Fetal Doppler Hypoxic index for the prediction of abnormal fetal heart rate at delivery in chronic fetal distress
To design a Doppler Hypoxic index (HI), which takes into account both the duration and the intensity of fetal flow redistribution (i.e. hypoxia) for predicting the occurrence of abnormal fetal heart rate (FHR) at delivery. Sixty-six pregnancies with hypertension and/or growth retardation (IUGR) were...
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| Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology 2005-08, Vol.121 (2), p.171-177 |
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| container_title | European journal of obstetrics & gynecology and reproductive biology |
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| creator | Arbeille, Philippe Perrotin, Franck Salihagic, Aida Sthale, Hakan Lansac, Jacques Platt, Lawrence D |
| description | To design a Doppler Hypoxic index (HI), which takes into account both the duration and the intensity of fetal flow redistribution (i.e. hypoxia) for predicting the occurrence of abnormal fetal heart rate (FHR) at delivery.
Sixty-six pregnancies with hypertension and/or growth retardation (IUGR) were investigated (age: 23
±
5 years; primigravidas: 30%, CS 59%; hospitalisation: 10
±
8 days, IUGR (
160% was associated with abnormal FHR in 80% of the cases (PPV
=
87%, NPV
=
88%). HI
>
160% predicted the occurrence of abnormal FHR 8
±
6 days before they happened.
A combination of intensity and duration of the fetal flow redistribution (i.e. hypoxia) evaluated by Doppler is correlated with the occurrence of abnormal fetal heart rate. |
| doi_str_mv | 10.1016/j.ejogrb.2004.11.032 |
| format | Article |
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Sixty-six pregnancies with hypertension and/or growth retardation (IUGR) were investigated (age: 23
±
5 years; primigravidas: 30%, CS 59%; hospitalisation: 10
±
8 days, IUGR (<10
c) 82%, intensive care 23%, fetal death 1). Umbilical (URI) and cerebral (CRI) Doppler resistance indices, and the C/U ratio (CRI/URI) were measured every 2 days from admission to delivery. HI was calculated by summing the daily %C/U reduction (in % from normal cut-off limit 1.1) over the period of observation (or mean C/U reduction in % from 1.1
×
number of days of observation). Doppler C/U and HI were compared with fetal heart rate (FHR) traces, and perinatal data.
HI
>
160% was associated with abnormal FHR in 80% of the cases (PPV
=
87%, NPV
=
88%). HI
>
160% predicted the occurrence of abnormal FHR 8
±
6 days before they happened.
A combination of intensity and duration of the fetal flow redistribution (i.e. hypoxia) evaluated by Doppler is correlated with the occurrence of abnormal fetal heart rate.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/j.ejogrb.2004.11.032</identifier><identifier>PMID: 16054958</identifier><identifier>CODEN: EOGRAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Biological and medical sciences ; Cerebral artery ; Chronic Disease ; Delivery, Obstetric ; Delivery. Postpartum. Lactation ; Diseases of mother, fetus and pregnancy ; Doppler ; Female ; Fetal Distress - complications ; Fetal Growth Retardation ; Fetal Hypoxia - diagnosis ; Fetus ; Gynecology. Andrology. Obstetrics ; Heart rate ; Heart Rate, Fetal - physiology ; Humans ; Hypertension - complications ; Hypoxia ; Medical sciences ; Predictive Value of Tests ; Pregnancy ; Pregnancy Complications ; Pregnancy. Fetus. Placenta ; Ultrasonography, Doppler - methods ; Ultrasonography, Prenatal - methods ; Umbilical artery</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2005-08, Vol.121 (2), p.171-177</ispartof><rights>2004 Elsevier Ireland Ltd</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-50e58f79399b0c87df7a06abc85f4a28c6cd75b20daab6e8e9259a94fa325ced3</citedby><cites>FETCH-LOGICAL-c390t-50e58f79399b0c87df7a06abc85f4a28c6cd75b20daab6e8e9259a94fa325ced3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejogrb.2004.11.032$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17015586$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16054958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arbeille, Philippe</creatorcontrib><creatorcontrib>Perrotin, Franck</creatorcontrib><creatorcontrib>Salihagic, Aida</creatorcontrib><creatorcontrib>Sthale, Hakan</creatorcontrib><creatorcontrib>Lansac, Jacques</creatorcontrib><creatorcontrib>Platt, Lawrence D</creatorcontrib><title>Fetal Doppler Hypoxic index for the prediction of abnormal fetal heart rate at delivery in chronic fetal distress</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>To design a Doppler Hypoxic index (HI), which takes into account both the duration and the intensity of fetal flow redistribution (i.e. hypoxia) for predicting the occurrence of abnormal fetal heart rate (FHR) at delivery.
