Premium
Ultrasound in the evaluation and management of the isoimmunized pregnancy
Author(s) -
Weiner Stuart,
Bolognese Ronald J.,
Librizzi Ronald J.
Publication year - 1981
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870090611
Subject(s) - medicine , amniotic fluid , ultrasound , obstetrics , fetus , hydrops fetalis , pregnancy , erythroblastosis fetalis , placenta , radiology , genetics , biology
Real‐time ultrasound was a valuable adjunct in the management of 57 consecutive isoimmunized pregnancies. The pathophysiology of hydrops fetalis as it affects the sonographic anatomy of the fetus and placenta is discussed. Real‐time ultrasound was slightly more accurate than amniotic fluid bilirubin analysis in predicting moderate to severe erythroblastosis fetalis. The most useful finding was a disproportionate growth of the fetal abdominal circumference in relationship to the biparietal diameter. Ultrasound proved invaluable in several difficult situations, such as contaminated amniotic fluid, ruptured membranes, and twins. Suggestions for the further quantitation of this diagnostic test are explored.