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03.12.2018 | Maternal-Fetal Medicine

Correlation of short-term variation and Doppler parameters with adverse perinatal outcome in low-risk fetuses at term

verfasst von: Florian M. Stumpfe, Sven Kehl, Jutta Pretscher, Friederike Baier, Christian M. Bayer, Eva Schwenke, Michael O. Schneider, Andreas Mayr, Ralf L. Schild, Matthias Schmid, Matthias W. Beckmann, Florian Faschingbauer

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 2/2019

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Abstract

Objective

To evaluate the association of short-term variation (STV) and Doppler parameters with adverse perinatal outcome in low-risk fetuses at term.

Methods

This was a retrospective study of 1008 appropriate–for-gestational age (AGA) term fetuses. Doppler measurements [umbilical artery (UA), middle cerebral artery (MCA), and cerebroplacental ratio (CPR)] and computerized CTG (cCTG) with STV analysis were performed prior to active labor (≤ 4 cm cervical dilatation) within 72 h of delivery. The association between Doppler indices and STV values with adverse perinatal outcome was analyzed using univariate regression analysis.

Results

No significant association between Doppler parameters and the need for secondary cesarean delivery (CD) or operative vaginal delivery (OVD) was shown. Regarding fetuses delivered by CD due to fetal distress, regression analyzes revealed significantly higher UA PI MoM. However, the differences in MCA PI MoM and CPR MoM were not statistically significant. Fetuses with the need for emergency CD showed significantly higher UA PI MoM, lower MCA PI MoM and lower CPR MoM. Neonates with a 5-min Apgar score < 7 had significantly lower MCA PI MoM and neonatal acidosis (UA pH ≤ 7.10) showed a significant association with UA PI MoM. None of the assessed outcome parameters were significantly associated to STV.

Conclusion

Doppler indices assessed close to delivery in low-risk fetuses at term show a moderate association with adverse outcome parameters, whereas STV does not appear to predict poor perinatal outcome in this group of fetuses.

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Titel: Correlation of short-term variation and Doppler parameters with adverse perinatal outcome in low-risk fetuses at term
verfasst von: Florian M. Stumpfe
Sven Kehl
Jutta Pretscher
Friederike Baier
Christian M. Bayer
Eva Schwenke
Michael O. Schneider
Andreas Mayr
Ralf L. Schild
Matthias Schmid
Matthias W. Beckmann
Florian Faschingbauer
Publikationsdatum: 03.12.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 2/2019
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-018-4978-z

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Springer Medizin

Correlation of short-term variation and Doppler parameters with adverse perinatal outcome in low-risk fetuses at term

Abstract

Objective

Methods

Results

Conclusion

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Springer Medizin

Abstract

Objective

Methods

Results

Conclusion

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