Ginekologia polska · 2006
[The value of Doppler velocimetry in umbilical and cerebral artery in pregnancy complicated by IUGR and its influence on mode of delivery and neonatal Apgar score].
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Karowicz-Bilińska Agata, Sieroszewski Piotr, Kowalska-Koprek Urszula
Аннотация
UNLABELLED: The most important diagnostic method in pregnancy complicated by IUGR is Doppler flow velocity in placento-fetal circulation. The most useful diagnostic method is the umbilical and pulsatility index and cerebro-placental ratio.
DESIGN: The aim of the study is to evaluate the value of pulsatility index umbilical and cerebro-placental ratio in intrauterine growth restriction, the way of delivery and neonatal Apgar score.
MATERIAL AND METHODS: The study was done in Dep. of Obstetrics and Gynaecology Medical University in Lodz in 2001-2005 y. The study group consists of 80 women with diagnosed IUGR, control group--50 healthy pregnant women at the same gestational age. The Doppler flow measurement in umbilical and middle cerebral arteries, the way of delivery and Apgar score were estimated.
RESULTS: In the group of IUGR in 11 cases the PI value in umbilical artery increased, in 3 cases of this group cerebro-placental ratio was elevated. In control group evaluated blood flow indexes were normal. The ratio of caesarian sections in growth-restricted fetuses group was higher than in control group. The neonatal Apgar score was similar in compared groups.
CONCLUSION: In pregnancy complicated by IUGR the Doppler flow measurement was useful to found fetal intrauterine hypoxia.
DESIGN: The aim of the study is to evaluate the value of pulsatility index umbilical and cerebro-placental ratio in intrauterine growth restriction, the way of delivery and neonatal Apgar score.
MATERIAL AND METHODS: The study was done in Dep. of Obstetrics and Gynaecology Medical University in Lodz in 2001-2005 y. The study group consists of 80 women with diagnosed IUGR, control group--50 healthy pregnant women at the same gestational age. The Doppler flow measurement in umbilical and middle cerebral arteries, the way of delivery and Apgar score were estimated.
RESULTS: In the group of IUGR in 11 cases the PI value in umbilical artery increased, in 3 cases of this group cerebro-placental ratio was elevated. In control group evaluated blood flow indexes were normal. The ratio of caesarian sections in growth-restricted fetuses group was higher than in control group. The neonatal Apgar score was similar in compared groups.
CONCLUSION: In pregnancy complicated by IUGR the Doppler flow measurement was useful to found fetal intrauterine hypoxia.