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EP04.09: The value of fetal umbilical Doppler study in prediction of adverse fetal outcome in early‐versus late‐onset intrauterine growth restriction
Author(s) -
Piwbuakum D.,
Somprasit C.
Publication year - 2018
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.19830
Subject(s) - medicine , intrauterine growth restriction , umbilical artery , obstetrics , fetus , percentile , retrospective cohort study , birth weight , pregnancy , genetics , biology , statistics , mathematics
Methods: Cases with umbilical venous thrombosis diagnosis during Jan, 2018 to Feb, 2018 were reviewed for history, fetal heart monitor pattern during labour, ultrasound report, and laboratory reports. Results: A total of three cases with umbilical venous thrombosis were recruited for the study. The indications of admission were preterm labour, unsatisfied fetal monitor pattern with gestational diabetes mellitus, and onset of labour at term respectively. All cases delivered by emergent Caesarean section for persistent abnormal fetal hear monitor pattern, and all the babies were good except the preterm one at 32 weeks of gestation who was transferred to NICU immediately for respiratory acidosis and pneumonia. Their birthweights were compatible with gestational ages. The pathology examination of placentas all revealed as chorioamnionitis. All the ultrasound examination during pregnancy and at the time of admission of these three cases were reported normal. Except for the preterm mother whose WBC rose to 25.61,*09/L, the CBC of other two pregnant women at time of delivery were all normal. Conclusions: Cases with persistent abnormal fetal heart monitoring may be a reliable sign for umbilical venous thrombosis and should be handle with great care. Umbilical venous thrombosis is related to clinical and subclinical chorioamnionitis.