Doppler assessment of the fetal cerebral hemodynamic response to moderate or severe maternal anemia
Objective: The purpose of this study was to evaluate the fetal vascular adaptation to moderate and severe maternal anemia. Study Design: Biometry; amniotic fluid index; uterine, cerebral, and umbilical Doppler; and maternal hemoglobin level were measured at admission and 8 days after treatment. Resu...
Gespeichert in:
| Veröffentlicht in: | American journal of obstetrics and gynecology 2003-03, Vol.188 (3), p.794-799 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 799 |
|---|---|
| container_issue | 3 |
| container_start_page | 794 |
| container_title | American journal of obstetrics and gynecology |
| container_volume | 188 |
| creator | Carles, Gabriel Tobal, Nathalie Raynal, Pierre Herault, Stéphane Beucher, Gael Marret, Henri Arbeille, Philippe |
| description | Objective: The purpose of this study was to evaluate the fetal vascular adaptation to moderate and severe maternal anemia. Study Design: Biometry; amniotic fluid index; uterine, cerebral, and umbilical Doppler; and maternal hemoglobin level were measured at admission and 8 days after treatment. Results: Group 1 consisted of 16 pregnancies (maternal hemoglobin level, 6.9 ± 0.6 g/100 mL); group 2 consisted of 23 pregnancies (maternal hemoglobin level, 5 ± 0.6 g/100 mL). At admission the cerebral and cerebral/umbilical Doppler indexes, amniotic index, and biometry were lower in group 2. The uterine index was normal in both groups. An abnormal fetal heart rate was found in group 2 only (48%). At day 8, maternal hemoglobin level and amniotic index increased more in group 2 than in group 1. The cerebral index and the cerebral-to-umbilical resistance ratio increased only in group 2. The abnormal fetal heart rate disappeared in group 2. Conclusion: Only severe maternal anemia (maternal hemoglobin level, |
| doi_str_mv | 10.1067/mob.2003.177 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73093084</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002937802713185</els_id><sourcerecordid>73093084</sourcerecordid><originalsourceid>FETCH-LOGICAL-c364t-933788ec3b27c99d6bb70f4f2d6ef34621beaa1875557fe6c750fcae1a008d903</originalsourceid><addsrcrecordid>eNptkE1rGzEQQEVJqB23t5yLLs0pdqX9kHaPxelHwNBLexZa7QgrrFZbzdrgf58xNuSSkzTiaXg8xu6l2Eih9LeYuk0hRLmRWn9gSylavVaNam7YUghRrNtSNwt2h_hyHou2-MgWslBlpep2ydxTmqYBMreIgBhhnHnyfN4D9zDbgTvI0GW67CGm_jTaGBzPgFMaEficOL1CtjPwlDnCkXAeacwj_bEjxGA_sVtvB4TP13PF_v388Xf7e7378-t5-323dqWqZhIl0wZc2RXatW2vuk4LX_miV-BJt5AdWCsbXde19qCcroV3FqQVoulbUa7Yw2XvlNP_A-BsYkAHw0Aa6YBGl6ItRVMR-HgBXU6IGbyZcog2n4wU5hzVUFRzjmooKuFfrnsPXYT-Db5WJODrFbDo7OCzHV3AN65SitIr4tSFA6pwDJANugCjgz5kcLPpU3jf4BXp55NV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>73093084</pqid></control><display><type>article</type><title>Doppler assessment of the fetal cerebral hemodynamic response to moderate or severe maternal anemia</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Carles, Gabriel ; Tobal, Nathalie ; Raynal, Pierre ; Herault, Stéphane ; Beucher, Gael ; Marret, Henri ; Arbeille, Philippe</creator><creatorcontrib>Carles, Gabriel ; Tobal, Nathalie ; Raynal, Pierre ; Herault, Stéphane ; Beucher, Gael ; Marret, Henri ; Arbeille, Philippe</creatorcontrib><description>Objective: The purpose of this study was to evaluate the fetal vascular adaptation to moderate and severe maternal anemia. Study Design: Biometry; amniotic fluid index; uterine, cerebral, and umbilical Doppler; and maternal hemoglobin level were measured at admission and 8 days after treatment. Results: Group 1 consisted of 16 pregnancies (maternal hemoglobin level, 6.9 ± 0.6 g/100 mL); group 2 consisted of 23 pregnancies (maternal hemoglobin level, 5 ± 0.6 g/100 mL). At admission the cerebral and cerebral/umbilical Doppler indexes, amniotic index, and biometry were lower in group 2. The uterine index was normal in both groups. An abnormal fetal heart rate was found in group 2 only (48%). At day 8, maternal hemoglobin level and amniotic index increased more in group 2 than in group 1. The cerebral index and the cerebral-to-umbilical resistance ratio increased only in group 2. The abnormal fetal heart rate disappeared in group 2. Conclusion: Only severe maternal anemia (maternal hemoglobin level, <6 mg/L) triggered fetal cerebral vasodilation and reduced amniotic volume. (Am J Obstet Gynecol 2003;188:794-9.)