Doppler, Cardiotocography, and Biophysical Profile Changes in Growth-Restricted Fetuses

• DOI: 10.1097/01.aog.0000187540.37795.3a
• Publication Date: 2010-11-12T06:36:28Z
• Authors: Erich Cosmi; Guido Ambrosini; Donato DʼAntona; Carlo Saccardi; Giancarlo Mari
• Keywords: Ductus venosus; Umbilical artery; Cardiotocography; Biophysical profile; Amniotic fluid index; Nonstress test; Intrauterine growth restriction

In Brief OBJECTIVE: To assess from diagnosis to delivery the Doppler studies of umbilical artery, middle cerebral vein, ductus venosus, and amniotic fluid index fetuses with idiopathic growth restriction. METHODS: A total 145 singleton growth-restricted abnormal artery pulsatility indexes were studied. Cesarean was performed because biophysical profile or nonreassuring fetal heart rate pattern. RESULTS: There 4 50 neonatal deaths. Two groups identified: Group (n = 44) included in whom all measures became preceding an nonstress test. B 101) 1 more normal at time cesarean delivery. no statistically significant difference perinatal morbidity mortality between 2 groups. Neonatal death increased reversed flow (odds ratio 2.34, 95% confidence interval 1.16–4.73; P < .05) venosus 4.18, 2.01–8.69; .05). correlation also found low birth weight adverse outcome. CONCLUSION: restriction, 1) weight, 2) flow, 3) absent are associated mortality. LEVEL OF EVIDENCE: II-2 Ideopathic velocity waveforms can be divided into based on longitudinal vascular changes that precede testing.