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P86Assessment of fetal well‐being in patients with poor obstetric history: comparison between cases of absent or reversed end‐diastolic velocity in the umbilical artery
Author(s) -
Francisco R. P. V.,
Yamamoto R. M.,
Leite C. C.,
Miyadahira S.,
Zugaib M.
Publication year - 2000
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 - 10.1046/j.1469-0705.2000.00004-1-85.x
Subject(s) - medicine , umbilical artery , diastole , fetus , incidence (geometry) , amniotic fluid , obstetrics , pregnancy , cardiology , obstetric history , gestation , blood pressure , genetics , physics , optics , biology
Background A study of the assessment of fetal well‐being and perinatal results in patients with poor obstetric history and absent or reversed end‐diastolic velocity flow (AREDV). Methods Between 1997 and 2000, 36 high risk pregnant women with poor obstetric history and AREDV were followed by the Fetal Surveillance Unit. Ten cases presented reversed end‐diastolic velocity waveforms. Results The results are shown in the table:AEDV
n = 26 REDV
n = 10 Pfhr with deceleration 13/19(68.4%) 5/7(71.4%) NS BPS below 6 1/26(3.8%) 5/7(71.4%) 0.004 Amniotic fluid index ≤ 5 6/26(23.1%) 7/10(70.0%) 0.025 MCA PI < 5th p 23/24(95.8%) 8/10(80.0%) NS Perinatal death 6/26(23.1%) 6/10(60.0%) 0.04 Birth weight < 1000g 10/26(36.5%) 6/10(60.0%) NSConclusions The results show a higher incidence of abnormal BPS and AFI in red cases, with a high rate of perinatal death.