Sixty-six pregnancies with hypertension and/or growth retardation (IUGR) were investigated (age: 23
±
5 years; primigravidas: 30%, CS 59%; hospitalisation: 10
±
8 days, IUGR (<10
c) 82%, intensive care 23%, fetal death 1). Umbilical (URI) and cerebral (CRI) Doppler resistance indices, and the C/U ratio (CRI/URI) were measured every 2 days from admission to delivery. HI was calculated by summing the daily %C/U reduction (in % from normal cut-off limit 1.1) over the period of observation (or mean C/U reduction in % from 1.1
×
number of days of observation). Doppler C/U and HI were compared with fetal heart rate (FHR) traces, and perinatal data.
HI
>
160% was associated with abnormal FHR in 80% of the cases (PPV
=
87%, NPV
=
88%). HI
>
160% predicted the occurrence of abnormal FHR 8
±
6 days before they happened.
A combination of intensity and duration of the fetal flow redistribution (i.e. hypoxia) evaluated by Doppler is correlated with the occurrence of abnormal fetal heart rate.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cerebral artery</subject><subject>Chronic Disease</subject><subject>Delivery, Obstetric</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Doppler</subject><subject>Female</subject><subject>Fetal Distress - complications</subject><subject>Fetal Growth Retardation</subject><subject>Fetal Hypoxia - diagnosis</subject><subject>Fetus</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Heart rate</subject><subject>Heart Rate, Fetal - physiology</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypoxia</subject><subject>Medical sciences</subject><subject>Predictive Value of Tests</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Ultrasonography, Doppler - methods</subject><subject>Ultrasonography, Prenatal - methods</subject><subject>Umbilical artery</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFu3CAQhlHVKNmmeYOq4tLe7IIxGC6VqqRpKkXqpT0jDEOXldc4wEbZtw-pV8qtc5nL9_-a-RD6QElLCRVfdi3s4t80th0hfUtpS1j3Bm2oHLpmELx_izaEEdp0lPIL9C7nHanDmDpHF1QQ3isuN-jhFoqZ8E1clgkSvjsu8SlYHGYHT9jHhMsW8JLABVtCnHH02IxzTPsa8v-iWzCp4GQKYFOwgyk8QjrWBmy3Kc61bOVcyCVBzu_RmTdThqvTvkR_br__vr5r7n_9-Hn97b6xTJHScAJc-kExpUZi5eD8YIgwo5Xc96aTVlg38LEjzphRgATVcWVU7w3ruAXHLtHntXdJ8eEAueh9yBamycwQD1kL2TNGxFDBfgVtijkn8HpJYW_SUVOiX1TrnV5V6xfVmlJdVdfYx1P_YdyDew2d3Fbg0wkw2ZrJJzPbkF-5gVDOpajc15WDauMxQNLZBpjrDyGBLdrF8P9LngGDBKBK</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Arbeille, Philippe</creator><creator>Perrotin, Franck</creator><creator>Salihagic, Aida</creator><creator>Sthale, Hakan</creator><creator>Lansac, Jacques</creator><creator>Platt, Lawrence D</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050801</creationdate><title>Fetal Doppler Hypoxic index for the prediction of abnormal fetal heart rate at delivery in chronic fetal distress</title><author>Arbeille, Philippe ; Perrotin, Franck ; Salihagic, Aida ; Sthale, Hakan ; Lansac, Jacques ; Platt, Lawrence D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-50e58f79399b0c87df7a06abc85f4a28c6cd75b20daab6e8e9259a94fa325ced3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cerebral artery</topic><topic>Chronic Disease</topic><topic>Delivery, Obstetric</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Doppler</topic><topic>Female</topic><topic>Fetal Distress - complications</topic><topic>Fetal Growth Retardation</topic><topic>Fetal Hypoxia - diagnosis</topic><topic>Fetus</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Heart rate</topic><topic>Heart Rate, Fetal - physiology</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Hypoxia</topic><topic>Medical