Fetal umbilical artery flow velocimetry in postdate pregnancies
This study prospectively examined the use of umbilical artery flow velocimetry for monitoring fetal health in postdate pregnancies. Forty-six patients with well-established dates were evaluated with semiweekly biophysical profiles and umbilical artery flow velocimetry (characterized by the ratio of...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 1987-12, Vol.157 (6), p.1521-1523 |
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| container_issue | 6 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 157 |
| creator | Guidetti, Denise A. Divon, Michael Y. Cavalieri, Ralph L. Langer, Oded Merkatz, Irwin R. |
| description | This study prospectively examined the use of umbilical artery flow velocimetry for monitoring fetal health in postdate pregnancies. Forty-six patients with well-established dates were evaluated with semiweekly biophysical profiles and umbilical artery flow velocimetry (characterized by the ratio of the peak systolic to end-diastolic velocity). Their labor records were reviewed, and neonates were examined for signs of postmaturity. Twenty neonates had an abnormal test result or outcome (identified as an abnormal nonstress test, oligohydramnios, meconium, intrapartum fetal distress, or a 5-minute Apgar score |
| doi_str_mv | 10.1016/S0002-9378(87)80255-7 |
| format | Article |
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Forty-six patients with well-established dates were evaluated with semiweekly biophysical profiles and umbilical artery flow velocimetry (characterized by the ratio of the peak systolic to end-diastolic velocity). Their labor records were reviewed, and neonates were examined for signs of postmaturity. Twenty neonates had an abnormal test result or outcome (identified as an abnormal nonstress test, oligohydramnios, meconium, intrapartum fetal distress, or a 5-minute Apgar score <7). Nine neonates had a physical examination consistent with the postmaturity syndrome. Twenty-one neonates were entirely normal. Comparisons of the mean systolic/diastolic ratios for neonates with and without the complications associated with postdatism showed no significant differences. In addition, all systolic/diastolic ratios were within the normal range. Therefore, umbilical artery flow velocimetry is unlikely to be useful for the routine antenatal assessment of the postdate fetus.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/S0002-9378(87)80255-7</identifier><identifier>PMID: 3425656</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Biological and medical sciences ; Blood Flow Velocity ; Diseases of mother, fetus and pregnancy ; Female ; Fetal Monitoring - methods ; fetal well-being ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn - physiology ; Infant, Postmature - physiology ; Medical sciences ; Postdates ; Pregnancy ; Pregnancy, Prolonged - physiology ; Pregnancy. Fetus. Placenta ; Prospective Studies ; Risk Factors ; Umbilical Arteries - physiology ; umbilical artery velocimetry</subject><ispartof>American journal of obstetrics and gynecology, 1987-12, Vol.157 (6), p.1521-1523</ispartof><rights>1987 C. V. Mosby Company</rights><rights>1988 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-7ffc20a3c3de841da8723a162541af7c64e49f3e481c2b7804f237a28140659f3</citedby><cites>FETCH-LOGICAL-c389t-7ffc20a3c3de841da8723a162541af7c64e49f3e481c2b7804f237a28140659f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0002-9378(87)80255-7$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7822739$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3425656$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guidetti, Denise A.</creatorcontrib><creatorcontrib>Divon, Michael Y.</creatorcontrib><creatorcontrib>Cavalieri, Ralph L.</creatorcontrib><creatorcontrib>Langer, Oded</creatorcontrib><creatorcontrib>Merkatz, Irwin R.</creatorcontrib><title>Fetal umbilical artery flow velocimetry in postdate pregnancies</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>This study prospectively examined the use of umbilical artery flow velocimetry for monitoring fetal health in postdate pregnancies. Forty-six patients with well-established dates were evaluated with semiweekly biophysical profiles and umbilical artery flow velocimetry (characterized by the ratio of the peak systolic to end-diastolic velocity). Their labor records were reviewed, and neonates were examined for signs of postmaturity. Twenty neonates had an abnormal test result or outcome (identified as an abnormal nonstress test, oligohydramnios, meconium, intrapartum fetal distress, or a 5-minute Apgar score <7). Nine neonates had a physical examination consistent with the postmaturity syndrome. Twenty-one neonates were entirely normal. Comparisons of the mean systolic/diastolic ratios for neonates with and without the complications associated with postdatism showed no significant differences. In addition, all systolic/diastolic ratios were within the normal range. Therefore, umbilical artery flow velocimetry is unlikely to be useful for the routine antenatal assessment of the postdate fetus.