scholarly journals OC14.06: Maternal and fetal Doppler in low‐risk term pregnancy in early labour: can we screen for intrapartum fetal distress leading to obstetric intervention?

2021 ◽  
Vol 58 (S1) ◽  
pp. 42-42
Author(s):  
A. Dall'Asta ◽  
T. Ghi ◽  
G. Rizzo ◽  
E. Pasquo ◽  
G. Morganelli ◽  
...  
Keyword(s):  
Fetal Distress ◽  
Low Risk ◽  
Term Pregnancy ◽  
Fetal Doppler ◽  
Early Labour ◽  
Obstetric Intervention

scholarly journals Nomogram of Umbilical, Mean Cerebral and Uterine Arteries Resistive Index at 28 – 40 Weeks of Gestation in Cameroonian Population: A Pilot Study

2020 ◽  
Author(s):  
Boniface MOIFO ◽  
Ulrich Gael TENE ◽  
Carine NJOMATCHOUA ◽  
Jean Roger MOULIOM TAPOUH ◽  
Pascal FOUMANE
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Gestational Age ◽  
Umbilical Artery ◽  
Resistive Index ◽  
Low Risk ◽  
Biomedical Sciences ◽  
Singleton Pregnancy ◽  
Uterine Arteries ◽  
Fetal Doppler

Abstract Background: Mother and fetal Doppler ultrasound during pregnancy is an established and safe tool for quantitative analysis of the utero-placental and the fetoplacental blood flow and seems to be affected by Ethnic hetérogenicity. Objective. To establish normative data for the resistive index of Uterine arteries, Umbilical artery and middle cerebral artery of Cameroonian pregnant women in the second half of pregnancy using multiples of the median and percentile reference range.Methods. We conducted a cross-sectional study on 93 low risk singleton gestation women aged above 18 years between 28 and 39 weeks of gestation in two hospitals in Cameroon during 7 months. We seek for resistive index (RI) of both left and right uterine arteries (LUt and RUt), Umbilical artery (UmA) and Middle cerebral artery (MCA). We also estimated the gestational age (GA), the mother age, the fetal weight (EFW) and the cerebro – placental ration (CPR).Pearson's correlation analysis of the relationship between these RI and selected maternal parameters was done. Regression modeling across gestational age was performed to obtain the reference values and normogram curve with values ranged at 5 and 95th percentiles. P < 0.05 was considered statistically significant.Results. The mean GA and EFW was 33.5 +/- 2.92 weeks (médian of 34) and 2337.5 +/- 734 g respectively. The means RI value of target vessels were 0.55 +/- 0.077; 0.76 +/- 0.071 ; 0.48 +/- 0.077 and 0.46 +/-0.087 for UmA, McA, RUt and LUt with extremes values of des 0.38 to 0.77 ; 0.49 to 0.87; 0.30 to 0.70 and 0.29 to 0.69 respectively. Only UmA RI and CPR values had shown correlations with GA (r= - 0.338, p≤0.01 and r=0.314; p≤0.001) and EFW (r=-0.445, p≤0.001 and r=0.234; p = 0.02). No difference between LUt and RUt RI values was found. The nomogram curve for UmA, McA, RUt and LUt value revealed a general low RI values of in our sample.Conclusions. Fetal Doppler should carefully interpreted according to general low RI values during low risk singleton pregnancy shown by this study. The generated 5and 95th percentiles RI values curves for each target vessel could be useful in that way.Trial registration:N°431/UY1/FMSB/VDRC/CSD du 24 mai 2017 by the Institutional Review Board at the faculty of Medicine and Biomedical Sciences of University of Yaoundé 1.

