Significance of intermittent absent end-diastolic flow in the umbilical artery in predicting neonatal morbidity

2022 ◽  
Vol 226 (1) ◽  
pp. S184-S185
Author(s):  
Katherine H. Bligard ◽  
Eileen Xu ◽  
Nandini Raghuraman ◽  
Jeffrey Dicke ◽  
Anthony O. Odibo ◽  
...  
Keyword(s):  
Umbilical Artery ◽  
Neonatal Morbidity ◽  
Diastolic Flow

scholarly journals P05.27: Abnormal end-diastolic flow pattern in the umbilical artery and perinatal mortality

2004 ◽  
Vol 24 (3) ◽  
pp. 302-302
Author(s):  
A. Cromi ◽  
S. Lanz ◽  
F. Ghezzi ◽  
S. Zefiro ◽  
S. Tomera ◽  
...  
Keyword(s):  
Flow Pattern ◽  
Perinatal Mortality ◽  
Umbilical Artery ◽  
Diastolic Flow

scholarly journals P05.26: Prognostic factors for survival in fetuses with reverse end-diastolic flow on Doppler umbilical artery velocimetry

2004 ◽  
Vol 24 (3) ◽  
pp. 302-302
Author(s):  
S. Lanz ◽  
A. Cromi ◽  
F. Ghezzi ◽  
E. Di Naro ◽  
V. Bergamini ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Umbilical Artery ◽  
Diastolic Flow

Umbilical artery Doppler changes in fetal growth restriction with intermittently absent umbilical artery end-diastolic flow

2022 ◽  
Vol 226 (1) ◽  
pp. S386-S387
Author(s):  
Eileen Xu ◽  
Nandini Raghuraman ◽  
Katherine H. Bligard ◽  
Jeffrey Dicke ◽  
Anthony O. Odibo ◽  
...  
Keyword(s):  
Fetal Growth ◽  
Fetal Growth Restriction ◽  
Umbilical Artery ◽  
Growth Restriction ◽  
Diastolic Flow ◽  
Umbilical Artery Doppler

Assessing Maternal and Fetal Risks Associated with Prolonged Induction of Labor

2018 ◽  
Vol 36 (05) ◽  
pp. 455-459 ◽  
Author(s):  
Jourdan Triebwasser ◽  
Jamie VanArtsdalen ◽  
Emily Kobernik ◽  
Kristian Seiler ◽  
Elizabeth Langen
Keyword(s):  
Propensity Score ◽  
Cesarean Delivery ◽  
Postpartum Hemorrhage ◽  
Neonatal Intensive Care ◽  
Umbilical Artery ◽  
Neonatal Morbidity ◽  
Induction Of Labor ◽  
Neonatal Outcomes ◽  
Cervical Dilation ◽  
Intensive Care Admission

Objective To assess whether prolonged induction of labor was associated with increased maternal or neonatal morbidity. Study Design We performed a retrospective cohort study of women undergoing induction of labor at a single institution. We included women with singletons ≥ 36 weeks with initial cervical dilation ≤4 cm. Prolonged induction of labor was defined as lasting > 36 hours from the time of initial method to delivery. A 2-to-1 propensity score-matched analysis was performed between women with and those without prolonged induction of labor. Maternal outcomes were cesarean delivery, chorioamnionitis, endometritis, postpartum hemorrhage, severe perineal laceration, and length of postpartum admission. Neonatal outcomes included Apgar scores, umbilical artery pH, and neonatal intensive care admission. Results Among 2,021 women, 407 (20.1%) had a prolonged induction. In unadjusted analyses, prolonged induction of labor was associated with increased cesarean delivery and chorioamnionitis. After 2-to-1 propensity score matching, there were 267 women with prolonged induction and 424 controls. Women with prolonged induction of labor had higher rates of cesarean delivery (35.6 vs. 16%, p < 0.001), chorioamnionitis (14.2 vs. 4.7%, p < 0.001), endometritis (6.4 vs. 1.9%, p = 0.002), and postpartum hemorrhage (18.8 vs. 11.9%, p = 0.008). There were no significant differences in neonatal outcomes. Conclusion Overall length of induction impacts maternal outcome.

scholarly journals Doppler ultrasound of umbilical artery in prediction of fetal outcome in pregnancy induced hypertension Sudanese population