</description><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Fetal Monitoring - methods</subject><subject>fetal well-being</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn - physiology</subject><subject>Infant, Postmature - physiology</subject><subject>Medical sciences</subject><subject>Postdates</subject><subject>Pregnancy</subject><subject>Pregnancy, Prolonged - physiology</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Umbilical Arteries - physiology</subject><subject>umbilical artery velocimetry</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1LwzAUhoMoc05_wqAXInpRzUfbpFdDhlNh4IV6HbL0RCL9Mmkn-_emW9mtV0nO-5zk5EFoTvA9wSR7eMcY0zhnXNwKficwTdOYn6ApwTmPM5GJUzQ9Iufowvvv4UhzOkETltA0S7MpWqygU2XUVxtbWh12ynXgdpEpm99oC2WjbQVdKNg6ahvfFaqDqHXwVataW_CX6Myo0sPVuM7Q5-rpY_kSr9-eX5eP61gzkXcxN0ZTrJhmBYiEFEpwyhTJaJoQZbjOEkhywyARRNMNFzgxlHFFBUlwloZkhm4O97au-enBd7KyXkNZqhqa3kvOhcgpFQFMD6B2jfcOjGydrZTbSYLlIE7uxcnBihRc7sVJHvrm4wP9poLi2DWaCvn1mCsfPBk3_N8fMS4o5SwP2OKAQZCxteCkD5pqDYV1oDtZNPafQf4AQlKJdw</recordid><startdate>19871201</startdate><enddate>19871201</enddate><creator>Guidetti, Denise A.</creator><creator>Divon, Michael Y.</creator><creator>Cavalieri, Ralph L.</creator><creator>Langer, Oded</creator><creator>Merkatz, Irwin R.</creator><general>Elsevier 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>19871201</creationdate><title>Fetal umbilical artery flow velocimetry in postdate pregnancies</title><author>Guidetti, Denise A. ; Divon, Michael Y. ; Cavalieri, Ralph L. ; Langer, Oded ; Merkatz, Irwin R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-7ffc20a3c3de841da8723a162541af7c64e49f3e481c2b7804f237a28140659f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Fetal Monitoring - methods</topic><topic>fetal well-being</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn - physiology</topic><topic>Infant, Postmature - physiology</topic><topic>Medical sciences</topic><topic>Postdates</topic><topic>Pregnancy</topic><topic>Pregnancy, Prolonged - physiology</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Umbilical Arteries - physiology</topic><topic>umbilical artery velocimetry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guidetti, Denise A.</creatorcontrib><creatorcontrib>Divon, Michael Y.</creatorcontrib><creatorcontrib>Cavalieri, Ralph L.</creatorcontrib><creatorcontrib>Langer, Oded</creatorcontrib><creatorcontrib>Merkatz, Irwin R.</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>Guidetti, Denise A.</au><au>Divon, Michael Y.</au><au>Cavalieri, Ralph L.</au><au>Langer, Oded</au><au>Merkatz, Irwin R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fetal umbilical artery flow velocimetry in postdate pregnancies</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1987-12-01</date><risdate>1987</risdate><volume>157</volume><issue>6</issue><spage>1521</spage><epage>1523</epage><pages>1521-1523</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>This study prospectively examined the use of umbilical artery flow velocimetry for monitoring fetal health in postdate pregnancies. Forty-six patients with well-established dates were evaluated with semiweekly biophysical profiles and umbilical artery flow velocimetry (characterized by the ratio of the peak systolic to end-diastolic velocity). Their labor records were reviewed, and neonates were examined for signs of postmaturity. Twenty neonates had an abnormal test result or outcome (identified as an abnormal nonstress test, oligohydramnios, meconium, intrapartum fetal distress, or a 5-minute Apgar score <7). Nine neonates had a physical examination consistent with the postmaturity syndrome. Twenty-one neonates were entirely normal. Comparisons of the mean systolic/diastolic ratios for neonates with and without the complications associated with postdatism showed no significant differences. In addition, all systolic/diastolic ratios were within the normal range. Therefore, umbilical artery flow velocimetry is unlikely to be useful for the routine antenatal assessment of the postdate fetus.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>3425656</pmid><doi>10.1016/S0002-9378(87)80255-7</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1987-12, Vol.157 (6), p.1521-1523 |
| issn | 0002-9378 1097-6868 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Biological and medical sciences Blood Flow Velocity Diseases of mother, fetus and pregnancy Female Fetal Monitoring - methods fetal well-being Gestational Age Gynecology. Andrology. Obstetrics Humans Infant, Newborn - physiology Infant, Postmature - physiology Medical sciences Postdates Pregnancy Pregnancy, Prolonged - physiology Pregnancy. Fetus. Placenta Prospective Studies Risk Factors Umbilical Arteries - physiology umbilical artery velocimetry |
| title | Fetal umbilical artery flow velocimetry in postdate pregnancies |
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