scholarly journals Maternal and fetal outcome in post term pregnancy

2017 ◽  
Vol 6 (7) ◽  
pp. 2897
Author(s):  
Vandana Verma ◽  
Vaibhav Kanti ◽  
Pragya Shree
Keyword(s):  
Fetal Distress ◽  
Fetal Outcome ◽  
Meconium Aspiration Syndrome ◽  
Adverse Outcomes ◽  
Term Pregnancy ◽  
Meconium Aspiration ◽  
Neonatal Icu ◽  
Prolonged Pregnancy ◽  
Post Term Pregnancy

Background: The term delivery is defined as that occurring between 259 and 294 days of pregnancy from the last menstrual period. If the pregnancy exceeds this period, it is called as post term pregnancy. Our center is in rural area where most of the patients are unbooked or even booked patients are also loss of follow up. So, this study was done to know the incidence of prolonged pregnancy and maternal and fetal outcome in case of prolonged pregnancy in our rural population.Methods: This study was a retrospective observational study for 1 year, to analyze the maternal and fetal outcome of post term pregnancies. Data was collected from hospital record and analysed.Results: Out of 5210 total deliveries 1.49 % were beyond 42 wks. 57.69 % patients delivered vaginally whereas 42.3 % patients needed cesarean section.  6.41 % neonates developed meconium aspiration syndrome and 15.38 % of neonates needed NICU admission for different indications.Conclusions: This study concluded that prolonged pregnancy is associated with adverse outcomes like fetal distress, meconium aspiration syndrome and more neonatal ICU admissions. The outcome of prolonged pregnancy can be improved by proper counselling for follow up during pregnancy and proper monitoring and appropriate management during labour.

The clinical value of maternal and fetal Doppler parameters in low-risk postdates pregnancies – a prospective study

2017 ◽  
Vol 31 (21) ◽  
pp. 2893-2897 ◽  
Author(s):  
Oshrit Lebovitz ◽  
Eran Barzilay ◽  
Shali Mazaki-Tovi ◽  
Itai Gat ◽  
Reuven Achiron ◽  
...  
Keyword(s):  
Prospective Study ◽  
Low Risk ◽  
Clinical Value ◽  
Fetal Doppler ◽  
A Prospective Study

Subpubic Arch Angle and Mode of Delivery in Low-Risk Nulliparous Women

2015 ◽  
Vol 40 (2) ◽  
pp. 150-155 ◽  
Author(s):  
Aly Youssef ◽  
Tullio Ghi ◽  
Federica Martelli ◽  
Elisa Montaguti ◽  
Ginevra Salsi ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Mode Of Delivery ◽  
3D Ultrasound ◽  
Low Risk ◽  
Vacuum Extraction ◽  
Oblique View ◽  
Spontaneous Vaginal Delivery ◽  
Uncomplicated Pregnancy ◽  
Nulliparous Women ◽  
Obstetric Intervention

Objective: To assess whether subpubic arch angle (SPA) measurement before labor onset can predict labor outcome among low-risk pregnant women. Methods: 3D ultrasound volume was transperineally acquired from a series of nulliparous women with uncomplicated pregnancy at term before the onset of labor. SPA was measured offline using Oblique View Extended Imaging (OVIX) on each volume performed by an investigator not involved in the clinical management. Labor outcome was prospectively investigated in the whole study group. Results: Overall, 145 women were enrolled in the study. Of these, 83 underwent spontaneous vaginal delivery, whereas obstetric intervention was performed in 62 cases (Cesarean section in 40 and vacuum extraction in 22). The SPA appeared to be significantly narrower in the women submitted to obstetric intervention compared with those undergoing spontaneous vaginal delivery (116.8 ± 10.3° vs. 123.7 ± 9.6°, p < 0.01). At multivariate analysis SPA and maternal age were identified as independent predictors of the mode of delivery. On the other hand, the duration of labor did not show a significant relationship with SPA. Conclusions: In low-risk nulliparous women at term gestation, SPA measurement obtained by 3D ultrasound before the onset of labor seems to predict the likelihood of an obstetric intervention but not the duration of labor.

Sign in / Sign up

Export Citation Format

Share Document