with intrauterine growth restriction with reverse fl ow or absence of
end-diastolic fl ow velocity in umbilical artery Doppler fl owmetry.
METHODS: Pregnant women (n=44) with gestations of ≥30 weeks
were included. They all had intrauterine growth restriction and/
or preeclampsia. Doppler fl owmetry including reverse fl ow or absence
of end-diastolic fl ow velocity were used to predict the perinatal
outcomes. Statistical analysis was performed using Pearson
Chi-Square and Fisher’s Exact tests.
RESULTS: The mean gestational age according to the last menstrual
date and ultrasound evaluation were 34.4 and 29 weeks,
respectively. The mean duration of neonatal intensive care unit requirement
time was 8.1 days and the mean birth weight was 1604
gram.Preeclampsia and oligohydramnios were seen in 26 and 24
of the fetuses, respectively. There were 9 neonatal and 1 intrauterine
fetal deaths.
Reverse fl ow or absence of end diastolic fl ow velocity was detected
in 13 patients (29.5%). These fetuses had signifi cantly lower 5th
minute Apgar’s score and gestational age at labor. Similarly, the
duration of neonatal intensive care requirement and the perinatal
death rate were signifi cantly higher.
CONCLUSION: Reverse fl ow or absence of end-diastolic fl ow velocity
in fetal umbilical artery Doppler fl owmetry is a useful parameter
in predicting poor perinatal outcome of high risk pregnancies

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Ayrıntılar

Diğer ID JA66KT53KK
Bölüm Araştırma Makalesi
Yazarlar

Arif Deniz Bu kişi benim

Kahraman Ülker Bu kişi benim

Yayımlanma Tarihi 1 Kasım 2012
Yayımlandığı Sayı Yıl 2012 Yıl: 2012 Sayı: 3

Kaynak Göster

APA Deniz, A., & Ülker, K. (2012). Perinatal Outcomes of Pregnancies with Intrauterine Growth Restriction and/or Preeclampsia Associated with Reverse Flow or Absence of End-diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry. Kafkas Journal of Medical Sciences(3), 99-104.
AMA Deniz A, Ülker K. Perinatal Outcomes of Pregnancies with Intrauterine Growth Restriction and/or Preeclampsia Associated with Reverse Flow or Absence of End-diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry. Kafkas Journal of Medical Sciences. Kasım 2012;(3):99-104.
Chicago Deniz, Arif, ve Kahraman Ülker. “Perinatal Outcomes of Pregnancies With Intrauterine Growth Restriction and/Or Preeclampsia Associated With Reverse Flow or Absence of End-Diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry”. Kafkas Journal of Medical Sciences, sy. 3 (Kasım 2012): 99-104.
EndNote Deniz A, Ülker K (01 Kasım 2012) Perinatal Outcomes of Pregnancies with Intrauterine Growth Restriction and/or Preeclampsia Associated with Reverse Flow or Absence of End-diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry. Kafkas Journal of Medical Sciences 3 99–104.
IEEE A. Deniz ve K. Ülker, “Perinatal Outcomes of Pregnancies with Intrauterine Growth Restriction and/or Preeclampsia Associated with Reverse Flow or Absence of End-diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry”, Kafkas Journal of Medical Sciences, sy. 3, ss. 99–104, Kasım 2012.
ISNAD Deniz, Arif - Ülker, Kahraman. “Perinatal Outcomes of Pregnancies With Intrauterine Growth Restriction and/Or Preeclampsia Associated With Reverse Flow or Absence of End-Diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry”. Kafkas Journal of Medical Sciences 3 (Kasım 2012), 99-104.
JAMA Deniz A, Ülker K. Perinatal Outcomes of Pregnancies with Intrauterine Growth Restriction and/or Preeclampsia Associated with Reverse Flow or Absence of End-diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry. Kafkas Journal of Medical Sciences. 2012;:99–104.
MLA Deniz, Arif ve Kahraman Ülker. “Perinatal Outcomes of Pregnancies With Intrauterine Growth Restriction and/Or Preeclampsia Associated With Reverse Flow or Absence of End-Diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry”. Kafkas Journal of Medical Sciences, sy. 3, 2012, ss. 99-104.
Vancouver Deniz A, Ülker K. Perinatal Outcomes of Pregnancies with Intrauterine Growth Restriction and/or Preeclampsia Associated with Reverse Flow or Absence of End-diastolic Flow Velocity in Umbilical Artery Doppler Flowmetry. Kafkas Journal of Medical Sciences. 2012(3):99-104.