+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Use of umbilical-cerebral Doppler ratios in predicting fetal growth restriction in near-term fetuses



Use of umbilical-cerebral Doppler ratios in predicting fetal growth restriction in near-term fetuses



Australian and New Zealand Journal of Obstetrics and Gynaecology 45(2): 130-136



To compare the sensitivity and specificity of different umbilical-cerebral ratios in the prediction and detection of fetal growth restriction in near-term fetuses when the umbilical arterial waveform is within normal. A prospective cross-sectional observational study was carried out recruiting consecutive singleton pregnancies with clinically suspected fetal growth restriction after 34 weeks gestation. The umbilical-cerebral ratios were then calculated from the S/D, RI and PI values and correlated with immediate perinatal outcome. A total of 187 patients were recruited. Twelve cases had abnormal UA Doppler flow velocity waveform studies. Of the 175 with normal UA Doppler findings, 92 (53.1%) were confirmed to have fetal growth restriction (FGR) with birth weights below the tenth centile for gestation. The detection rate of FGR by ultrasound biometry was 96.7%. The mean umbilical artery S/D, RI and PI values were higher in the fetal growth restriction group, while the middle cerebral artery values were lower as compared to fetuses with no growth restriction. A small but significant difference was seen in the umbilical-cerebral ratios of the different indices between the two groups. Receiver operator characteristic curves showed that there was little difference between the performances of the S/D, RI or PI ratios and all had limited power in predicting fetal growth restriction. In the presence of normal umbilical artery Doppler waveforms, umbilical-cerebral ratios have limited power to predict fetal growth restriction.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 050914877

Download citation: RISBibTeXText

PMID: 15760314

DOI: 10.1111/j.1479-828x.2005.00361.x


Related references

Abnormal fetal cerebral and umbilical Doppler measurements in fetuses with intrauterine growth restriction predicts the severity of perinatal morbidity. Journal of Clinical Ultrasound 29(3): 146-151, March-April, 2001

Prediction of perinatal outcome in fetuses suspected to have intrauterine growth restriction: Doppler US study of fetal cerebral, renal, and umbilical arteries. Radiology 213(3): 681-689, 1999

EP05.01: Obstetrics and neonatal outcomes of fetal growth restriction fetuses with abnormal umbilical Doppler compared to premature infants. Ultrasound in Obstetrics & Gynecology 46: 198-198, 2015

Doppler changes in the vertebral, middle cerebral, and umbilical arteries in fetuses delivered after 34 weeks: relationship to severity of growth restriction. Prenatal Diagnosis 32(10): 960-967, 2013

Doppler changes in the vertebral, middle cerebral, and umbilical arteries in fetuses delivered after 34?weeks relationship to severity of growth restriction. Prenatal Diagnosis 32(10), 2012

OP29.09: Umbilical and middle cerebral artery Doppler to predict adverse outcome in a cohort of fetuses with intrauterine growth restriction. Ultrasound in Obstetrics & Gynecology 44(S1): 134-135, 2014

Doppler velocimetry in the umbilical and middle cerebral arteries in fetuses with intrauterine growth retardation or fetal distress. Fukuoka Igaku Zasshi 89(5): 133-144, 1998

Prognostic value of umbilical and cerebral Doppler in fetal growth restriction: comparison of dichorionic twins and singletons. Plos One 10(4): E0123067, 2016

Uterine and fetal cerebral Doppler predict the outcome of third-trimester small-for-gestational age fetuses with normal umbilical artery Doppler. Ultrasound in Obstetrics and Gynecology 19(3): 225-228, 2002

Prognostic significance of the interaction between abnormal umbilical and middle cerebral artery Doppler velocimetry in pregnancies complicated by fetal growth restriction. Acta Obstetricia et Gynecologica Scandinavica 88(2): 159-166, 2009

Maternal and fetal blood levels of S100 and ischaemia modified albumin in term intrauterine growth restricted fetuses with abnormal umbilical artery Doppler values. Journal of Obstetrics and Gynaecology 35(4): 368-371, 2016

Assessment of the fetal Po-2 changes by cerebral and umbilical Doppler on lamb fetuses during acute hypoxia. Ultrasound In Medicine & Biology. 21(7): 861-870, 1995

Doppler ultrasonographic assessment of fetal middle cerebral artery and umbilical artery flow velocity waveforms in normal and intrauterine growth retarded fetuses. Journal of the Kurume Medical Association 52(12): 1428-1440, 1989

Characteristics of umbilical artery doppler measurement discordance in fetuses with resolved growth restriction. American Journal of Obstetrics and Gynecology 212(1): S297-S298, 2015

The effect of an abnormal umbilical artery Doppler on the management of fetal growth restriction: a survey of maternal-fetal medicine specialists who perform fetal ultrasound. Ultrasound in Obstetrics and Gynecology 4(4): 294-303, 1994