Placental and fetal hemodynamics in prolonged pregnancies.

Abstract:

OBJECTIVE:We hypothesized that Doppler measurements of the placental and fetal central and peripheral hemodynamics would predict adverse outcomes in prolonged uncomplicated singleton pregnancies. METHOD:A total of 160 participants were recruited to this study. Doppler measurements of placental and fetal hemodynamics as well as cardiotocography (CTG) were assessed prior to induction of labor at >41+ weeks. CTG during delivery, umbilical artery (UA) pH and base excess at birth and neonatal data were evaluated. RESULTS:In 16% of cases the outcome was unfavorable, defined as UA pH <7.10, 5-min Apgar score <7, cesarean delivery for fetal distress and/or need for admission to neonatal intensive care. There were no differences in the pulsatility indices of the uterine and umbilical arteries, middle cerebral artery, descending aorta, ductus venosus and inferior vena cava between the groups with favorable and unfavorable outcome. In addition, the ventricular inflow patterns, outflow velocities of the great arteries, cardiac outputs and myocardial performance indices were similar between the groups. CONCLUSION:Doppler parameters of the placental and fetal central and peripheral hemodynamics do not differ prior to the induction of labor in prolonged pregnancies with favorable and unfavorable outcomes. This suggests that their value is limited and that other clinical tools are needed for intermittent fetal surveillance in prolonged pregnancies. © 2016 John Wiley & Sons, Ltd.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Kauppinen T,Kantomaa T,Tekay A,Mäkikallio K

doi

10.1002/pd.4828

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

622-7

issue

7

eissn

0197-3851

issn

1097-0223

journal_volume

36

pub_type

杂志文章
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  • Expression of fragile-X in a female fetus diagnosed after chorionic villus sampling.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

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    authors: Webb T

    更新日期:1991-05-01 00:00:00

  • Prenatal diagnosis of congenital mesoblastic nephroma in mid-second trimester by sonography and magnetic resonance imaging.

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    更新日期:2003-11-01 00:00:00

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

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    authors: Sørensen T,Larsen SO,Christiansen M

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章,评审

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    更新日期:2006-03-01 00:00:00

  • Prenatal diagnosis of aortic atresia by colour Doppler flow mapping.

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    更新日期:1990-04-01 00:00:00

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  • The role of placental histopathological lesions in predicting recurrence of preeclampsia.

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    pub_type: 杂志文章

    doi:10.1002/pd.4918

    authors: Weiner E,Mizrachi Y,Grinstein E,Feldstein O,Rymer-Haskel N,Juravel E,Schreiber L,Bar J,Kovo M

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    pub_type: 杂志文章

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    authors: Hwa HL,Ko TM,Chang YY,Huang CH,Su YN,Tseng LH,Hsieh FJ

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    pub_type: 杂志文章

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    更新日期:2010-08-01 00:00:00

  • Two unusual cases of first trimester prenatal diagnosis of cystic fibrosis using DNA probes.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1274

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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