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1067/mob.2003.177</identifier><identifier>PMID: 12634659</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adult ; Amniotic Fluid - metabolism ; amniotic fluid volume ; Anemia - physiopathology ; Biological and medical sciences ; Blood Vessels - diagnostic imaging ; Cerebrovascular Circulation ; Diseases of mother, fetus and pregnancy ; Doppler ; Female ; fetus ; Fetus - physiology ; Gynecology. Andrology. Obstetrics ; Heart Rate, Fetal ; Hemodynamics ; Hemoglobins - analysis ; Humans ; Maternal anemia ; Medical sciences ; Pregnancy - blood ; Pregnancy Complications - physiopathology ; Pregnancy. Fetus. Placenta ; Ultrasonography, Prenatal ; Umbilical Cord - blood supply ; Vasodilation</subject><ispartof>American journal of obstetrics and gynecology, 2003-03, Vol.188 (3), p.794-799</ispartof><rights>2003</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c364t-933788ec3b27c99d6bb70f4f2d6ef34621beaa1875557fe6c750fcae1a008d903</citedby><cites>FETCH-LOGICAL-c364t-933788ec3b27c99d6bb70f4f2d6ef34621beaa1875557fe6c750fcae1a008d903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/mob.2003.177$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14660026$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12634659$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carles, Gabriel</creatorcontrib><creatorcontrib>Tobal, Nathalie</creatorcontrib><creatorcontrib>Raynal, Pierre</creatorcontrib><creatorcontrib>Herault, Stéphane</creatorcontrib><creatorcontrib>Beucher, Gael</creatorcontrib><creatorcontrib>Marret, Henri</creatorcontrib><creatorcontrib>Arbeille, Philippe</creatorcontrib><title>Doppler assessment of the fetal cerebral hemodynamic response to moderate or severe maternal anemia</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective: The purpose of this study was to evaluate the fetal vascular adaptation to moderate and severe maternal anemia. Study Design: Biometry; amniotic fluid index; uterine, cerebral, and umbilical Doppler; and maternal hemoglobin level were measured at admission and 8 days after treatment. Results: Group 1 consisted of 16 pregnancies (maternal hemoglobin level, 6.9 ± 0.6 g/100 mL); group 2 consisted of 23 pregnancies (maternal hemoglobin level, 5 ± 0.6 g/100 mL). At admission the cerebral and cerebral/umbilical Doppler indexes, amniotic index, and biometry were lower in group 2. The uterine index was normal in both groups. An abnormal fetal heart rate was found in group 2 only (48%). At day 8, maternal hemoglobin level and amniotic index increased more in group 2 than in group 1. The cerebral index and the cerebral-to-umbilical resistance ratio increased only in group 2. The abnormal fetal heart rate disappeared in group 2. Conclusion: Only severe maternal anemia (maternal hemoglobin level, <6 mg/L) triggered fetal cerebral vasodilation and reduced amniotic volume. (Am J Obstet Gynecol 2003;188:794-9.)</description><subject>Adult</subject><subject>Amniotic Fluid - metabolism</subject><subject>amniotic fluid volume</subject><subject>Anemia - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Blood Vessels - diagnostic imaging</subject><subject>Cerebrovascular Circulation</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Doppler</subject><subject>Female</subject><subject>fetus</subject><subject>Fetus - physiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Heart Rate, Fetal</subject><subject>Hemodynamics</subject><subject>Hemoglobins - analysis</subject><subject>Humans</subject><subject>Maternal anemia</subject><subject>Medical sciences</subject><subject>Pregnancy - blood</subject><subject>Pregnancy Complications - physiopathology</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Ultrasonography, Prenatal</subject><subject>Umbilical Cord - blood supply</subject><subject>Vasodilation</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE1rGzEQQEVJqB23t5yLLs0pdqX9kHaPxelHwNBLexZa7QgrrFZbzdrgf58xNuSSkzTiaXg8xu6l2Eih9LeYuk0hRLmRWn9gSylavVaNam7YUghRrNtSNwt2h_hyHou2-MgWslBlpep2ydxTmqYBMreIgBhhnHnyfN4D9zDbgTvI0GW67CGm_jTaGBzPgFMaEficOL1CtjPwlDnCkXAeacwj_bEjxGA_sVtvB4TP13PF_v388Xf7e7378-t5-323dqWqZhIl0wZc2RXatW2vuk4LX_miV-BJt5AdWCsbXde19qCcroV3FqQVoulbUa7Yw2XvlNP_A-BsYkAHw0Aa6YBGl6ItRVMR-HgBXU6IGbyZcog2n4wU5hzVUFRzjmooKuFfrnsPXYT-Db5WJODrFbDo7OCzHV3AN65SitIr4tSFA6pwDJANugCjgz5kcLPpU3jf4BXp55NV</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>Carles, Gabriel</creator><creator>Tobal, Nathalie</creator><creator>Raynal, Pierre</creator><creator>Herault, Stéphane</creator><creator>Beucher, Gael</creator><creator>Marret, Henri</creator><creator>Arbeille, Philippe</creator><general>Mosby, Inc</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>20030301</creationdate><title>Doppler assessment of the fetal cerebral hemodynamic response to moderate or severe maternal anemia</title><author>Carles, Gabriel ; Tobal, Nathalie ; Raynal, Pierre ; Herault, Stéphane ; Beucher, Gael ; Marret, Henri ; Arbeille, Philippe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-933788ec3b27c99d6bb70f4f2d6ef34621beaa1875557fe6c750fcae1a008d903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Amniotic Fluid - metabolism</topic><topic>amniotic fluid volume</topic><topic>Anemia - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Blood Vessels - diagnostic imaging</topic><topic>Cerebrovascular Circulation</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Doppler</topic><topic>Female</topic><topic>fetus</topic><topic>Fetus - physiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Heart Rate, Fetal</topic><topic>Hemodynamics</topic><topic>Hemoglobins - analysis</topic><topic>Humans</topic><topic>Maternal anemia</topic><topic>Medical sciences</topic><topic>Pregnancy - blood</topic><topic>Pregnancy Complications - physiopathology</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Ultrasonography, Prenatal</topic><topic>Umbilical Cord - blood supply</topic><topic>Vasodilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carles, Gabriel</creatorcontrib><creatorcontrib>Tobal, Nathalie</creatorcontrib><creatorcontrib>Raynal, Pierre</creatorcontrib><creatorcontrib>Herault, Stéphane</creatorcontrib><creatorcontrib>Beucher, Gael</creatorcontrib><creatorcontrib>Marret, Henri</creatorcontrib><creatorcontrib>Arbeille, Philippe</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>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carles, Gabriel</au><au>Tobal, Nathalie</au><au>Raynal, Pierre</au><au>Herault, Stéphane</au><au>Beucher, Gael</au><au>Marret, Henri</au><au>Arbeille, Philippe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Doppler assessment of the fetal cerebral hemodynamic response to moderate or severe maternal anemia</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2003-03-01</date><risdate>2003</risdate><volume>188</volume><issue>3</issue><spage>794</spage><epage>799</epage><pages>794-799</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective: The purpose of this study was to evaluate the fetal vascular adaptation to moderate and severe maternal anemia. Study Design: Biometry; amniotic fluid index; uterine, cerebral, and umbilical Doppler; and maternal hemoglobin level were measured at admission and 8 days after treatment. Results: Group 1 consisted of 16 pregnancies (maternal hemoglobin level, 6.9 ± 0.6 g/100 mL); group 2 consisted of 23 pregnancies (maternal hemoglobin level, 5 ± 0.6 g/100 mL). At admission the cerebral and cerebral/umbilical Doppler indexes, amniotic index, and biometry were lower in group 2. The uterine index was normal in both groups. An abnormal fetal heart rate was found in group 2 only (48%). At day 8, maternal hemoglobin level and amniotic index increased more in group 2 than in group 1. The cerebral index and the cerebral-to-umbilical resistance ratio increased only in group 2. The abnormal fetal heart rate disappeared in group 2. Conclusion: Only severe maternal anemia (maternal hemoglobin level, <6 mg/L) triggered fetal cerebral vasodilation and reduced amniotic volume. (Am J Obstet Gynecol 2003;188:794-9.)</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>12634659</pmid><doi>10.1067/mob.2003.177</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 2003-03, Vol.188 (3), p.794-799 |
| issn | 0002-9378 1097-6868 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_73093084 |
| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adult Amniotic Fluid - metabolism amniotic fluid volume Anemia - physiopathology Biological and medical sciences Blood Vessels - diagnostic imaging Cerebrovascular Circulation Diseases of mother, fetus and pregnancy Doppler Female fetus Fetus - physiology Gynecology. Andrology. Obstetrics Heart Rate, Fetal Hemodynamics Hemoglobins - analysis Humans Maternal anemia Medical sciences Pregnancy - blood Pregnancy Complications - physiopathology Pregnancy. Fetus. Placenta Ultrasonography, Prenatal Umbilical Cord - blood supply Vasodilation |
| title | Doppler assessment of the fetal cerebral hemodynamic response to moderate or severe maternal anemia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-22T14%3A23%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Doppler%20assessment%20of%20the%20fetal%20cerebral%20hemodynamic%20response%20to%20moderate%20or%20severe%20maternal%20anemia&rft.jtitle=American%20journal%20of%20obstetrics%20and%20gynecology&rft.au=Carles,%20Gabriel&rft.date=2003-03-01&rft.volume=188&rft.issue=3&rft.spage=794&rft.epage=799&rft.pages=794-799&rft.issn=0002-9378&rft.eissn=1097-6868&rft.coden=AJOGAH&rft_id=info:doi/10.1067/mob.2003.177&rft_dat=%3Cproquest_cross%3E73093084%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=73093084&rft_id=info:pmid/12634659&rft_els_id=S0002937802713185&rfr_iscdi=true |