2019 ◽  
Vol 8 (1) ◽  
pp. 96
Author(s):  
Rihab A. Yousif ◽  
Awadia G. Suliman ◽  
Raga A. Aburaida ◽  
Ibrahim M. Daoud ◽  
Naglaa E. Mohammed
Keyword(s):  
Flow Velocity ◽  
Umbilical Artery ◽  
Fetal Outcome ◽  
Fetal Mortality ◽  
Pregnancy Induced Hypertension ◽  
Diastolic Flow ◽  
Induced Hypertension ◽  
The Mean ◽  
Doppler Indices ◽  
In Pregnancy

The pregnancy induced hypertension increase the fetal mortality and morbidity and the using of Doppler umbilical artery indices decrease the fetal mortality and morbidity however, there is few complete data about the most frequently altered Doppler US parameters to predict fetal outcome in pregnancy induced hypertension . Methods This ia cohort prospective study done in two hundred and six women of second and third trimester presenting to antenatal clinic in Soba University Hospital at the department of Obstetrics & Gynecology, in the fetus unit and critical pregnancy in the period From June 2008 to April 2013 to assess the Doppler indices of umbilical artery in pregnancy induced hypertension for prediction of prenatal outcome; 105 pregnancy induced hypertension patients and 101 women with uneventful pregnancies as normal control group included in this study . Baseline investigations and color Doppler of umbilical artery were done. Statistical analysis of data were done using SPSS, Receiver Operating Characteristic (ROC) curve analysis was performed and the area under the curve (AUC) used to determine sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of umbilical artery Doppler indices to predict fetal outcome.Results The study determine that there was significant difference in Doppler indices in PIH and control group ( p<0.01, the mean indices of umbilical artery is higher in PIH group compared with normal pregnancy group , the mean different of S/D ratio was 0.40, mean difference of RI was 0.06 and the mean different of PI index was 0.16, high percentage of adverse fetal outcome had been reported in in Pregnancy Induced Hypertension group than in control , which was more in absent and reversed flow velocity in umbilical artery in Pregnancy Induced Hypertension compared with group of Pregnancy Induced Hypertension with present end diastolic flow velocity. Systolic/Diastolic ratio was most accurate in predicting adverse outcome in pregnancy induced hypertension patients, followed by the Pulastility index then the Resistance index (75%, 66% and 57% respectively).ConclusionThis study concluded that pregnancy induced hypertension leads to worsen placental insufficiently, which appears on the higher Doppler indices of umbilical artery to PIH patients when compared with normal pregnancy. A low diastolic flow and higher indices characterized the pregnancies with abnormal outcomes. Doppler of the umbilical artery was useful to predict fetal well being in PIH patients, high percentage of adverse fetal outcome had been reported in absent and reversed end diastolic flow velocity in umbilical artery compared with group of present flow velocity.

scholarly journals Dexamethasone on absent end-diastolic flow in umbilical artery, in growth restricted fetuses from early-onset preeclamptic pregnancies and the perinatal outcome

2021 ◽  
Vol 53 (1) ◽  
pp. 1455-1463
Author(s):  
Oana Sorina Tica ◽  
Andrei Adrian Tica ◽  
Doriana Cojocaru ◽  
Mihaela Gheonea ◽  
Irina Tica ◽  
...  
Keyword(s):  
Early Onset ◽  
Perinatal Outcome ◽  
Umbilical Artery ◽  
Diastolic Flow

Absent umbilical artery diastolic flow in a fetus with a partial mole at 18 weeks' gestation

1993 ◽  
Vol 169 (5) ◽  
pp. 1167-1168 ◽  
Author(s):  
David M. Sherer ◽  
J. Christopher Glantz ◽  
Leon A. Metlay ◽  
Devereux N. Saller
Keyword(s):  
Umbilical Artery ◽  
Diastolic Flow ◽  
Partial Mole

Extent of absent end‐diastolic flow in umbilical artery and the outcome of pregnancy

2020 ◽  
Author(s):  
M. Kinoshita ◽  
A. Thuring ◽  
E. Morsing ◽  
K. Maršál
Keyword(s):  
Umbilical Artery ◽  
Diastolic Flow
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