Journal de gynecologie, obstetrique et biologie de la reproduction · 2011
[Use of peak systolic velocity in the middle cerebral artery after serial intravenous fetal exchange transfusions in the end of pregnancy].
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Hermann M, Poissonnier M-H, Grangé G, Bernaux M, Lefèvre M, Tsatsaris V, Lepercq J
Аннотация
OBJECTIVES: Our aim was to assess the efficiency of the peak systolic velocity in the middle cerebral artery (PSV-MCA) to predict neonatal anemia at the end of pregnancies after serial intravenous fetal exchange transfusions (IFET) for red-cell fetomaternal immunization.
PATIENTS AND METHODS: We conducted a retrospective study from 01/01/2004 to 31/12/2009 of 25 pregnancies after IFET for red-cell fetomaternal immunization, in Saint Vincent de Paul Hospital, Paris. The study assessed correlation between the last prenatal PSV-MCA measured and hemoglobin concentration at birth and other neonatal data.
RESULTS: Last prenatal PSV-MCA and hemoglobin concentration at birth were significantly correlated (r=-0.39, P<0.01).
CONCLUSION: There is a good correlation between last PSV-MCA measured before birth and neonatal haemoglobin and complexity of neonatal care linked to anemia. Cerebral Doppler is useful for the follow-up of pregnancies at risk for anemia even in the end of the pregnancy and after serial intravenous fetal exchange transfusions.
PATIENTS AND METHODS: We conducted a retrospective study from 01/01/2004 to 31/12/2009 of 25 pregnancies after IFET for red-cell fetomaternal immunization, in Saint Vincent de Paul Hospital, Paris. The study assessed correlation between the last prenatal PSV-MCA measured and hemoglobin concentration at birth and other neonatal data.
RESULTS: Last prenatal PSV-MCA and hemoglobin concentration at birth were significantly correlated (r=-0.39, P<0.01).
CONCLUSION: There is a good correlation between last PSV-MCA measured before birth and neonatal haemoglobin and complexity of neonatal care linked to anemia. Cerebral Doppler is useful for the follow-up of pregnancies at risk for anemia even in the end of the pregnancy and after serial intravenous fetal exchange transfusions.