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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Doppler assessment between pathological examination of the placenta and late fetal intrauterine demise
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1
Institute of Gynecology and Obstetrics Clinical Center of Serbia
2
School of Organizational Sciences, University of Belgrade Institute of Statistics
3
School of Medicine, University of Belgrade, Belgrade (Serbia)
Clin. Exp. Obstet. Gynecol. 2011, 38(1), 43–45;
Published: 10 March 2011
Abstract
Aim: The relation between placental histopathological examination, umbilical cord pathology and abnormal umbilical and cerebral Doppler as a predictor of stillbirth at later gestations was evaluated. Materials and Methods: A retrospective study of 55 monofetal pregnancies complicated with late fetal death from 2005-2008 was conducted at the Institute of Gynecology and Obstetrics, Belgrade. Statistical analysis: chi-square likelihood ratio test and Spearman’s coefficient correlation. Results: Intrauterine fetal demise occurred most frequently at term –32.7% of the time. Changes in the umbilical artery resistance index were not significantly different from placental histopathology findings, p = 0.363. There was a significant correlation between neonatal birth weight and weeks of gestation at delivery, r = 0.796; p = 0.001. Conclusion: Umbilical artery Doppler is a relatively poor predictor of stillbirths due to placental dysfunction. It seems that neonatal birth weight is the best predictor of late stillbirth in high-risk pregnancies.;">
Keywords
Doppler
Fetus
Umbilical and cerebral velocimetry
Placenta
Umbilical cord
Fetal demise