Fetal aortic isthmus Doppler measurements for prediction of perinatal morbidity and mortality associated with fetal growth restriction

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dc.contributor.authorAbdelrazzaq, Khalil
dc.contributor.authorYeniel, Ahmet Ozgur
dc.contributor.authorErgenoglu, Ahmet Mete
dc.contributor.authorYildirim, Nuri
dc.contributor.authorAkercan, Fuat
dc.contributor.authorKaradadas, Nedim
dc.date.accessioned2019-10-27T21:52:07Z
dc.date.available2019-10-27T21:52:07Z
dc.date.issued2013
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective To identify the role of longitudinal measurements of fetal aortic isthmus blood flow using Doppler ultrasonography in the prediction of perinatal morbidity and mortality. Setting Obstetrics department of a university hospital. Population and design This prospective study includes women with fetal growth restriction and abnormal umbilical artery Doppler results, seen between November 2009 and January 2011. Methods 31 women were divided into two groups according to the aortic isthmus blood flow pattern just before birth: anterograde (n=12) or retrograde (n=19). Main outcome measure Longitudinal measurements of fetal aortic isthmus in relation to perinatal outcome. Results Total morbidity and mortality rates were significantly higher in the retrograde flow group. There was no statistically significant difference for respiratory distress syndrome, intraventricular hemorrhage, bronchopulmonary dysplasia or necrotizing enterocolitis, but the neonatal sepsis rate was significantly higher in the retrograde flow group. An abnormal aortic isthmus flow pattern was detected approximately 1520days after umbilical artery and middle cerebral artery Doppler flow abnormalities and 37days before deterioration in ductus venosus blood flow. Conclusion We suggest that aortic isthmus Doppler measurements are useful for identifying fetal growth restriction before deterioration in ductus venosus blood flow and fetal acidosis.en_US
dc.identifier.doi10.1111/aogs.12070en_US
dc.identifier.endpage661en_US
dc.identifier.issn0001-6349
dc.identifier.issue6en_US
dc.identifier.pmid23324102en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage656en_US
dc.identifier.urihttps://doi.org/10.1111/aogs.12070
dc.identifier.urihttps://hdl.handle.net/11454/47500
dc.identifier.volume92en_US
dc.identifier.wosWOS:000319060700007en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofActa Obstetricia Et Gynecologica Scandinavicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAortic isthmusen_US
dc.subjectfetal acidosisen_US
dc.subjectfetal blood flowen_US
dc.subjectfetal growth restrictionen_US
dc.subjectperinatal outcomeen_US
dc.titleFetal aortic isthmus Doppler measurements for prediction of perinatal morbidity and mortality associated with fetal growth restrictionen_US
dc.typeArticleen_US

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