کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3921741 1599897 2006 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Integrated monitoring of fetal growth restriction by computerized cardiotocography and Doppler flow velocimetry
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Integrated monitoring of fetal growth restriction by computerized cardiotocography and Doppler flow velocimetry
چکیده انگلیسی

ObjectiveTo investigate the correlations between Doppler flow velocimetry and computerized cardiotocography (cCTG) in fetal growth restriction.Study designFifty growth-restricted foetuses with abdominal circumference below the 10th percentile and no major abnormalities were studied. A total of 186 cCTG tracings (at least two per patient) analysed using the HP2CTG system were compared with the corresponding umbilical artery pulsatility index (PI), the PI ratio of umbilical artery to middle cerebral artery, and the ductus venosus systolic/atrial ratio.ResultsWorsening in umbilical artery Doppler velocimetry parameters was associated with a significant reduction of short- and long-term variability indices and accelerations. When end-diastolic umbilical artery flow was preserved, a reversed ratio between umbilical artery and middle cerebral artery PIs was not correlated with a worsening of cCTG parameters; in the presence of umbilical artery absent or reversed flow, ductus venosus Doppler velocimetry abnormalities were correlated with a significant reduction of variability. When end-diastolic umbilical artery flow was preserved, there was a progressive increase in variability indices and accelerations with advancing gestational age. In the more compromised fetuses this “maturation” process of cCTG patterns was not found.ConclusionThere is a strict correlation between Doppler velocimetry abnormalities and cCTG parameter deterioration, in particular between ductus venosus and variability.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 128, Issues 1–2, September–October 2006, Pages 222–230
نویسندگان
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