Umbilical blood waveforms in fetal surveillance of twins.

Abstract:

:Umbilical arterial velocity waveforms were recorded in 69 pairs of twins by means of continuous-wave Doppler analysis and an Angioscan spectrum analyzer. A systolic/diastolic ratio was measured for each twin. The sum of the systolic/diastolic ratio was calculated and the difference between each twin was expressed as the delta systolic/diastolic ratio. Significant differences in delta systolic/diastolic and neonatal weight were previously set at 0.4 and 350 gm, respectively. Sonography was used for fetal age confirmation and diagnosis of fetal growth retardation. All neonates were weighed; at birth gestational age was assigned by Dubowitz criteria and categorized as adequate-, small-, or large-for-gestational age. The sensitivity, specificity, and predictive value of the delta systolic/diastolic ratio were determined. The perinatal implications of this test in the management of twin pregnancy are discussed.

journal_name

Am J Obstet Gynecol

authors

Saldana LR,Eads MC,Schaefer TR

doi

10.1016/s0002-9378(87)80035-2

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

712-5

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(87)80035-2

journal_volume

157

pub_type

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