sciences</topic><topic>Predictive Value of Tests</topic><topic>Pregnancy</topic><topic>Pregnancy Complications</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Ultrasonography, Doppler - methods</topic><topic>Ultrasonography, Prenatal - methods</topic><topic>Umbilical artery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arbeille, Philippe</creatorcontrib><creatorcontrib>Perrotin, Franck</creatorcontrib><creatorcontrib>Salihagic, Aida</creatorcontrib><creatorcontrib>Sthale, Hakan</creatorcontrib><creatorcontrib>Lansac, Jacques</creatorcontrib><creatorcontrib>Platt, Lawrence D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arbeille, Philippe</au><au>Perrotin, Franck</au><au>Salihagic, Aida</au><au>Sthale, Hakan</au><au>Lansac, Jacques</au><au>Platt, Lawrence D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fetal Doppler Hypoxic index for the prediction of abnormal fetal heart rate at delivery in chronic fetal distress</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>121</volume><issue>2</issue><spage>171</spage><epage>177</epage><pages>171-177</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><coden>EOGRAL</coden><abstract>To design a Doppler Hypoxic index (HI), which takes into account both the duration and the intensity of fetal flow redistribution (i.e. hypoxia) for predicting the occurrence of abnormal fetal heart rate (FHR) at delivery.
Sixty-six pregnancies with hypertension and/or growth retardation (IUGR) were investigated (age: 23
±
5 years; primigravidas: 30%, CS 59%; hospitalisation: 10
±
8 days, IUGR (<10
c) 82%, intensive care 23%, fetal death 1). Umbilical (URI) and cerebral (CRI) Doppler resistance indices, and the C/U ratio (CRI/URI) were measured every 2 days from admission to delivery. HI was calculated by summing the daily %C/U reduction (in % from normal cut-off limit 1.1) over the period of observation (or mean C/U reduction in % from 1.1
×
number of days of observation). Doppler C/U and HI were compared with fetal heart rate (FHR) traces, and perinatal data.
HI
>
160% was associated with abnormal FHR in 80% of the cases (PPV
=
87%, NPV
=
88%). HI
>
160% predicted the occurrence of abnormal FHR 8
±
6 days before they happened.
A combination of intensity and duration of the fetal flow redistribution (i.e. hypoxia) evaluated by Doppler is correlated with the occurrence of abnormal fetal heart rate.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>16054958</pmid><doi>10.1016/j.ejogrb.2004.11.032</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0301-2115 |
| ispartof | European journal of obstetrics & gynecology and reproductive biology, 2005-08, Vol.121 (2), p.171-177 |
| issn | 0301-2115 1872-7654 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68433067 |
| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adult Biological and medical sciences Cerebral artery Chronic Disease Delivery, Obstetric Delivery. Postpartum. Lactation Diseases of mother, fetus and pregnancy Doppler Female Fetal Distress - complications Fetal Growth Retardation Fetal Hypoxia - diagnosis Fetus Gynecology. Andrology. Obstetrics Heart rate Heart Rate, Fetal - physiology Humans Hypertension - complications Hypoxia Medical sciences Predictive Value of Tests Pregnancy Pregnancy Complications Pregnancy. Fetus. Placenta Ultrasonography, Doppler - methods Ultrasonography, Prenatal - methods Umbilical artery |
| title | Fetal Doppler Hypoxic index for the prediction of abnormal fetal heart rate at delivery in chronic fetal distress |
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